Introduction
Circumcision is a common surgical procedure performed to treat various conditions affecting the foreskin of the penis. It involves the removal of the foreskin (prepuce) that covers the head of the penis.
Many patients seek circumcision because of conditions such as phimosis, recurrent infections, pain during intercourse, or hygiene concerns. Modern techniques such as laser or stapler circumcision allow the procedure to be performed safely with minimal discomfort and faster recovery.
At Uronova – Advanced Urology Clinic, circumcision procedures are performed by Dr Amit Kumar Kundu, Consultant Urologist, using modern surgical techniques that provide safe and effective treatment.
What is Circumcision?
Circumcision is a minor surgical procedure in which the foreskin covering the glans (head) of the penis is removed.
The procedure may be performed for:
• Medical reasons
• Hygiene issues
• Recurrent infections
• Cultural or religious reasons
In adults, circumcision is most commonly recommended for phimosis or recurrent balanitis.
Medical Conditions Requiring Circumcision
Phimosis
Phimosis is a condition in which the foreskin cannot be retracted over the head of the penis. It may cause pain, infection, and difficulty maintaining hygiene.
Recurrent Balanitis
Balanitis refers to inflammation or infection of the glans penis. Recurrent infections may require circumcision to prevent further episodes. Patient with Diabetes are usually more prone to develop recurrent infections of the foreskin.
Paraphimosis
Paraphimosis occurs when the foreskin becomes trapped behind the glans and cannot return to its normal position, leading to swelling and pain.
Tight Foreskin Causing Pain During Erection or Intercourse
Many adult men experience a condition where the foreskin is tight and cannot retract comfortably during erection. This condition is commonly known as phimosis.
When the foreskin is tight, patients may experience:
• Pain or discomfort during erection
• Difficulty retracting the foreskin
• Pain during sexual intercourse
• Small tears or bleeding of the foreskin
• Recurrent infections or irritation
• Difficulty maintaining proper hygiene
In mild cases, doctors may recommend topical medications. However, when symptoms persist or interfere with sexual activity, circumcision is often the most effective and permanent treatment.
What is Laser Circumcision?
Laser circumcision is a modern surgical technique in which advanced energy devices are used to perform circumcision with precision and minimal bleeding.
Advantages include:
• Precise cutting with minimal bleeding
• Reduced tissue trauma
• Faster healing
• Less post-operative discomfort
Circumcision Procedure – Step by Step
Circumcision is usually performed as a day-care procedure and typically takes about 20–30 minutes.
1. The patient receives local or short anesthesia.
2. The foreskin is separated from the glans.
3. The excess foreskin is removed using surgical or laser techniques.
4. The skin edges are sutured using absorbable stitches.
5. A sterile dressing is applied.
Most patients are discharged the same day.
Recovery After Circumcision
Return home: same day
Return to routine work: 2–3 days
Complete healing: 2–3 weeks
Patients may experience mild swelling or discomfort during the first few days. Sexual activity is usually avoided for about 3–4 weeks until complete healing occurs.
Benefits of Circumcision
• Improved genital hygiene
• Reduced risk of foreskin infections
• Relief from phimosis-related symptoms
• Reduced risk of recurrent balanitis
• Improved comfort during sexual activity
Circumcision Surgery by Dr Amit Kumar Kundu
Dr Amit Kumar Kundu is a consultant urologist practicing in Delhi NCR with expertise in minimally invasive urological procedures.
Qualifications:
MBBS – University of Delhi
MS (General Surgery) – University of Delhi
MCh Urology – King George’s Medical University, Lucknow
At Uronova Urology Clinic, patients receive modern treatment for conditions including laser circumcision, phimosis treatment, and balanitis management.
Frequently Asked Questions – Circumcision
- Is circumcision painful?
Circumcision is performed under local or short anesthesia, so patients do not feel pain during the procedure. Mild discomfort may occur during the healing period.
- How long does circumcision surgery take?
The procedure usually takes about 20–30 minutes and is performed as a day-care surgery.
- How long does it take to recover after a circumcision?
Most patients return to routine activities within 2–3 days, while complete healing occurs in about 2–3 weeks.
- Can a tight foreskin cause pain during erection?
Yes. A tight foreskin (phimosis) can cause pain or discomfort during erection or sexual intercourse because the foreskin cannot retract properly.
- Is circumcision necessary for phimosis?
Circumcision is often the most effective and permanent treatment for persistent phimosis.
- Can adults undergo circumcision?
Yes. Circumcision can be safely performed in adults as well as children.