For uncircumcised adult men that are curious about circumcision, one area of uncertainty is often around the types and styles of circumcision that produce different results. The style of circumcision chosen is based on a man’s preferences, whilst each person’s individual anatomy will also be considered by the doctor as this will affect the outcome of the procedure.
Before performing the circumcision, the doctor will discuss the different circumcision styles in order to ensure the patient has realistic expectations and can make the most suitable choice.
Adult Circumcision Styles Explained
There are a number of ways that doctors can circumcise an adult male, and each different style achieves a different result. Circumcision styles differ based on the position of the cut (how much skin is removed) and their tightness.
High or low circumcision
The concept of how high or low is based on the position of the scar line from the groove (sulcus) of the head of the penis (glans), as well as how much of the inner or outer skin is removed.
A common misconception is that high and low are in relation to the base of the penis, however, in actuality, the concept is the opposite. A high circumcision means that the scar line is further away from the head of the penis, so more outer skin is cut off, leaving a long inner skin. The low circumcision style means that the scar line is closer to the glans, whilst more inner skin is removed.
High or low styles are not suitable or safe for all men. A scar too close to the base of the penis is not recommended as it leaves too much inner foreskin exposed, which can lead to swelling as a result of lymphatic drainage. Another effect is that over time, the inner skin stretches to become a loose fold of skin, so the results are unsatisfactory in the long term.
Tight or loose circumcision
The tightness or looseness of the circumcision style depends on factors including how much of the foreskin is removed in total, along with the attachment of the skin at the base of the penis, and the mobility of the penile shaft skin.
In some cases, tightness of skin is not possible as a result of the loose attachment of skin at the base of the penis – this can be congenital, or as a result of the ageing process. Tight circumcision is also not possible for men who experience a considerable difference in size between their flaccid and erect penis.
Methods of circumcision
- High and tight – a high and tight circumcision means that the scar line is placed closer to the middle of the shaft, so more of the foreskin is surgically removed. The skin will also be tighter when the penis is erect.
- High and loose – a high and loose circumcision features a scar line that is closer to the middle and the shaft and further from the glans. Less of the foreskin is removed, so the skin will be looser when the penis is erect.
- Low and tight – a low and tight circumcision places the scar line closer to the glans. As with a high and tight circumcision, the skin will be tighter during an erection.
- Low and loose – a low and loose circumcision features a scar line closer to the glans, however, less of the foreskin will be removed than with a low and tight circumcision.
Book a circumcision
To book your circumcision with Modality Circumcision service, please call us today on 0121 250 0386. For more information, you can view our complete guide here.
If you have decided that circumcision is the right decision for you as an adult, it’s important to get as much information as possible leading up to your surgery. Whilst a skilled and experienced doctor will carry out your circumcision, in this blog we will talk you through what you can do to prepare for your surgery, as well as how to care for yourself as you recover.
How to Prepare
Here are some of the most important things to take note of before your circumcision procedure:
- On the day of your circumcision, be sure to take a shower and take particular care in cleaning your foreskin and genitalia.
- Bring tight fitting boxers or briefs to wear after your surgery. Tight underwear helps to minimise the movement of your penis and keeps the dressing in place.
- Don’t drink alcohol for at least 48 hours before your circumcision. Alcohol can dehydrate you, as well as reducing the effectiveness of local anaesthetic.
- Before the procedure, which will be carried out under a local anaesthetic, you can eat and drink as normal. Make sure to take in plenty of fluids.
- If you are a smoker, you should stop before and after your surgery as this can interfere with the healing of your wound, making your recovery time longer and putting you at more risk of infection.
- Do not take Aspirin or blood thinning medicine, as this can increase bleeding after your circumcision.
- You should shave your pubic hair a few days ahead of the operation.
- You may experience some discomfort in the first few days after your operation, so you may wish to arrange for some time off work, particularly if you have a manual job. If you feel worried about telling your employer the reason for requesting time off, you can tell them that you are having minor surgery. Your GP can also provide a sick note that states this, without explicitly mentioning circumcision.
- If you are planning to drive yourself home after your surgery, you should check that you are still covered by your insurance after a local anaesthesia. You may wish to arrange for someone to drive you home.
After your circumcision, your doctor will provide instructions on how to care for your wound, but here is some useful information to help you with your aftercare.
- After your surgery, avoid strenuous exercise for at least the first four weeks of your recovery time, or until your doctor recommends. During your recovery, walking a little more than you usually would is a good way to exercise as you recover.
