Doctors for Circumcision in Bangalore

Circumcision is a surgery that involves the elimination of the foreskin from the penis of a male. It is commonly carried out for various reasons such as religious or cultural beliefs, medical considerations, or hygienic practices. The surgery can be performed on infants or individuals of any age, and the duration typically ranges from 15 minutes to an hour, depending on the specific technique to perform surgery employed.

Here are the four main types of circumcision:

• Conventional/Traditional Circumcision: This is the most common type of circumcision. It involves removing the entire foreskin, including the fold of skin that covers the glans (head) of the penis. The cut is usually made with a scalpel or a circumcision clamp, and stitches may be used to close the incision.
• Gomco Clamp Circumcision: This method uses a device called a Gomco clamp, which pulls the foreskin away from the glans and cuts it off. The clamp remains in place for a short period to control bleeding, and then it is removed. This technique is known for its simplicity and effectiveness.
• Plastibell Circumcision: Plastibell circumcision involves placing a plastic ring with a groove over the glans and pulling the foreskin over the ring. A ligature is tied tightly around the foreskin to cut off the blood supply, causing it to wither and fall off over time. This technique is commonly used in newborns and infants.
• Shang Ring Circumcision: The Shang Ring is a newer circumcision device that consists of two concentric plastic rings. The inner ring is inserted between the foreskin and the glans, while the outer ring is secured over the foreskin. After a week or so, the foreskin inside the ring is removed, and the device is then taken off. This technique is known for its quick procedure time and reduced bleeding.

Prior to undergoing circumcision surgery, several tests may be necessary to ensure the patient's health and assess any potential risks. These tests include:

• Physical examination:A comprehensive physical examination and specific tests for allergies and infections should be conducted before any circumcision surgery. These evaluations aid in determining the likelihood of difficulties during the surgery.
• MRI: Magnetic resonance imaging (MRI) is a kind of radiologic imaging that uses a strong magnetic field and radio waves to produce detailed pictures of organs and soft tissues. Preoperative MRI scans provide valuable information about the size, shape, position, and composition of the organs involved in the circumcision surgery. They may also assist in spotting any possible problems that can occur when doing the surgery.
• CT Scan: The X-rays and computer technologies that are used in a CT (Computerised Tomography) scan are combined to produce three-dimensional pictures of the organs, tissues, and other structures that are present inside the body. Before circumcision surgery, a preoperative CT scan is performed to assess the size and shape of the organs involved and to identify any underlying problems that may affect the procedure.
• CBC: A Complete Blood Count (CBC) is a standard blood test measuring different blood cell types to detect abnormalities. Prior to circumcision surgery, a CBC is conducted to ensure the patient's overall health and minimize the risk of complications during the procedure.
• LFT: Liver Function Tests (LFTs) are a series of tests used to evaluate the liver's health and its ability to produce proteins and enzymes. A preoperative LFT is necessary before circumcision surgery as it can help identify any hidden liver infections or diseases that might impact the outcome of the procedure.
• KFT: Kidney Function Tests (KFTs) measure various elements in the blood to assess the kidneys' filtration capabilities. Before circumcision surgery, a preoperative KFT is essential to evaluate kidney health and detect any underlying issues that could pose risks during the procedure.
• Urine R/M: The Urine Routine and Microscopy (R/M) test screens for different types of infections and diseases, particularly those affecting the kidneys, bladder, or urinary tract. Performing a Urine R/M test before circumcision surgery helps identify any existing infections that could potentially complicate the surgical procedure.
• Lipid Profile: A Lipid Profile test measures blood fat and cholesterol levels. Conducting this test before circumcision surgery helps assess the risk of postoperative complications related to blocked arteries and enables preventive measures to mitigate potential risks during the procedure.
• Thyroid Profile: The Thyroid Profile test evaluates the production of hormones by the thyroid gland. Before circumcision surgery, this test is important in identifying any thyroid-related issues that could pose problems during or after the surgical procedure.
• Specific Tests Before Circumcision: In some cases, testing for HIV and other blood-borne infections may be necessary due to their potential to increase surgical risks.

The following procedures are routinely carried out during circumcision surgery:

• Preparation: Prior to the procedure, the patient undergoes preparations such as wearing a surgical gown and having a discussion with a doctor or nurse regarding the potential risks and benefits. Additionally, the patient may receive either a general or local anesthetic for pain management.
• Marking: Once the patient is ready for surgery, the doctor or nurse marks the shaft of the penis to ensure symmetrical removal of the foreskin.
• Hemostasis: To control bleeding, the doctor applies a hemostat to clamp the base of the foreskin. In some cases, special sutures may be utilized to secure the area and minimize bleeding.
• Incision: The doctor proceeds to make a small incision around the circumference of the penis. The depth of the incision is carefully determined to allow for the removal of the foreskin without causing harm to sensitive structures.
• Removal: Using either scissors or a scalpel, the doctor removes the foreskin following the incision. In certain instances, a specialized device may be employed to enhance precision during the removal process.
• Closure: Sutures or staples are used to close the incision after the foreskin has been removed. Dissolvable stitches are commonly used, eliminating the need for their removal later.
• Aftercare: Following the procedure, the doctor provides the patient with detailed aftercare instructions to facilitate proper healing. These instructions may involve regular cleansing of the area with soap and water, keeping the area dry, and refraining from sexual activity until complete healing has occurred.

