Adult Circumcision

We use the latest techniques, including glue, stitches, or staplers, to provide safe and painless circumcision for adults and older boys between 16 and 18 years old. We offer a cost-effective option of having a video consultation before procedures. With two locations in London, we assure you of our competitive prices and excellent quality service. Check out our testimonials from pleased patients.

Why do you choose our clinics?

• Experienced Surgeons: Our clinic has experienced surgeons who have successfully performed over 8,000 circumcisions in the UK. They bring 30 years of experience and an excellent reputation, having worked in top London NHS hospitals.
• Innovative Techniques: We use state-of-the-art techniques for adult male circumcision with glue or a CircCurer™ or ZSR stapler device.
• Specialist clinic: Our clinic specialises in various circumcision techniques, including sleeve, glue, freehand, forceps-guided, stitches, staplers, redo or circumcision revision, preputioplasty, and frenuloplasty.
• Treatment of Cracked Foreskin: Our doctors specialise in treating cracked and tight foreskin (phimosis) resulting from a scarring condition known as balanitis xerotica obliterans (BXO).
• Styles of Circumcision: Our urologist can discuss the characteristics of high- and low-cut, tight- and loose-cut types, and circumcision styles.

Is glue circumcision the best option?

Benefits of Circumcision with Glue

Using glue for circumcision wound closure has many benefits, including shorter operative time, less postoperative pain, waterproofing, easier wound care, fewer complications, and better cosmetic outcomes.

Our Audit

Over the past two years of audit, our clinic has successfully performed 374 adult circumcisions with glue and stitches under local anaesthesia. Our findings indicate that glue has a lower complication rate than stitches.

The Best Option

Choose glue circumcision for less pain, shorter procedure times, and better cosmetic outcomes.

Before operation assessment

Before your surgery, we must know if you have any of the following conditions:

• Family history of bleeding disorders
• Medication such as anti-platelet or blood-thinning medication
• Allergy to any medication
• Urinary problems
• Diabetes
• Heart surgery
• An artificial joint or any other implanted foreign body
• A neurosurgical shunt

Please inform the doctor or nurse if you have any of these conditions during the consultation. This is important for a good outcome during the surgery.

Indications (what are reasons for men’s circumcision)

Circumcision may be performed for the following reasons:

1. Hygiene, cultural or religious
2. Tight or cracked foreskin
3. Balanitis Xerotica Obliterans (BXO)
4. frenulum breve or  tight frenulum
5. Paraphimosis
6. Tight foreskin causing pain during sexual activity.
7. Phimosis
8. Balanitis or Balanoposthitis (infection of foreskin or glans)

Video Consultation before Circumcision or other procedures

You can now have a video consultation before adult circumcision and other procedures, which eliminates the need for an extra visit and saves you the associated costs of travel, missed work and time. This also helps to answer all questions before the procedure. Please note that a separate fee of £150 will be charged for the video consultation.

Local Anaesthesia and Needles Anaesthesia

At our clinic, we perform circumcision under local anaesthesia while the patient is awake. You can bring headphones or earphones to listen to music during the procedure. Additionally, we also offer no-needle local anaesthesia for adult male circumcision for needle-phobic patients. This can be arranged separately.

Full or partial circumcision

It is important to understand the difference between full and partial circumcision. Full circumcision involves the complete removal of the inner and outer foreskin. In contrast, partial circumcision only removes some of the foreskin, leaving some loose foreskin that may partially cover the glans. However, it should be noted that full circumcision can sometimes give the false impression of partial circumcision when flaccid or if the penis is buried inside. While partial circumcision is possible, it can lead to some complications in the long term. Our specialist can provide you with more information about these complications and help you make an informed decision about partial circumcision.

The Revision or Redo of Previous Circumcision

We offer revision or redo of previous circumcisions to correct issues with scarring or appearance, including uneven skin, scarred frenulum, excessive and uneven circumcision scars, and excess scarring. A second opinion for previous circumcision is provided to ensure the best outcome for patients.

Alternative to full circumcision

There are different alternatives to full circumcision, including medical treatments, partial circumcision, excision of the frenulum, frenuloplasty, and a V-Y plasty operation known as preputioplasty. Personal preferences can be discussed further with our specialist.

Religious or cultural circumcision

Expectations for circumcised individuals due to religious and cultural reasons include exposing the glans of the penis, which is typically achievable. However, some may have short or mobile penile shaft skin and a partially buried penis. For these cases, exposing the glans may not be ideal as penile skin may be needed for normal function erections.

Styles of circumcision

There are various styles of circumcision for men, which involve the removal of both inner and outer foreskin. The high/low and loose/tight styles refer to the amount of outer or inner foreskin that is removed, and these can vary based on factors such as anatomy, foreskin disease, and body mass. Styles may also differ in circumcision performed with or without frenuloplasty, with a buried penis or mobile penoscrotal junction, with a penoscrotal web, or in cases of Balanitis Xerotica Obliterans (BXO). It is crucial to discuss the styles of circumcision with a urologist before the procedure to have realistic expectations for the outcome.

Procedure

During the procedure, a local anaesthetic is injected into the base of the penis and the surrounding area with 2-3 pricks. This injection provides safe and effective pain relief and is the only form of anaesthesia around the wound. During the procedure, the patient is not put to sleep (general anaesthesia). This anaesthetic injection helps to minimise postoperative pain for several hours. The foreskin is removed through an incision located just behind the head of the penis. This results in the glans being completely and permanently exposed.

Aftercare for adult circumcision

It is crucial to adhere to the following guidelines for aftercare following an adult circumcision procedure. Discomfort is expected, but painkillers can help alleviate symptoms. If absorbable stitches are used, stitches can fall off naturally within 2-3 weeks. Vaseline must be applied to the tip of the penis. A dressing should be applied around the wound line to prevent the wound from sticking to your underclothes, which should stay in place for three days in the case of glue circumcision. It is highly recommended that you wear light clothing for 2-3 days. The operation usually does not affect passing urine.

If the circumcision is performed with the Glue method (Dermabound Advanced™ or Derma+flex®), please follow these instructions strictly:

1. Keep the wound dry for three days.
2. Refrain from scratching, rubbing, or picking at the wound or glue, which can loosen the film before the wound fully recovers.
3. Gently remove the bandage after three days; you may take a brief shower. After showering, gently blot the wound dry with a soft towel. Caution! Do not peel off the glue with the bandage.
4. Do not soak or scrub your wound or swim until the adhesive film has fallen off naturally.
5. Stay out of direct sunlight and avoid using tanning lamps.
6. Do not apply liquid, ointment medications, or any other product to the wound while the glue is in place. Such actions could loosen the film before the wound is fully healed.
7. You may have 2-3 stitches underneath the penis (at the frenulum); these will dissolve in 3-4 weeks. There is no need to remove the stitches using the glue method.