- You can return to work when you feel comfortable to do so – some people may feel comfortable going back to work right away, whereas others may need a few more days, especially if they have a more manual job.
- You should avoid any sexual activity for six weeks or so after circumcision. Your doctor will be able to provide more information.
- Whilst it is normal to feel some pain and discomfort after circumcision, if you are feeling increased pain, experiencing bleeding, having trouble urinating, or seeing signs of infection (fever, increased redness, swelling, drainage), you should call your doctor.
For further information on circumcision, you can call our specialist team at Modality Circumcision Service on 0121 250 0386.
After a baby’s circumcision surgery, a plastic ring, known as a plastibell, will remain on their penis. The plastibell will fall off by itself within 3 to 14 days and there will be no stitches to worry about after this procedure. If a plastibell does not fall off by itself, you will need to return to the circumcision clinic.
What is a Plastibell?
The Plastibell Technique for circumcision is the most common method for circumcision for babies. It involves the plastibell being positioned under the foreskin and over the end of the penis. A piece of suture is tied directly around the foreskin, cutting off the blood supply to the foreskin. The excess foreskin may be cut off with a scalpel, while the plastic ring is left on until it falls off by itself.
What to do after Plastibell Circumcision
While you wait for your son’s plastibell to fall off, there are a few things you need to make sure you do as part of aftercare:
While holding your son, try not to hold him flat or against your body, to avoid friction. Be sure not to pull on the plastibell either as this can lead to soreness and bleeding. If he is able to walk, walking normally should be fine.
During the first day of aftercare, your son’s penis will be covered with a gauze dressing. This should be replaced with every nappy change. After the first day, begin to apply vaseline to the nappy with every change. If your child is old enough to wear underwear, still apply vaseline. As well as preventing friction, this can soothe their penis. If you feel unsure on how to do this, please ask the specialist at our clinic to guide you.
To stay clean, bathe your son 1 to 2 times a day using baby shampoo or by adding salt to their bathing water. Immerse their healing penis into the water to keep it clean.
It is completely normal for your son to experience swelling, redness or an unpleasant odour from the dead skin.This should go down within a few days.
When to Call a Doctor
While at home, if you begin to notice any of the following in your son, please contact your doctor as soon as possible:
- High temperature of over 101 degree fahrenheit
- Severe pain not belong relieved with pain medicine
- Head of their penis appearing blue or black
- Plastibell slips down past the head of the penis
- Fewer wet nappies than usual
- Redness spreading from end of penis to abdomen
- More than a few drops of blood on penis or nappy
Booking Your Child’s Circumcision
At Modality Circumcision Service, we are a major award winning health care provider in the UK. For more information on Plastibell Circumcision or to arrange an appointment, please get in touch today.
From 15th to 21st June 2020 we celebrate Men’s Health Week, a week dedicated to raising awareness about the health issues that particularly affect men. This awareness week aims to not only raise the profile of male health issues, but also to encourage men to seek help and support to deal with these issues. Not surprisingly, in 2020, the week will focus on the ways in which men can take action against the spread of Covid-19. However, whilst we all need to do our bit to stick to the current guidelines, and avoid spreading the virus, this week is also a great time to showcase other male health problems.
It is the perfect opportunity for us to review the health benefits of circumcision, so here we have presented our main reasons why men may choose to undergo the procedure for health reasons.
Top 5 health benefits of circumcision
One of the main medical reasons for circumcision to take place is phimosis. This is where the foreskin is too tight to be pulled back over the head of the penis. It can cause discomfort, particularly when the penis is erect, and may also cause difficulty in passing urine.
This condition is characterised by a swollen and painful penis head which occurs because the foreskin cannot be returned to its original position after being pulled back. Treatment is generally needed immediately to rectify the problem, as leaving it could restrict the blood flow to the penis and lead to serious complications.
This skin irritation on the head of the penis causes itchiness, redness, swelling and pain when passing urine. It can usually be cleared up by practicing good hygiene and using cream or ointment as prescribed by a doctor. However, in some cases it can become recurrent and in which case circumcision may be recommended.
- Cancer of the penis
Though a rare type of cancer, circumcision may help to prevent you from getting the disease. Penile cancer generally affects men over the age of 50 and occurs on the skin of the penis or within the penis. Though rare, it is important to be aware of any changes and see your GP if you have sores that will not heal, bleeding from under the foreskin or a change in colour of the skin on your penis or foreskin.
- Prevention of HIV
There is some evidence to suggest that circumcision can prevent heterosexual men from acquiring HIV. It is often encouraged as part of HIV prevention programmes.
