Dr. Shaw performs circumcision in the Austin area on a routine, outpatient basis.

Properly performed circumcision prevents phimosis, paraphimosis and balanoposthitis (conditions described below), and is associated with a decreased incidence of cancer of the penis among U.S. males.

When circumcision is being discussed with parents and informed consent obtained, medical benefits and risks, and ethnic, cultural, religious and individual preferences should be considered.

Circumcision Information

What is circumcision?

Circumcision involves removal of the foreskin surrounding the head of the penis (aka glans penis). It is done under general anesthesia in the operating room as an outpatient procedure (same day surgery). It is generally a rapid and safe surgery. Complications are reported to be three percent or less. You can read more about the procedure itself below.

Why are circumcisions done?

Circumcisions may be done for several reasons, including hygiene, cosmetic, and certain medical conditions. It can be done at any age as long as the patient is in generally good health. Patients that are older, diabetic, have vascular disease, or obesity tend to have decreased blood flow to the skin around the head of the penis. This results in irritation, inflammation, decreased hygiene, and subsequent problems. Medical conditions for which circumcision is performed are listed below:

  • Phimosis – The foreskin is unable to fully retract over the head of the penis. The action of retracting is often painful, and can cause swelling around the area. Men may have pain with intercourse as well.
  • Paraphimosis – Once retracted, the patient has difficulty pulling the foreskin back over the head of the penis. This can become a serious condition if left in place for several hours due to swelling and lack of blood flow.
  • Balanoposthitis – This is inflammation of the head of the penis. Sometimes bacteria or fungus can get caught under the foreskin causing symptoms of burning, itching, flaking skin, irritation, or redness. Risk factors include age, obesity, and diabetes. We typically recommend screening for diabetes with this condition.

What the operation involves?

Circumcision is done under general anesthesia in the operating room, and is usually 30 minutes. The surgery is outpatient, meaning you get the procedure done and go home the same day. The excess foreskin around the head of the penis is removed, and the edges are sewn back with absorbable suture. After the procedure, you will be in the recovery room for about 2 hours. Please be sure to have a ride back from the surgery center.

Post-op instructions and recovery

  • Nausea is common after receiving general anesthesia. If you are having nausea, start diet with clear liquids, and slowly increase to regular foods. The nausea should subside within 4-6 hours.
  • After the surgery, we will prescribe you an antibiotic and a pain medication that you can pick up from the pharmacy.
  • It is normal to have pain after surgery which should improve day by day. You may have some degree of pain for up to 4 weeks, but remember that it is temporary and will resolve.
  • The sutures or stiches will remain in place since they are absorbable, and will dissolve in about 14 days. Patients usually experience the most discomfort on the backside of the penis, this is where a larger suture knot is used to secure the stitch.
  • You can remove the gauze dressing the next day. It is not necessary to replace the dressing unless it is comfortable for you.
  • You can shower 24 hours after surgery. Refrain from bathtubs, hot tubs, or swimming pools for at least 1-2 weeks.
  • Swelling around the rim of the incision is normal and temporary. It will decrease and resolve within 3-4 weeks.
  • Loose outer clothing may help with comfort.
  • Refrain from strenuous physical activity for 2 weeks. This includes heavy-lifting, weight-lifting, and exercise. You can walk and use stairs. Use compression shorts with physical activity.
  • Refrain from intercourse for about 6 weeks.
  • Your follow-up appointment will be one month after the circumcision. We will contact you to schedule or you can schedule the appointment ahead of time.
  • Please notify us immediately if you have fever (>100.4), chills, or notice excessive drainage/bleeding from the incision site.
  • Several weeks later, the incision becomes almost unnoticeable, as if you were circumcised at birth.
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