The adult circumcision procedure can take place under regional or local anesthesia. The common medical indications for this procedure usually include paraphimosis, phimosis, posthitis, and balanitis (prepuce inflammation). There are some non-medical reasons, including cultural, social, religious, and personal. In most cases, your adult circumcision doctor will perform this procedure using the slit dorsal or the sleeve technique. The dorsal slit is useful in those patients who struggle with problems like phimosis.
According to experts, the sleeve technique is an ideal option because it provides better control over the bleeding in patients who have large subcutaneous veins. With or without a circumferential penile block, a penile nerve block would provide adequate anesthesia. However, it is always ideal to opt for some informed consent. After the procedure, the possible complications may include bleeding, infection, poor results, and a change in intercourse sensation.
The Indication for the Surgery
When it comes to the adult circumcision surgery, people estimate there are over six newborn males all around the globe. In the United States, over 60 percent of newborn males go through circumcision annually, with the number of adults much less. However, there are no accurate statistics as such. In most cases, adult patients opt for this procedure because of medical indications, but the common reason why men opt for it is personal and social reasons.
Urologists perform this procedure based on outpatient settings. However, several family physicians that practice in rural or isolated areas goes through adequate training to offer this surgery. Family physicians should also be ready and prepare themselves to advise their patients about the possible indications for the adult circumcision surgery. If necessary, they should also make the best possible referrals for the surgical procedure.
Reduces the Risk of HIV
When you opt for a Circumcision Center procedure, this surgery involves the removal of the male foreskin. It is common and one of the oldest forms of surgery performed on infants for religious, social, and cultural reasons as mentioned above.
According to the Centers for Disease Control and Prevention, they encourage men to consider this surgery on the basis that it will reduce the possible risks of the HIV infection. However, not all health authorities actually agree and the recommendation is somewhat controversial. Based on statistical results from the CDC, about 58 of newborn American male children went through circumcision back in 2010. In other countries like the UK, the percentage of circumcised males was about 8%.
Understanding the Styles
There are different adult circumcision styles. Most men do not actually prefer one particular style, the surgery has several methods, and it offers flexibility for the removal of the foreskin. Before the circumcision surgery, just make sure that you determine different aspects of the style. The patients who have a particular preference for a style can feel free to discuss their options with their doctor during the consultation.
· Normal Circumcision Style
Most men prefer this style of circumcision, this results in a mildly tight circumcision with a scar line common location.
· Low and Tight Circumcision
In this style, the line scar is often closer to the glans of the penis, which results in a less amount of the original remaining foreskin.
· High and Tight Circumcision
There’s an increased tightness in this style on the skin, especially during an erection. However, it’s not actually tight enough to lead to some discomfort.
· High and Loose Circumcision
During this style, there’s some exposure of the glans with less removal of the foreskin, resulting in having a looser shaft skin.
· Low and Loose Circumcision
This is also similar to the style mentioned above, but it has the scar line closer to the glans.
Tightness or Looseness
Keep in mind that the amount of the removal of the foreskin actually determines the tightness of the remaining foreskin covering the shaft of the penis. Removal of less of the foreskin will often result in a tighter circumcision. Nevertheless, these circumcisions are tight and comfortable, since the skin has elastic potential.
High or Low Position
Keep in mind that during the surgery, there’s a portion of the removed foreskin. The remaining shaft and the skin of the foreskin come close together to fuse and heal. This point of fusion then becomes a permanent scar line. Note that a high circumcision would often involve removing more of the loose shaft, which would result in the scar line to be closer to the middle area of the penile shaft. On the other hand, the low circumcision involves removal of less of the shaft skin, but more foreskin and this results in the scar line to be closer to the penis tip.
Just know that the penile shaft also plays a major role when it comes to the circumcision tightness. The choice completely depends on personal preference, where some men prefer the normal circumcision with a tighter touch or vice versa. Regardless of the case, it is advisable that you consult your adult circumcision doctor for the best guidance.