Doctors for Circumcision in Kolkata

Circumcision refers to the meticulous surgical excision of the foreskin enveloping the glans of the penis. This procedure holds a common practice among newborn males in several regions, either for cultural heritage, personal hygiene, or preventative healthcare considerations. Conversely, some individuals perceive circumcision as an unnecessary or disfiguring procedure, sparking differing perspectives on its merits. It is worth noting that circumcision in newborns is commonly performed in the hospital nursery, typically within the first 10 days after birth. However, for older boys and adults, the procedure may necessitate general anesthesia.

The circumcision operation is generally done through three primary methods, each distinguished by its approach and instrumentation. Here are the major methods employed by skilled urologists;

• The Gomco Clamp: The Gomco clamp, an esteemed technique, embodies meticulousness and precision. It operates by constricting the foreskin, effectively interrupting the circulation to prevent bleeding during the subsequent cutting phase. This method, practiced with dexterity, imparts a refined outcome.
• The Plastibell Device: Introducing the Plastibell device, a subtle and refined approach to circumcision operation. This method involves the placement of a specially designed device over the glans, securing the foreskin. Through a meticulous process, blood flow to the foreskin is restricted, ensuring minimal bleeding during the excision. With skilled hands, this technique ensures both efficacy and finesse.
• The Mogen Clamp: The Mogen clamp, renowned for its precision and efficiency, encompasses a unique mechanism. By firmly grasping the foreskin, blood flow is temporarily halted, enabling a clean incision with minimal bleeding. This method, executed with expertise, upholds its legacy as a reliable and effective choice.

When it comes to the evaluation and preparation for circumcision surgery, a range of diagnostic tests are recommended by the doctor. These tests, carefully tailored to each patient's unique needs, facilitate a comprehensive understanding of their health status. Here are the key diagnostic procedures done in before circumcision operation;

• Blood Tests: Blood tests serve as a valuable diagnostic tool in the assessment of patients prior to circumcision. These tests provide a comprehensive analysis of various parameters, such as blood cell counts, clotting factors, and overall health markers. By examining these vital indicators, urologists gain valuable insights into the patient's overall well-being and assess their suitability for the procedure.
• Urinalysis: Urinalysis, a fundamental diagnostic investigation, holds immense significance in the context of circumcision. This analysis examines the urine for various markers, including the presence of infection, abnormal cellular elements, and chemical imbalances. Through the evaluation of urine samples, urologists gain valuable information about the patient's urinary health, aiding in the formulation of an appropriate treatment plan.
• Discharge and Tissue Culture: Discharge and tissue culture tests play a crucial role in detecting and identifying potential infections in patients undergoing circumcision. These investigations involve the collection and analysis of samples from the affected area to pinpoint the presence of bacterial, viral, or fungal pathogens. This surgical assessment enables urologists to tailor the treatment approach and administer targeted therapies, ensuring optimal outcomes.
• Sexually Transmitted Infection (STI) Screening: STI screening is an integral part of the diagnostic process for circumcision, particularly in cases where patients may have engaged in sexual activity. Through specialized tests, urologists can identify the presence of sexually transmitted infections such as gonorrhea, syphilis, or human papillomavirus (HPV). This vital screening step not only ensures the patient's well-being but also helps mitigate the risk of potential complications.

In general, the circumcision procedure can be performed under either local or general anesthesia, depending on the patient's age and the healthcare provider's preference. The duration of the procedure typically ranges from 15 to 30 minutes. To provide you with a clear understanding, here is a step-by-step explanation of how circumcision is typically conducted;