If you are at all concerned about penis health, we recommend that you contact your GP as soon as possible, as early detection of any issues will almost certainly improve your recovery time.
Circumcision at Modality Circumcision Service
Whatever the motivation behind you wanting to be circumcised, whether for religious or health reasons, we offer an award winning service here at Modality Circumcision Service in Birmingham. To find out more about our services and prices please enquire by calling us on 0121 250 0386 or click here to send us a message.
Circumcision is a simple procedure which many men undergo as children, whilst some men choose to be circumcised as adults. The process involves the surgical removal of the foreskin. When completed by a qualified circumcision practitioner and the right aftercare is provided, this is a safe procedure.
At The Modality Circumcision Service, we are a major award winning healthcare provider in the UK. In addition, we are registered with the Care Quality Commission who complete regular reviews of our clinic. This ensures that we are providing our clients with the highest of standards in a safe environment. Thereby keeping all patients in safe hands.
If you are booked in for a circumcision with us, here is what to expect on the day of your appointment.
What to Bring to Your Appointment
For patients under 16 years of age, parents should bring the child’s red book, birth certificate and photo ID of both parents. Photo ID can be in the form of a passport or driving license.
Both parents will also need to be present to sign the consent form. However, for single parents and other family situations, you can be made exempt from this rule.
In addition, you will need to bring the information pack sent to you after booking the circumcision appointment.
When You Arrive
On arrival to the clinic, please report to the front desk. Once signed in, take a seat and wait for the doctor to call you to the private operating room. Before the circumcision begins, you will have an initial consultation; this is your opportunity to ask any questions and express any concerns you may have, before signing the consent form.
The patient will also be examined by the doctor to ensure that he is healthy for a safe circumcision to take place.
Using Local Anaesthetic
Firstly, a local anaesthetic will be injected around the base of the penis to numb the penis during the procedure. This will take a few minutes to take effect before the doctor tests the foreskin. The circumcision will begin once the doctor is confident that the patient will feel no localised pain. You can expect for this type of anaesthetic to last up to six hours.
Comforting Children During the Procedure
Parents are encouraged to stay in the operating room throughout their child’s procedure. However, a different family member is allowed in the operating room if you feel more comfortable waiting outside.
For young children, toys and electronics to play with or listen to during the procedure are great distractions. This can help to make the appointment a less stressful experience for infants.
Once the circumcision is complete, you will be guided to the recovery room. Here your doctor will explain to you the aftercare required in greater detail. You will also be provided with a written aftercare guide to take home and refer to. If you have any questions or concerns, please ask and your doctor will advise you.
Infection Control Policies
At The Modality Circumcision Service, our operating theatres are modern and of a high standard. Being equipped with electro-hydraulic operating beds and overhead theatre lights, we offer a safe environment for circumcision precedures.
Our infection control procedures meet all standards set out by the Care Quality Commission. All our equipment is sterile, and all used materials are appropriately disposed of.
Booking Your Circumcision Appointment
To book a circumcision appointment, you can easily do so by contacting our team via our online enquiry form. If you have any questions, please leave them in the message box provided.
With the recommended aftercare, you should experience minimal discomfort after circumcision and reduce your risk of infection. For the first few days after adult circumcision, more care will be required, which raises a lot of questions for patients.
In this blog we answer some of the most common questions regarding recovery after the circumcision procedure.
Will I have to stay in hospital for adult circumcision?
Because adult circumcision is an outpatient procedure, you will not need to stay overnight. Procedures are completed at a specialist circumcision clinic and you will be allowed to leave on the same day.
When can I return to work?
Many patients of adult circumcision return to work the day after their procedure. Unless it is absolutely necessary, time off work is not needed.
However, if you feel more comfortable being off work during the first few days post-procedure, discuss it with your employer. They may allow you to take annual leave or work from home if you are experiencing discomfort.
Is recovery painful?
While adult circumcision is often a relatively painless procedure, pain is subjective and it all comes down to each individual. For 3-4 days following your circumcision, the head of your penis may swell and cause some discomfort. However, your circumcision specialist can advise you on pain management and medication.
You may also find that your exposed glans begins to chafe against your clothing, and the tightened skin and scarring may also cause uncomfortable erections. These symptoms should disappear over a short period of time.
Do I have to revisit the clinic to have my stitches removed?
Our circumcision specialists will use dissolvable stitches, meaning you will not have to come back to have them removed. Most often, it takes 2 to 6 weeks for your stitches to dissolve entirely. However, some patients have had stitches dissolve within 10 days.
