Procedure of circumcision
Phimosis
Circumcision
Circumcision is the removal of some of the excess foreskin (prepuce) from the penis.
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Prostate problems
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Hematuria
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Stone problems
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Incontinence
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Oncology cancer
Circumcision - laser
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Vasectomy
Procedure of circumcision
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Reversal vasectomy
Reasons for circumcision
Laser circumcision
In conventional circumcision, the excess foreskin is removed by a surgical bladder. We also perform laser circumcision, where the excess foreskin is removed with a laser beam. The laser beam cuts as well as controls bleeding from the skin, resulting in a very tidy wound. This technique allows exact proportions of skin and mucous membrane to be removed. Laser circumcision is the technique of choice for children circumcision and can also be applied to adult patients.
Complications
Generally, risk of complications in a competently performed circumcision is very low. Minor bleeding (1%) and infections (0.1%) are the two most common complications.
Recovery
The patient is discharged on the same day of surgery. They will be prescribed pain-relief, antibiotics and anti-inflammation medications. The wound would require a dressing cover for the initial 2-3 days only. As the procedure only involves removal of the foreskin and not affecting the urinary tube, passage of urine is normal after surgery.

Most patients can return to work within 2 -3 days. Children recover much quicker from the procedure.

The surgical wound heals within 7-10 days. Return to sports can gradually commence from the second or third week after surgery. Adult circumcisions require 4-6 weeks of abstinence from masturbation or intercourse after the surgery to allow for wound healing.
Religious or culture
Circumcision is not indicated if the foreskin can be completely retracted to expose the head of the penis. There is not clear evidence if circumcision will enhance or decrease sensation during sexual intercourse.
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Updated 26 Sept 09
Urology Services
Phimosis - constriction ring preventing complete retraction of foreskin
A few stitches are placed at the end of surgery to bring the edges of the wound together. These sutures will dissolve in a 7 - 10 days.

Results of laser circumcision in Singapore are published in the following medical journals:
Laser circumcision, Pediatric Surgery International, 1995
Carbon dioxide laser circumcisions for children, Pediatric Surgery International, 2003
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Indication
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Procedure
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Laser circumcision
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Complications
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Recovery
Circumcision
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Indication
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Procedure
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Laser circumcision
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Complications
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Recovery
Circumcision
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Click here to view photos of phimosis and details of laser circumcision surgery.
Surgical photos of Laser Circumcision
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Surgical pictures
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Surgical pictures
Medical
Personal Preference
Circumcision for Balanitis Xerotica Obliterans (BXO)
Medical publications
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Click here to watch a video on laser circumcision in children.
Male circumcision is religiously practiced by the followers of Judaism and Islam. The ceremony, with great rejoicing and festivities, usually takes place one week after birth for Jews and within the early few years of age among Muslims.
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At urology centre, circumcision can be performed under local or general anesthesia and can be completed within 15-20 minutes. There is minimum pain and the procedure is done as day surgery. Patients are discharged with tablet pain-killers and antibiotics for 1-2 days only. We perform circumcision for children of above 2 years old as well as for adult and elderly males.

The excess foreskin is removed. A couple of stitches a placed to bring the edges of the skin together after removal of the excess skin. These stitches are self absorbable and do not require removal in a later date.

Circumcision is highly effective in the treatment of early stage balanitis xerotica obliterans involving the foreskin. BXO is a chronic and progressive inflammatory disorder of the foreskin and may also involve the glans penis and urine tube. Removal of the diseased foreskin can arrest the progression of this disease.

Phimosis or tight foreskin which prevents complete retraction and exposure of the glans (head) penis will benefit from circumcision. The tight foreskin harbor bacteria and become infected if not cleaned properly. Forcible retraction of the tight foreskin can be very uncomfortable and can lead to inflammation. Tight foreskin may also cause discomfort during full erection of the penis.

WHO (World Health Organization) recommend that circumcision is efficacious for HIV prevention but it does not provide complete protection. Circumcision provides a 50-60% reduction in HIV transmission from female to male.

Circumcision at a very early age (within first month of life) confers protection from penile cancer but circumcision at any later age does not seem to confer such protection.

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Circumcision for the prevention of urinary tract infection in boys: a systematic review of randomised trials and observational studies. [Review] [33 refs] Archives of Disease in Childhood. 90(8):853-8, 2005 Aug

To circumcise or not to circumcise: indications, risks, and alternatives to circumcision in the pediatric population with phimosis. [Review] [62 refs] Urologic Nursing. 26(3):181-94, 2006 Jun.

Male circumcision for prevention of heterosexual acquisition of HIV in men. Cochrane Database Syst Rev. 2003;(3):CD003362

Circumcision may protect against Genital Wart Virus (HPV). International Journal of Cancer, 2009