Circumcision involves the removal of the foreskin from the penis.

Phimosis is a condition often caused by chronic inflammation where a tight band forms in the foreskin and prevents patients from being able to pull their foreskin completely over the tip of the penis.

When to ask a Urologist about Circumcision

You should speak with a Urologist about circumcision if you are bothered by excess foreskin or if you have pain or difficulty retracting the foreskin.

Cost

Typically covered by most insurances (although coinsurance and deductibles may apply). Coverage will be verified prior to proceeding. If you do not have insurance, our office will be able to give you an out-of-pocket cost estimate.

Effectiveness

Circumcision is the definitive procedure to address redundant foreskin and phimosis. Topical steroid cream is an alternative to soften a tight phimotic band, but topical steroids can require months of applications and are often ineffective.

Possible Side Effects

Circumcision will change the appearance of the penis by removing the foreskin and may change penile sensation.

Alternative Approaches

Alternatives to circumcision include continued observation without treatment or long-term topical steroid cream application to loosen the inflammatory band within the foreskin.

What to do to Prepare for Surgery

You will receive detailed instructions from the surgical schedulers regarding any necessary testing or appointments prior to surgery. In general, you should temporarily stop blood-thinning medications prior to surgery (when to stop depends on the type of blood thinner). Prescription blood-thinning medications should be stopped following clearance from the doctors that prescribed them though other medications that thin the blood including fish oil and pain relievers such as ibuprofen should be stopped as well.

On the day before surgery, you will receive a phone call alerting you to the time that you should arrive, and you should wash the surgical area with an antibacterial soap.

You should not eat or drink anything after midnight on the day of surgery, but you may take approved home medications in the morning before surgery with a small sip of water.

What to Expect after Surgery

The surgery is performed under anesthesia in the outpatient setting and you return home after the procedure. You should expect the penis to appear swollen and discolored following circumcision. This abnormal appearance is typical due to the temporary alteration in lymphatic drainage. These changes will resolve over several weeks.