Understanding Partial Circumcision
Partial circumcision preserves some foreskin, either partially or fully covering the glans, with only a portion of the foreskin being removed. Full circumcision might give a misleading impression of partial or incomplete circumcision when the penis is flaccid, particularly in cases of a buried or hidden penis. However, it is important to note that partial circumcision is suitable for only a limited number of adults and may have some long-term complications.
What is the difference between partial and circumcision?
Full circumcision means adequate cutting of the foreskin to expose the head of the penis. In the case of partial circumcision, the remaining foreskin partially or fully covers the head of the penis (glans).
Procedure
How Partial Circumcision is Done
- Pain Relief: A local anaesthetic is administered through injections to ensure a painless procedure.
- Foreskin Removal: The inner part of the foreskin (mucosa) is removed circularly, along with part of the outer foreskin.
- Closing the Wound: The inner mucosal skin and outer foreskin are primarily joined using glue and a few stitches. The glue acts as a waterproof layer, reducing the risk of infection and resulting in the best scar outcome.
Price
Cost from ยฃ780 for partial adult circumcision under local anaesthesia.
Benefits and Drawbacks
Benefits
- Potential Normal Sexual Function: May help maintain normal sexual function.
- Penis Head Skin: Exposed penis head becomes normal keratinised skin.
- Retention of Foreskin: Allows an individual to retain a portion of their foreskin, known as the prepuce.
Drawbacks
- Not Recommended: The British Association of Urological Surgeons advises against partial circumcision due to the risk of scarring and recurrent tight foreskin (secondary phimosis).
- Long-term outcome: Scarring may return in the remaining part of the foreskin, and the long-term outcome may not be satisfactory for all individuals due to the return of symptoms.
Risks and Recovery
Risks
- Potential Side Effects: Bleeding, infection, prolonged swelling, recurrent phimosis (tight foreskin), and significant scarring.
- Revision Surgery: In cases where a tight foreskin develops due to scarring after operation, a revision circumcision may be necessary.
- Suitability: Suitability for this procedure depends on an individual’s penis and foreskin anatomy.
Recovery
- Swelling: Expect some foreskin swelling for a few days, gradually reducing within 10-15 days.
- Healing Time: Complete wound healing typically takes 2-4 weeks.
- Return to Work: Individuals may return to work when they feel comfortable, with most people requiring at least 2-3 days off.
- Sexual Activity: Refrain from sexual activity for a period of 4 to 6 weeks during the healing process.
Expected Outcome
Preservation and Appearance
- Partial circumcision aims to preserve a portion of the foreskin, generally well accepted by men once the wound is fully healed.
- The unique technique positions the scar line on the internal part of the foreskin, resulting in a favourable appearance of the penis.
For more information and to determine the suitability of partial circumcision, please do not hesitate to contact us. Our Specialist Consultant Urologists are available to discuss your specific concerns.