What is the Best Circumcision Method for Male Adult

By: Dr. Khan

Published: June 25, 2025

Many patients are asking from surgeons or urologists about different ways of to circumcise male adult. Patients look into Google to find the answer, but they become more confused.

There are different techniques and methods for the circumcisions: 

  • Forceps guided method 
  • Sleeve method 
  • Clamp method
  • Freehand method

These procedures can be achieved by using glue, stitches, Shang ring device, ZSR or CircCurer (LangHe) staplers, or combinations of these.

What Is Evidence In The Medical Literature

Adult circumcision with Shang ring

Pros 

  • 1.     Quick and bloodless
  • 2.     Higher patient satisfaction 
  • 3.     Lower operative pain
  • 4.     Lower risks 
  • 5.     Small wound bleeding 

Cons

  • 1.     Wound healing takes longer to heal
  • 2.     Significant Wound gap 
  • 3.     Healing by significant scar gaps in some cases
  • 4.     Require removal of the ring 
  • 5.     More pain during recovery 

Circumcision with a Stapler device (ZSR or CirCurer) 

Pros 

  • 1.     Less operative time
  • 2.     Less operative pain
  • 3.     Less complications 
  • 4.     Lower infection rate
  • 5.     Short healing time
  • 6.     Less swelling 

Cons

1.     Residual stapler nails longer than 4 weeks 

2.     Staples requires removal 

3.     May leave stapler marks 

Circumcision with Stitches

Pros

1.     Less expansive 

2.     Easy to use 

3.     Customised as patient requirements 

Cons

1.     Leave stitches marks and tunnels

2.     Stitches take 2-3 weeks to fall off

3.     More painful than glue

4.     More chances of infection 

Circumcision with Glue 

Pros 

1.     Waterproof 

2.     Less bleeding 

3.     Less chance of infection 

4.     Less painful

5.     Heals quicker

6.     Best in cosmetic outcome 

Cons

1.     Operation is longer

2.     Technically challenging

3. Expansive operation

In conclusion, a recent report showed that the use of tissue glue in comparison to stitches is cosmetically better and has less complications.

By looking the medical literature, photos on the internet, our results with the ”Khan technique of circumcision” were superior to all other methods and these results are endorsed by many patient’s feedback.

The Khan Technique of the Circumcision: He uses his own surgical techniques using mainly glue with 1-3 stitches, which is a custom made result for every individual patient. With his 27 years experience, the “Khan technique of the circumcision” is the best circumcision method of adult and boys over 16  years of age. 

Dr. Khan can discussed about the initial outcome and long term about the “Khan technique of glue circumcision”

© London Circumcision Centre, 2019. Unauthorised use and duplication of this blog without express and written permission from this blog’s author and owner is strictly prohibited.

Dr. A.R Khan

Paediatric Surgeon/Urologist

Bio

BSC, MBBS, FRCS, FEBPS, FRCS (PAEDS)
Dr. Khan is a highly experienced and respected paediatric surgeon and urologist with a distinguished career that spans over three decades. He has performed more than 7,000 circumcisions in the UK and is recognised for his expertise in treating foreskin problems, buried penis, and hypospadias. Dr. Khan is also pioneering new techniques in circumcisions for adults, children, and infants, ensuring the highest standards of care for his patients.
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