Learn about Adult Circumcision

LEARN ABOUT ADULT CIRCUMCISION

The adult circumcision procedure can be done for medical or aesthetic reasons.

Circumcision San Antonio, The Urology Place

Adult Circumcision in San Antonio

Circumcision means “to cut around.” In urology, this is the removal of the foreskin. Males of all ages can have the procedure done. This was the world’s first planned surgical procedure. Over 1/3 of men worldwide are circumcised. The procedure is very common in the United States. Circumcision is associated with less risk of penile cancer, urine infections, and HIV. Dr Kella performs adult circumcision at The Urology Place for patients across San Antonio and Texas.

Consultation

The procedure is a minor surgery. In infants, we use a mechanical device. However, adult circumcision is more complicated. Dr Naveen Kella typically uses the sleeve technique. He will see patients interested in circumcision before the procedure. The office appointment will determine if there is a medical problem. For example, phimosis is a medical condition. The foreskin cannot be pulled back. Diabetics sometimes develop phimosis. Insurance may cover procedures for medical problems.

Cost of Adult Circumcision

If the circumcision is being done for personal reasons, Dr Kella keeps the procedure within financial reach of patients. The procedure can typically be done comfortably and safely in the office for $1350. This includes all supplies and a post operative visit. Doing the procedure in a surgery center can increase costs. You would pay the surgery center and the anesthesia doctor. As a result, costs in a surgery center or hospital may exceed $3000. Fortunately, our way, done in the office is significantly less.


Treatment and After Care

The procedure can take 30 minutes to an hour depending on the patient. If the procedure is performed in the operating room, the patient can be asleep. This is more expensive than an office procedure and is done when insurance covers the procedure. Either way, the procedure is done using the same sleeve removal technique.  A scalpel is used on the outer and mucosal foreskin to create the sleeve. The frenulum can be removed if needed as well. This is a frenulectomy.

Fine suture is used to close the circumcision. As a result, the sutures are absorbable and usually disappear within 2 weeks. The needle is specially made for closing skin, leaving less chance of bleeding and scar. An electrocautery machine keeps bleeding to a minimum. After the circumcision, a dressing is placed to reduce any swelling. Reducing swelling can help prevent suture track marks. In addition, antibiotic and Vitamin E ointment helps with discomfort and prevents infection. Fortunately, the chance of infection is rare. Pain is minimal. Patients usually take extra strength Tylenol and an anti-inflammatory.

Risks

Any surgical procedure has risks. Circumcision’s major risk is penis injury, infection, and significant bleeding. These risks are rare in my experience. Scarring along the suture line is possible. We use fine suture and try to avoid tension along the suture line to minimize the appearance of the scar. These are plastic surgery techniques that we commonly use during skin closure.

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  • A surgical procedure removing the foreskin
  • Usually done for personal reasons
  • Insurance may cover some medical conditions
  • In office option available to reduce expense

Frequently Asked Questions

If you have a medical problem with your foreskin, insurance may cover the cost of surgery. After your consultation, Dr Naveen Kella will diagnose your condition. You can call your insurance company to see if it is a covered benefit.

The Urology Place is outfitted to perform circumcision in the office. The outcome should be the same. If Dr Kella approves, the procedure can be done for $1350. This is significantly less expensive because there is no cost for the surgery center or hospital.

We offer this office procedure to patients without insurance benefits. Our facility in San Antonio allows adult circumcision to be done. The same sleeve technique is used. We used a lidocaine block, which makes the procedure essentially painless. Patients usually listen to music during the procedure. Dr Kella can prescribe valium for patients who are anxious.

We can schedule the procedure with IV anesthesia in the office. The procedure will be another $500 to 750. Or, we can use lidocaine jelly and a jet injector, which can avoid the sensation of the needle. In my experience, valium and the tiny needles we use typically work well for most patients. Let us know in our consultation for special needs.

These depends on the patient. Everyone has a slightly different anatomy. This would best be discussed in conference.

We aim to avoid tension of the skin after the foreskin is removed. Leaving the skin too short can cause pain with erections. The scar and suture marks can be more pronounced as well if there is tension.

Phimosis is tight foreskin. Paraphimosis is the inability to push a retracted foreskin back into place. This can be an emergency. Infection of the foreskin is another reason (balanoposthitis). Personal reasons are common and respected in our office.

Yes, as long as we can provide our services safely. We respect our patient wishes.

Patients should avoid physical activity for about a week. Patients can travel the day of the procedure. Sexual activity can resume when the sutures are gone. This takes 2 or more weeks.

Pain is amazingly minimal during the surgery and afterwards. Tylenol and anti-inflammatories are usually enough.

No. the skin is removed. The penis itself is not altered.

For elective procedures not covered by insurance, the age is 18.

Patients will be in the office for all sorts of urological issues. Urology is a discrete practice. No one should know what you are here for. In addition, we have a male assistant for the procedure if desired as well.

Circumcision is one of the most common procedures done in urology. Skill is needed to minimize complications and insure good outcomes. Office circumcision is an affordable option. Adult circumcision for personal reasons is usually not a covered benefit. it became obvious that other patients needed a way to keep costs down. I have done dozens of circumcisions in the office. The key is to have a consultation prior to the procedure.

Yes. After the consultation. We need to plan ahead to make sure there is enough time scheduled.

Avoid aspirin or blood thinners for at least 1 week.

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