Circumcision is increasingly being recognized for its various health benefits, which have contributed to its growing popularity. Among the many benefits of circumcision are the following:

• Reduced Risk of Infection: One major benefit of circumcision is a decreased likelihood of acquiring HIV and other sexually transmitted Infections (STDs). Research has shown that circumcised men have a decreased susceptibility to HIV, genital herpes, and human papillomavirus (HPV). The absence of the foreskin reduces the likelihood of bacteria and viruses getting trapped, making it more challenging for infections to spread.
• Improved Hygiene: Circumcision can contribute to improved hygiene as it facilitates easier maintenance of genital cleanliness. Without the presence of the foreskin, there is a reduced risk of bacteria and pathogens getting trapped, minimizing the chances of infection. This advantage may be particularly valuable for individuals living in unsanitary environments or those with limited access to clean water.
• Reduced Risk of Cancer: Circumcision has been linked to a lower risk of certain cancers, such as penile and cervical cancer. The foreskin can hold toxic substances and irritants, which can make cancer more likely. By removing the foreskin, the likelihood of developing these cancers is significantly decreased.
• Improved Sexual Performance: According to the findings of several research, male circumcision may improve both sexual performance and sexual enjoyment. After the foreskin is removed, the glans of the penis are exposed. These glans are often more responsive to touch and stimulation. This heightened sensitivity may result in an enhancement in the pleasure experienced during sexual engagement.
• Enhanced Self-Confidence: Circumcision may help some men enhance their self-esteem and body image. This may be especially true for those who have felt discomfort or shame because of the look or functioning of their foreskin.
• Prevention of Phimosis and Balanitis: Circumcision eliminates the risk of conditions such as phimosis (tight foreskin) and balanitis (inflammation of the foreskin). These conditions can cause discomfort, pain, and difficulty retracting the foreskin, which can be alleviated through circumcision.
• Potential Long-Term Health Benefits: While more research is needed, some studies suggest that circumcision may offer long-term health benefits, such as a reduced risk of urinary tract infections, prostate cancer, and sexually transmitted infections in both men and their female partners.

The circumcision operation can potentially lead to various adverse consequences, which include:

• Pain: The procedure itself is invasive and can result in significant pain, discomfort, swelling, bruising, and occasional bleeding immediately following the circumcision.
• Risk of Infection: In some cases, there is a risk of infection associated with circumcision. Incomplete removal of the foreskin or improper sterilization techniques can increase the likelihood of infection, which may require medical intervention.
• Scarring: Circumcision can result in scarring. The presence of a faint, raised line, which may be visible in later life, is a possible outcome.
• Complications: Circumcision can result in several potential complications, including heavy bleeding, serious infection, and injury to the skin or underlying tissue. Rarely, more serious complications, such as damage to the genitalia or urinary tract, may happen.
• Risk of Injury: Accidental injury, such as cuts or nicks to the penis, is a risk associated with circumcision. These injuries can cause significant pain and discomfort, and in some cases, may result in scarring or nerve damage if the procedure is not performed correctly.

The recovery time after circumcision can vary depending on individual factors such as age, overall health, and the specific surgical technique used. In general, it takes about one to two weeks for the initial healing to occur, but complete healing and the return to normal activities may take several weeks. Here are some recommendations for a speedy recovery following circumcision:

• Follow Doctor’s Instructions: Adhere to the specific aftercare instructions provided by your healthcare provider to properly care for the wound, manage discomfort, and promote healing. Compliance with these instructions is crucial to reduce the risk of infection and ensure proper recovery.
• Seek Medical Help: If you notice signs of infection such as increased temperature or redness around the wound, it is important to seek prompt medical attention.
• Avoid physically demanding activities: Avoid activities that exert strain or pressure on the penis, including heavy lifting, strenuous exercise, and sexual activity, during the initial days after the circumcision. This helps minimize discomfort and supports proper healing.
• Change Your Bandage: Regularly change the dressing or bandage around the penis, as instructed by your healthcare provider, typically once or twice a day. Keeping the area clean and dry helps reduce the risk of infection.
• Maintain Cleanliness: Practice gentle cleaning of the area with warm water and mild soap, followed by gentle patting with a clean towel. This promotes cleanliness and dryness around the penis.
• Use Antiseptic: Your healthcare provider may recommend applying an antiseptic ointment or cream to the wound to promote cleanliness and healing. Follow the directions provided by your healthcare provider.
• Complete Antibiotics Course: Complete the whole course of antibiotics given by your healthcare professional, even if you begin to feel better before the prescription is finished. Completing the antibiotics helps minimize the risk of complications and ensures complete elimination of any bacteria.