• Pre-Operation Preparations: Prior to commencing the circumcision procedure, a thorough evaluation of the patient's medical history and physical condition is conducted. This evaluation ensures a comprehensive understanding of any underlying medical conditions or contraindications that may impact the procedure. Additionally, discussions with the patient or their guardians help establish informed consent and address any concerns.
• Anesthesia Administration: To ensure optimal comfort and minimize discomfort, appropriate anesthesia is administered. For newborns, local anesthesia is commonly employed, either through injection or the application of a numbing cream to the penis. This ensures that the area is adequately desensitized, alleviating any potential pain or discomfort during the procedure. In cases involving older boys or adults, the procedure might necessitate general anesthesia, allowing for a painless experience.
• Incision Techniques: The choice of incision technique is contingent upon the surgeon's preference, expertise, and patient-specific factors. There are three major methods widely employed in circumcision:
1. Gomco Clamp Technique: In this technique, the Gomco clamp, a specially designed instrument, is employed. It securely grasps the foreskin and exerts controlled pressure, temporarily interrupting blood circulation. Subsequently, a precise incision is made to remove the excess foreskin, ensuring minimal bleeding and promoting optimal healing.
2. Plastibell Device Technique: The Plastibell device represents an alternative approach to circumcision. It involves the placement of a plastic ring at the base of the glans, securing the foreskin. This method restricts blood flow to the foreskin, facilitating a controlled incision process. The excess foreskin is then carefully removed, leaving the desired amount to ensure a favorable aesthetic outcome.
3. Mogen Clamp Technique: Employing the Mogen clamp, a curved instrument, this technique enables precise circumcision. By securely grasping the foreskin, blood flow to the area is temporarily halted. The surgeon then performs a meticulous incision, removing the redundant foreskin while minimizing bleeding. This technique is renowned for its efficacy and expedient execution.
• Post-Procedure Care: Following the circumcision, appropriate post-operative care is paramount. The penis is typically covered with a topical ointment, such as a topical antibiotic or petroleum jelly, to facilitate healing and prevent infection. Loose gauze is then applied to safeguard the area while allowing for adequate airflow. Patients or caregivers are provided detailed instructions on wound care, hygiene practices, and follow-up appointments to ensure optimal healing and recovery.

From reducing the risk of urinary tract infections in infancy to playing a role in the prevention of sexually transmitted diseases, circumcision encompasses a range of benefits that extend to both males and their female partners. Additionally, circumcision aids in maintaining good genital hygiene and prevents various penile conditions. Below are the advantages of circumcision surgery;

• Decreases Risk of Urinary Tract Infections: Circumcision operation has been found to decrease the risk of urinary tract infections, particularly in infancy. During the early stages of life, uncircumcised males are more susceptible to urinary tract infections, which can potentially lead to complications such as kidney problems. By undergoing circumcision, individuals can mitigate this risk, safeguarding their urinary health and overall well-being.
• Lowers Risk of Sexually Transmitted Infections (STIs): Circumcision surgery has demonstrated a notable reduction in the risk of certain sexually transmitted infections, providing a significant benefit for individuals in Kolkata. Specifically, circumcision has shown effectiveness in reducing female-to-male transmission of HIV, a life-threatening infection. Furthermore, research suggests that circumcised men may have a decreased risk of acquiring other sexually transmitted infections, thereby enhancing overall sexual health.
• Prompts Genital Hygiene: One of the noteworthy advantages of circumcision is its facilitation of easier genital hygiene. Circumcised individuals often find it simpler to clean the penis, reducing the likelihood of hygiene-related issues. However, it is important to note that boys with uncircumcised penises can be taught proper hygiene practices, including regular cleansing beneath the foreskin, to maintain optimal genital hygiene.
• Prevents Penile Problems: Circumcision can help prevent certain penile problems that may arise in individuals with uncircumcised penises. For instance, phimosis, a condition where the foreskin becomes difficult or impossible to retract, can lead to inflammation of the foreskin or head of the penis. By undergoing circumcision, individuals can minimize the risk of such complications, ensuring the long-term health and functionality of the penile region.
• Reduces Risk of Penile and Cervical Cancer: Although penile cancer is rare, studies have shown a lower incidence of this condition in circumcised men. Additionally, cervical cancer, which can be influenced by certain infections, is less common in the female sexual partners of circumcised men. By undergoing circumcision, individuals can potentially reduce the risk of these cancers, highlighting the preventive aspect of this procedure.

