Adult circumcision is a surgical procedure involving the removal of the foreskin from the penis. While typically associated with infancy, many men seek this surgery later in life for medical necessity or personal preference. This procedure requires a specialized medical professional to ensure safety and optimal results. This article outlines which medical specialists are qualified to perform adult circumcision, the motivations for seeking the surgery, and what the patient can expect from consultation through recovery.
Medical Specialists Who Perform Adult Circumcision
The primary medical specialist for adult circumcision is the Urologist, a physician who has completed extensive training in the diagnosis and treatment of conditions affecting the urinary tract and the male reproductive system. Urologists are specifically trained in genital surgery, making them the most experienced choice for this procedure. They are best equipped to handle complex cases, such as those involving significant scarring, or when an underlying urological condition is present. Their expertise includes reconstructive techniques aimed at achieving a positive cosmetic and functional outcome.
General Surgeons may also perform adult circumcisions, particularly in clinic settings or as part of their broader surgical practice in a hospital. While they possess the necessary surgical skills, a Urologist’s focused training on the male anatomy often provides a deeper understanding of potential complications and specialized techniques. The choice between specialists depends on the complexity of the patient’s case and the setting. A board-certified urologist is recommended for men with pre-existing conditions like severe phimosis or balanitis, or for those seeking a revision of a previous circumcision.
Reasons Adults Seek Circumcision
Adults generally seek circumcision for reasons that fall into two main categories: medical necessity and personal or elective choice.
Medical Necessity
The most common medical indication is Phimosis, where the foreskin is too tight to be fully retracted over the head of the penis, causing pain, hygiene difficulty, and recurrent infections. Another frequent medical reason is recurrent Balanitis, which is inflammation of the head of the penis and foreskin, often caused by poor hygiene or infection.
The procedure may also be necessary for:
- Paraphimosis, a urological emergency where the retracted foreskin becomes trapped behind the glans.
- Reducing the risk of certain sexually transmitted infections.
- Reducing the risk of urinary tract infections.
- Addressing rare cases of penile cancer.
Elective Reasons
Beyond medical necessity, many men choose the procedure for religious or cultural reasons, or for personal preferences related to hygiene or aesthetics.
The Patient Journey: Consultation and Recovery
The journey begins with an initial consultation with the specialist, where the physician will discuss the patient’s medical history and the specific motivation for seeking the procedure. During this appointment, the surgeon will perform a physical examination to assess the anatomy and determine the most appropriate surgical technique. The consultation is also used to discuss the potential risks, expected benefits, and the options for anesthesia, which is often local to numb the area, but can sometimes be general or involve sedation.
The procedure is typically performed on an outpatient basis and usually takes between 30 to 60 minutes for an adult. Immediately following the surgery, the patient can expect some swelling, bruising, and discomfort. Pain is usually manageable with over-the-counter pain relievers like ibuprofen or acetaminophen. The surgeon will advise on wound care, which involves keeping the area clean, and may include wearing snug underwear for support to help reduce swelling.
The initial healing phase, where swelling and bruising begin to subside, usually lasts about two to three weeks. Stitches used to close the incision are often dissolvable and will fall out on their own during this time. Patients are advised to avoid strenuous activities, heavy lifting, and exercise for at least two weeks. Full recovery, including the resumption of sexual activity, typically requires four to six weeks to allow the incision site to fully heal.