Circumcision Specialist Singapore

Phimosis occurs when the foreskin cannot be fully retracted over the glans penis. While this is normal in young children, persistent phimosis in older children and adults can cause discomfort, difficulty with hygiene, and increased risk of infections. In severe cases, phimosis can interfere with urination and sexual function.

This is a medical emergency where the retracted foreskin becomes trapped behind the glans and cannot be returned to its normal position. This condition can cause severe swelling, pain, and restricted blood flow to the glans, requiring immediate medical attention.

Balanitis refers to inflammation of the glans penis, often accompanied by inflammation of the foreskin (balanoposthitis). When these infections occur repeatedly despite proper hygiene and medical treatment, circumcision may be recommended to prevent further episodes.

Chronic inflammation, infections, or injuries can lead to scarring and adhesions between the foreskin and glans. These conditions can cause pain, difficulty with retraction, and hygiene challenges that may necessitate circumcision.

This traditional method involves using a scalpel to remove the foreskin, followed by careful suturing to promote healing. This technique allows for precise control and is suitable for patients of all ages, particularly when there are anatomical variations or medical conditions affecting the foreskin.

Commonly used for infants and young children, this method involves placing a plastic ring between the foreskin and glans. The foreskin is tied over the ring, cutting off its blood supply. The foreskin and ring typically fall off naturally within 7-10 days.

This technique uses a specialised clamp to protect the glans while the foreskin is removed. The clamp provides haemostasis (bleeding control) during the procedure, making it a popular choice for infant circumcisions.

Modern laser technology can be used to perform circumcision with minimal bleeding and potentially faster healing times. The laser cauterises as it cuts, reducing the need for sutures in some cases.

This newer technique uses a specialised device that simultaneously cuts and staples the wound edges. This method can be quicker than traditional surgery.

The choice of anaesthesia depends on the patient’s age and the specific technique being used. Options include:

• Local anaesthesia with numbing injections
• General anaesthesia or sedation

Most circumcision procedures take between 20 to 60 minutes, depending on the technique used and individual anatomy. The actual surgical time is often shorter, with additional time needed for preparation and immediate post-procedure care.

After the procedure, the surgical site is dressed with protective gauze. Patients are monitored briefly before discharge, and detailed aftercare instructions are provided to ensure proper healing.

Bleeding is the most common immediate concern, though significant bleeding is rare. Infection risk is minimised through sterile technique and proper aftercare. Adverse reactions to anaesthesia, while uncommon, are carefully monitored and managed.

Inadequate foreskin removal may occasionally require revision surgery. Excessive skin removal is rare but can cause discomfort with erections. Scarring typically fades over time but may be more prominent in some individuals. Changes in penile sensitivity are often temporary and stabilise over time.

Contact Dr Tan immediately if you experience excessive bleeding, signs of infection (increasing redness, warmth, pus discharge), difficulty urinating, or fever above 38.5°C. Severe pain not controlled by prescribed medications also warrants medical evaluation.