If you prefer, non-absorbable sutures are available. Our specialists will use 4.0 Ethilon which can be removed by us or your GP.
When should I seek medical help?
Patients of adult circumcision should be cautious of the following:
- Significant bleeding
- Severe swelling
- Difficulty urinating
- Fevers of 38.5°C or above
- Discomfort while passing urine
- Increased redness
- Persistent pain
- Throbbing penis
The above symptoms could be a potential sign of infection, therefore if you experience any, please seek medical help straight away.
Get in Touch
If you have any concerns regarding adult circumcision, our team at the Modality Circumcision Service are here to help. Please complete our enquiry form or call 0121 250 0386 for more information.
With circumcisions, infections should be taken seriously, especially among younger patients. Therefore, it is important to understand how to carry out appropriate aftercare, as well as how to identify signs of an infection and when it is time to seek medical attention.
Below we have a guide on the different signs of infection to look for within different age groups. But firstly, it is important to remember that you will experience signs of the healing process also.
This may include:
- Tiny blotches of blood
- A few weeks post-surgery you may develop a yellow-white film, which is common in healing. This is not puss or a sign of infection.
Signs of Infection in Children
Post-circumcision infections in young children can be more serious. Therefore, parents should prepare themselves in case their child needs medical assistance. If your child has recently had a circumcision, you should notify your clinic as soon as possible if you begin to notice the following:
- Plastic ring has not fallen off after ten days
- They have a fever of 38°C or more
- Swelling is worse after three days
- No wet nappies within 4-6 hours of the procedure
- Continuous bleeding from their circumcision wound
- Continuous bleeding
- Fevers of 38°C or more
- Unpleasant smelling discharge
- Increase in swelling after three days
- Plastic ring doesn’t fall off after 10 days of the procedure
- Continuous bleeding
- Fevers of 38°C or more
- Unpleasant discharge
- Increase in swelling after three days
Should you begin to notice any of the above signs of infection in your children, please contact the circumcision clinic immediately.
Signs of Infections in Adults
With adult circumcisions, the signs of infection can appear much more severely in comparison to a child. Therefore, you should be cautious of the following:
- Significantly bleeding
- Struggling to urinate
- Severe swelling
- Fevers of 38.5°C or more
Visiting Your Circumcision Clinic
If you begin to notice any of the above symptoms, or your child is pale, cold, not moving, is very weak, is experiencing significant blood loss or you are concerned in any way that they have a life-threatening emergency, please call 999 straight away.
At Modality Circumcision Service we aim to provide a safe environment for all of our patients. After circumcision, your specialist will guide you through the appropriate aftercare and the signs to look out for.
If you have any concerns regarding a circumcision, please contact our clinic on 0121 250 0386.
Regardless of age, undergoing a circumcision can cause discomfort to patients, especially if completed without any anaesthetic. Therefore, to make circumcisions a little easier, here is our advice on handling pain during and after your circumcision.
Bringing electronic devices along to your appointment can provide the perfect distraction for patients of any age. Babies can be distracted by listening to music and older children may prefer to play a game on a tablet. Having these distractions while your specialist carries out the procedure can help you to feel more at ease with the discomfort.
Before the circumcision begins, the base of the penis is injected with a local anaesthetic to make the penis numb. Your specialist will not begin the procedure until the anaesthetic has taken effect. After a few minutes they will check the foreskin to make sure the patient cannot feel any localised pain. The anaesthetic will reduce pain during the circumcision and can last for at least 6 hours.
After the circumcision is complete, your specialist will take you into a separate recovery room. This is your chance to ask any questions you may have, while your specialist details the requirements for aftercare. You will also be provided with an aftercare guide to take home. This will inform you on what to expect and how to care for the wound.
This is essential to pay attention to, as poor aftercare could lead to further discomfort.
The following few days after a circumcision has been completed, you may feel some discomfort and possible swelling at the head of your penis. If you are experiencing pain post-procedure, we recommend common painkillers, including paracetamol or ibuprofen.
For any concerns regarding yours or your child’s circumcision, please get in touch with your doctor as soon as possible.
Booking Your Circumcision
At Modality Circumcision Service we are one of the largest providers of circumcision within the UK and Europe.
We offer circumcision services to adults, children and babies of all ages, providing they are more than 2.5kg in weight. All of our clinics provide a welcoming environment with a customer first approach, to ensure you and your family feel as safe and comfortable as possible.