Circumcision, like any surgical procedure, carries the possibility of certain side-effects. While these side-effects are generally rare, it is important to be aware of them. Here are the potential side-effects associated with circumcision;

• Disfigurement Perception: Some individuals may perceive circumcision as a disfigurement. It is essential to consider personal preferences and cultural or religious beliefs when evaluating the potential impact on body image and aesthetics.
• Pain and Pain Management: Circumcision can cause temporary pain. However, it is important to note that safe and effective pain medications are administered to minimize discomfort during and after the procedure. Our experienced healthcare professionals prioritize pain management to ensure patient comfort.
• Rare Complications of Circumcision: While circumcision is generally considered a safe procedure, it is crucial to acknowledge that rare complications can occur. These complications, although infrequent, require attention and appropriate management. Below are the rare complications that can arise from circumcision;
1. Foreskin Cutting Irregularities: In rare cases, there may be issues related to the cutting of the foreskin. It is possible for the foreskin to be cut too short or too long during the procedure. Cutting the foreskin too short may result in discomfort or insufficient coverage, while cutting it too long can lead to excess skin.
2. Poor Healing: Occasionally, the healing process after circumcision may be hindered. Factors such as inadequate wound care, infection, or underlying medical conditions can contribute to poor healing. Prompt medical attention and proper post-operative care can help minimize this risk.
3. Bleeding: Although rare, bleeding can occur following circumcision. It is crucial to ensure that the surgical site is adequately controlled to minimize the risk of bleeding. In most cases, bleeding can be managed effectively with appropriate medical interventions.
4. Infection: Infection is another potential complication associated with circumcision. While proper sterilization techniques and aseptic precautions are taken during the procedure, there is still a small risk of infection. Vigilant wound care and adherence to post-operative instructions can help mitigate this risk.

Recovering after a circumcision procedure can be a vital phase in the patient's healing process. Whether you are caring for a newborn or seeking guidance as an adult, here is detailed information to help you understand the steps involved in achieving a smooth and successful recovery;

• Recovery for Newborns
• After circumcision, infants may experience some discomfort, which can be managed with gentle comfort measures recommended by the doctor or nurse. The healing time for a newborn's circumcision is typically around 7 to 10 days, during which slight redness or bruising of the penis is normal. Proper hygiene and dressing care are essential during this period, including;
1. Gentle Comfort Measures: After the procedure, it is common for your baby to experience some discomfort. To alleviate this, the doctor or nurse will provide instructions on minimizing any potential discomfort.
2. It is normal for the penis to exhibit slight redness or bruising in the days following the circumcision.
3. Hygiene and Dressing Care: Proper hygiene and dressing care are essential for promoting healing. It is recommended to regularly wash the penis and change the dressings with each diaper change. Additionally, keeping the diaper slightly loose can aid in the healing process of the tip of the penis.
4. Signs to Monitor: Monitoring your baby's condition is crucial during the recovery period. If your baby exhibits any of the following symptoms—continued fussiness, increased pain, trouble with urination, fever, foul-smelling drainage, increased redness or swelling, persistent bleeding, or a plastic ring that doesn't fall off after two weeks—it is important to contact your child's doctor promptly for further evaluation and guidance.
• II. Recovery for Adults
• When it comes to adult circumcision, the recovery process may vary compared to infants. Following the procedure, gentle comfort measures and pain management techniques recommended by your doctor can help alleviate any discomfort. The duration of recovery can vary depending on individual factors, but in general, returning to work and daily activities can be considered once you feel comfortable. Following are some tips that can help you during your recovery time;
1. Incision Care and Pain Management: Following the circumcision procedure, your doctor will provide you with detailed instructions on how to care for the incision site and manage any discomfort or pain. It is crucial to follow these guidelines closely to promote proper healing and minimize potential complications.
2. Return to Work and Daily Activities: The timeline for returning to work and daily activities after circumcision may vary based on individual factors and the extent of the procedure. It is important to listen to your body and resume activities gradually as you feel comfortable. However, it is generally advised to avoid engaging in strenuous exercises such as jogging or weight lifting for at least the first four weeks of your recovery, or until you receive clearance from your doctor.
3. Incorporate Gentle Walking: Walking is an excellent form of exercise during the recovery period. As part of your recovery plan, you should gradually incorporate gentle walking into your daily routine. Start with shorter distances and gradually increase the duration and intensity over time, while paying attention to any discomfort or limitations. Walking promotes blood circulation and aids in the healing process.
4. Sexual Activity: It is generally recommended to abstain from sexual activity for approximately six weeks following the circumcision. However, always follow the instructions provided by your doctor.
5. Signs to Monitor: Contact your doctor if you experience increased pain, trouble urinating, bleeding, or any signs of infection, including fever, increased redness, swelling, or drainage.