In men, circumcision is sometimes considered a possible treatment option for the following conditions:

  • phimosis (tight foreskin) – this occurs where the foreskin is too tight to be pulled back over the head of the penis. This can be particularly painful when the penis is erect.
  • paraphimosis - where after being pulled back, the foreskin can't return to its original position, causing pain and swelling. In this case immediate treatment is needed.
  • recurrent balanitis – where the foreskin and head of the penis become inflamed and infected.
  • balanitis xerotica obliterans – a condition that causes phimosis.
  • cancer of the penis – a very rare type of cancer that can occur in men, where a red patch, wart-like growth or ulcer appears on the end of the penis or under the foreskin

In most cases, circumcision will only be recommended when other, less invasive and less risky treatments have been tried and haven't worked.

All circumcisions at the Cadogan Clinic are performed by our award-winning Consultant Uro-Andrologist, Mr Giulio Garaffa who has over 20 years’ international medical experience in this area. Mr Garaffa has a global reputation for his excellence in urology and is one of the leading experts in the teatment of foreskin diseases, including circumcision and frenuloplasty.

Frequently Asked Questions

A circumcised male may experience chafing and abrasion of the exposed glans against clothing, painful erections due to the tightened skin, scarring, and desensitisation. A circumcised penis may also be slightly smaller than it would otherwise have been.

£2,000 (Fellowship £1,300).

Circumcision is the surgical removal of the sleeve of skin and mucosal tissue that normally covers the glans (head) of the penis. This double layer, sometimes called the prepuce, is more commonly known as the foreskin. 

Circumcision should be a pain-free procedure. The pain that you will experience depends on the individual – it is more a dull ache than a sharp pain once the feeling returns.

You are looking in the region of approximately 2 weeks.

One thing you have to bear in mind is that circumcision is a surgical procedure. All surgical procedures are associated with an element of risk. However, these risks can be minimised if the procedure is carried out by a fully trained and professional circumcision practitioner, in particular, if someone has a surgical background or is a practicing surgeon.

It is a good idea to trim or shave your pubic hair a few days before the procedure in anticipation of the circumcision. This ensures that no hair gets into the operating field and it reduces the chances of infection. It is advised that you have a shower on the morning of the procedure. A firm pair of boxers together with a tracksuit bottom are ideal clothing for the day. Avoid wearing jeans and tight clothing on the day and for two weeks after the procedure.

The procedure is performed under a local anaesthetic that is injected at the root of the penis. An interval of about 10 minutes is given before the actual procedure is started so that the penis is completely anaesthetised and no pain will be felt during the procedure. The groin is fully prepped and draped to undertake the procedure in a sterile fashion. A surgical marker pen is used to mark the line of incision on the foreskin to guide the level of the cut – this ensures that the skin removed is symmetrical and that the best final cosmetic result can be achieved. Freehand excision of the foreskin is performed along this mark. The procedure finishes with a thin strip of non-adherent dressing along the line of the wound.

You can wear your normal clothes that you came in and be ready to depart the clinic. You can drive or take public transport immediately after the procedure. Passing urine is painless and is not affected by the operation. There will be swelling and bruising of the penis for a few days after the procedure. This will last 7-10 days and will then subside gradually and should not be a cause for alarm.

It is advisable to take at least 3 days off work following the circumcision. However, a number of adults return to work as early as the next day. It is advisable to avoid heavy manual work for about one week. In terms of return to sexual activity, approximately 6 weeks is required. You can wear your normal clothes that you came in and be ready to depart the clinic. You can drive or take public transport immediately after the procedure. Passing urine is painless and is not affected by the operation. There will be swelling and bruising of the penis for a few days after the procedure. This will last 7-10 days and will then subside gradually and should not be a cause for alarm.

Yes.

Newborn: Babies 5 months and under fall into this category. The method typically employed for the circumcision procedure would be the Plastibell ring method.

Infant - Young Child: Babies and Children aged between 6 months - 8 years old fall into this category. The method typically employed for the circumcision procedure would be the Plastibell Procedure. However, in certain individuals, the Plastibell Procedure may not be suitable, either because they are overweight or they have penis sizes that will not accommodate the Plastibell Ring. These children will have the traditional sleeve resection and the wound will be closed with dissolvable stitches.

Young Male - Teenager: Young Male's over the age of 9 years old fall into this category. The method typically employed for the circumcision procedure is the traditional sleeve resection.Adult Males: Adults over the age of 16 will have the traditional sleeve resection. Dissolvable stitches are used and there are no dressings or bandages to remove and there is no need for any follow-up checks.

Adult Males: Adults over the age of 16 will have the traditional sleeve resection. Dissolvable stitches are used and there are no dressings or bandages to remove and there is no need for any follow-up checks.

1. Tight foreskin due to Balanitis Xerotica Obliterans (BXO)

2. Hygiene, cultural or religious

3.Paraphimosis

4.Tight foreskin during sexual activity

5.Phimosis

6.Balanitis or Balanoposthitis (infection of foreskin or glans)

7.Tight frenulum causes the head of the penis to tilt down during erections

Full circumcision means moderate cutting of inner and outer foreskin to expose the head of the penis. Partial circumcision leaves some loose skin which might partially cover the head of the penis and is very similar to loose circumcision. Full circumcision might give a false impression of loose/partial circumcision when the penis is in a flaccid state.

There is little evidence of this. Circumcision in childhood - but not as an adult - may reduce the risk of penile cancer but this disease is very rare anyway and the real risk factors are poor personal hygiene and smoking. Indeed, the countries with the highest rates of circumcision (USA, for example) are also those with the highest rates of penile cancer.

Some sexually transmitted infections appear more common in uncircumcised men, others in circumcised men.

Two particular concerns for circumcised men are that:

They are less likely to notice the symptoms of the STI chlamydia - the incidence of which is increasing in the UK - so heightening their risk of passing it on; and, they appear more likely to develop penile warts.

As regards AIDS, the international not-for-profit health organisation the Cochrane Collaboration has reviewed all the research into circumcision and HIV and concluded that there is insufficient evidence to support the idea that circumcised men have less chance of contracting HIV. However, it should be said that not all scientists agree with this.

What everyone agrees on is that all men can reduce the risk of an STD or HIV by using a condom.

Yes. These include steroid creams, stretching methods, and less-invasive surgery.

The foreskin has protective, sensory, biomechanical, and immunological functions. Throughout life, the outer part of the foreskin protects the sensitive inner part of the foreskin and the glans from injury, abrasion, chafing, and infection. The foreskin keeps its mucosal tissue and the glans soft and moist so that it maintains sensitivity.

During sexual activity, the foreskin glides up and down over the glans, providing sensation from thousands of specialized nerve endings in the inner foreskin. Parts of the foreskin, including the frenulum (a narrow membrane on the underside of the foreskin) and the ridged band (the edge of the foreskin, between the inner and outer skin), are particularly important in sexual function. The foreskin also secretes immunological substances that fight infection, called lysozymes, and also produces natural lubricants, reducing the need for artificial lubricants during sex.

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Mr. Giulio Garaffa
Mr. Giulio Garaffa

Uro-Andrologist

Considered one of the world leading experts in his fields of interest and is invited world wide to give lectures and perform live surgery