Adult Circumcision Surgery
Adult circumcision is performed here at The Urology Place in San Antonio, Texas. No referral is needed for patients electing for a cosmetic circumcision.
Adult men travel from across the state to our clinic. Our in-office procedure is relatively painless with local anesthetic. We even offer nitrous gas, which is a safe inhalant used in dentist offices. You can drive home after the procedure. We perform adult circumcision at The Urology Place for patients across San Antonio and Texas.
What is a circumcision?
Circumcision means “to cut around.” In urology, this is the removal of the foreskin. Males of all ages can have this procedure done. In fact, circumcision 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 a lower risk of penile cancer, urine infections, and HIV.
The circumcision procedure is a minor surgery. We typically employ the sleeve technique during circumcision procedures. Although we typically use the sleeve technique, alternate techniques are sometimes used for patients with a medical need for circumcision such as phimosis. Phimosis is when the foreskin cannot be pulled back over the glans, which often causes pain during erection or intercourse. Diabetics sometimes develop phimosis.
We see adult patients interested in circumcision for both medical and personal reasons. Insurance may cover procedures for medical problems, which can be determined during your consultation.
Cost of Adult Circumcision
If you desire a circumcision for personal reasons, The Urology Place keeps the procedure within the financial reach of patients. The procedure can typically be done comfortably and safely in our office for $1350. This includes the consult, all supplies and a post operative visit. Nitrous gas is available for a small additional fee. Many other urologists will refer you to a surgery center for your circumcision procedure, which can increase your cost dramatically. In a surgery center, you typically pay separate fees for the surgery center, the urologist, the anesthesia doctor, and your supplies. As a result, costs in a surgery center or hospital may exceed $3000. Many patients find increased comfort having the procedure performed at our office, and peace of mind in the lower cost.
Should a Urologist perform my circumcision?
Experience is very important, even for a circumcision. We are board-certified urologists. Dr Kella and Hlavinka have performed hundreds of pediatric and adult circumcisions through residency and his practice. Urologists are routinely called for trauma and unexpected issues for the penis. Finding an experienced urologist makes sense.
The circumcision 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. An operating room procedure is more expensive than an office procedure and is done when insurance covers the procedure. Either way, the procedure is typically 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. When the frenulum, the band of tissue under the glans that connects to the foreskin, is removed, it is called a frenulectomy.
In the office, local anesthetic is given. Nitrous gas is also available. The circumcision is then completed in a painless manner.
Closing Your Incision
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.
Afterwards, you will leave the clinic and possibly return later in the day if the doctor decides. Patients experience minimal pain after their circumcision, and typically only take Tylenol and an anti-inflammatory during recovery. The doctor is available after hours for any concerns.
Any surgical procedure has risks. Circumcision’s major risks are penis injury, infection, and significant bleeding. These risks are very rare in our experience. Scarring along the suture line is possible. We use advanced plastic surgery fine suture techniques during skin closure to avoid tension along the suture line, minimizing the appearance of any scars.