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.
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.
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.
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.