Circumcision benefits have been documented in the medical literature. Circumcision is the most common operation performed by trained surgeons with the lowest risks of complications.
There are different opinions on whether there is a need for a male to be circumcised.
Medical literature and research showed that boys under one year are optimal age for circumcision due to medical indications.
In our experience, the best age of circumcision is in babies 1-6 weeks. Because an infant’s low movement facilitates local anaesthesia, sutures are usually unnecessary. Healing is rapid, cosmetic outcomes are generally excellent, and there are minimal expenses in this age group (from £250). Risks of complications of circumcision are also uncommon.
Infant male circumcision is a safe, simple, convenient and cost-effective procedure. We use an innovative modern device called Circumplast, which is better than the Plastibell device
The benefits of infant circumcision include prevention of urinary tract infections (a cause of renal scarring), reduction in risk of inflammatory foreskin states such as balanoposthitis, foreskin injuries, tight foreskin (phimosis) and foreskin stuck behind the glans penis (paraphimosis)
When men start having sexual activities, he has considerable safety by circumcision against the risk of HIV and other viral sexually transmitted infections, e.g. Genital herpes and human papillomavirus (HPV), as well as cancer of the penis.
Reduction of the risk of cervical cancer in his female partner also happened.
Tight foreskin in adolescence or adulthood may evoke a fear of pain, sexual pain or reduced sexual pleasure. Adults require circumcision when there is a tight foreskin due to Balanitis Xerotica Obliterans (BXO)
BXO or lichen sclerosis is a penile skin condition which may affect the foreskin, head of the penis (also called the ‘glans penis’) and wee hole (external meatal opening) or the tube which passes the urine from the bladder (urethra). BXO is long-term (chronic) inflammation of the head of the penis, referred to as ‘balanitis’. Patches develop on the affected foreskin, which has a dry appearance (also referred to as ‘xerotica’) and appears as thickened and white patches.
Recent research has investigated the relationship between type 2 diabetes mellitus and certain penile conditions that might require circumcision. Researchers Wang et al., in a nationwide population-based study, found that type 2 diabetes significantly 42% increased the risk of penile inflammatory disorders like BXO and refractory phimosis.
White patches start in the foreskin but then can extend to the surface of the skin on the head of the penis and can fuse. As a result, the foreskin can become very tight and pulling it back becomes difficult or impossible. This condition is called phimosis. It also causes in-passing urine and is associated with a painful erection and a tight foreskin.
Medical literature proved
1. Hygiene: Circumcision undeniably simplifies washing the penis. Nevertheless, it is imperative to teach uncircumcised men to clean regularly under the foreskin.
2. Lower risk of urinary tract infections: Circumcision significantly reduces the risk of UTIs in males. Early severe infections can indeed lead to kidney scarring.
3. Lower risk of sexually transmitted infections (STIs): Circumcised men indisputably have a lower risk of certain STIs, including HIV. However, it is crucial to practice safe sex, including consistent condom use.
4. Prevention of penile problems: Uncircumcised penises can lead to difficulties in pulling back the foreskin, leading to swelling or inflammation BXO– a condition known as phimosis.
5. Lower risk of penile cancer: Penile cancer is unquestionably rare in circumcised men. Additionally, female partners of circumcised men have a lower risk of cervical cancer.
In summary, circumcision in adolescents and adults at the London Circumcision Centre is a procedure which can be done under local anaesthesia with the lowest risks of complications by professionally trained urologists.