To book a circumcision, complete our enquiry form or call 0121 250 0386 today.
Whether or not to have your baby boy circumcised is a big decision for many parents. Many parents may worry about how their baby will react during the procedure and healing process. However, with our team at Modality Circumcision Service in Birmingham, we are here to reassure you.
Every baby differs with their reaction to the circumcision procedure. Some babies are calm throughout the entire process, while others may cry as soon as they are undressed. An electronic device with something they can watch or listen to as a distraction can be helpful. In addition, some babies will find a bottle of sweet water soothing to fall asleep to naturally.
On booking an appointment, you will be sent an information pack. Please read these documents thoroughly as they contain consent forms and our refund and restraint policies. On the day of the appointment the doctor will go through these forms with you and also examine the baby to ensure he is healthy enough for a circumcision.
During the Procedure
For a baby boy to be circumcised there is no minimum age. However, the World Health Organisation guideline recommends for babies to be over 2.5kg is weight.
For a more comfortable procedure, your baby’s penis will be numbed. This involves injecting a local anaesthetic around the base, so they won’t experience any pain. Therefore, there is no need for the patient to be put under general anaesthetic.
After, the doctor will allow a few minutes to pass before testing the foreskin. The procedure will not begin until the doctor is confident your baby boy cannot feel localised pain. This specific local anaesthetic can last up to six hours.
We understand that baby circumcision can be an anxious experience for many parents. Therefore, parents or another family member can wait inside or outside the operating room during the procedure. Our team will try to accommodate to what you are most comfortable with.
Once the circumcision is complete, for older boys, a dressing will be wrapped around their penis while the wound heals. This will need to be removed after 48 hours. For babies, there is usually no need to apply a bandage, but the doctor will show you how to apply vaseline around the area. For the first few days post-procedure, the penis will be inflamed and sore.
Ask the doctor for what is best recommend for your baby in terms of safe aftercare and pain relief. Finally, if there are any concerns after the procedure then please contact the clinic. In the very unlikely event of any serious concerns, and when you are unable to contact the clinic, you will be advised to take the baby to your nearest hospital.
Booking Your Baby Circumcision
At Modality Circumcision Service, we always put the patient first. We aim to provide a safe and welcoming environment for families and provide an excellent service. To book your baby’s circumcision, call our specialist team on 0121 250 0386.
Men’s Health Week is an annual event organised by the Men’s Health Forum. Every year, the focus is on different men’s health issues and this year the theme is the impact of inequality and deprivation on men’s health. Materials to support the week will be released on the Men’s Health Forum website.
Keeping the focus on men’s health, let’s talk about circumcision for health reasons.
Circumcision for health reasons
Whilst circumcision is commonly a religious or cultural practice in the UK, in some circumstances, some males choose to be circumcised as a result of hygiene or medical issues. Some common reasons for circumcision include Phimosis (when the foreskin is too tight to be retracted behind the head of the penis), Paraphimosis (when the foreskin has been pulled back and cannot return to its natural position) and Balanitis, an infection and inflammation of the head of the penis.
In serious cases, these problems can result in more serious medical problems that could have severe consequences if left untreated. For most men experiencing foreskin related medical complaints, it’s very rare that circumcision is the first recommended treatment; medical ointments or creams are often prescribed first. However, where conditions such as Phimosis or Balanitis are recurring problems, circumcision provides a solution to prevent this, allowing for improved health and hygiene.
As well as removing the risk of foreskin related problems, some research suggests that circumcision can also reduce the risk of penile cancer and sexually transmitted infections. There are several theories for why uncircumcised penises are more susceptible to STIs such as HIV/AIDS, Human Papillomavirus and Herpes. For example:
- The skin covering the head of the penis of uncircumcised men becomes tougher and could protect against microtears in the skin that could provide entry points for germs and infection.
- The inner lining of the foreskin could be the point at which germs enter underlying skin cells, however, this is removed during the circumcision procedure.
- The foreskin may prolong the amount of time that the tender skin of the penis is exposed to germs.
Studies have also found that circumcised men are less likely to get penile cancer. Inflammation and STIs like Human Papillomavirus may contribute to cancer growth, and as the risk of these issues is reduced by circumcision, the risk of penile cancer is also reduced.
Enquire about Circumcision
If circumcision has been recommended as a treatment to help improve your health, please get in touch with our specialist team today by calling 0121 250 0386. We are an award-winning healthcare clinic, our team of specialists have trained with some of the leading experts in the UK and Europe and have carried out more than eight thousand circumcisions on all age groups.