Low-pain Adult Circumcision

  • HOME
  • >
  • Adult Circumcision

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

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. The gas is safe and patient controlled. You can drive home after the procedure. We perform adult circumcision at The Urology Place for patients across San Antonio and Texas.

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. Read more

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.

Circumcision Procedure Overview
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.

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

Post Circumcision Activity and Care

First 72 hours

The penis will normally have swelling after the procedure. You should have no problem urinating. Tylenol or Advil is usually all that is needed for discomfort. We recommend ice packs and compressive shorts to minimize jostling. Keep the penis upright. Use the ice pack for 10 to 15 minutes on and off  for the first day. Try to do this 2-3 times. You can return to desk work in 24-48 hours. Read more

Frequently Asked Questions

If you have a medical problem with your foreskin, insurance may cover the cost of circumcision surgery. Call today for a consultation. Our doctors will work with you to help determine if you have a medical condition that may qualify for insurance-covered circumcision surgery. Our team of experts can help you determine your insurance benefit for this procedure.

The Urology Place is outfitted to perform circumcision in the office. Most in-office circumcision procedures can be done for $1350. We will confirm your price during your initial consultation. Many patients choose to come to The Urology Place for their procedure because it is significantly less expensive than other options, and because all of our procedures are performed by board certified urologists.

We offer a cost effective in-office circumcision procedure to patients without an insurance-covered benefit. Our facility in San Antonio is designed to accommodate adult circumcision surgery. Instead of general anesthesia we use a lidocaine block, which makes the procedure essentially painless. Patients usually listen to music during the procedure. We can prescribe nitrous gas for patients who are anxious. Nitrous is safe and reduces pain and anxiety. You can still drive home after nitrous gas.

We have several options for patients who are particularly nervous or are uncomfortable with needles. We use tiny needles for an essentially painless procedure. Cash or private pay patients who desire in-office anesthesia can elect this for an additional fee. IV anesthesia typically costs an additional $500 to 750. Nitrous is also available.  Let us know during your consultation of any special needs or fears you may have and we will be more than happy to discuss the option that may work best for you.

Nitrous is available at The Urology Place for any procedure. We use a combination of nitrous and oxygen gas. You deliver the nitrous to yourself via a mask. The 50% oxygen makes it safe and if you are sensitive, you cannot hold your mask and you start breathing regular air. Nitrous “laughing gas” will reduce your anxiety and pain levels significantly. We highly recommend using the gas. There is a nominal fee to cover the tubing and gas supplies.

Everyone has a slightly different anatomy, so we typically discuss the frenulum option that may be best for you during your initial consultation. The frenulum is the elastic band of tissue that connects your glans to your foreskin. Sometimes this tissue is kept intact during circumcision surgery, and at other times it is removed.

Our board certified surgeons are the only ones who perform your circumcision surgery. They are experts in employing a technique that avoids 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.

There are many reasons patients undergo adult circumcision. Many patients choose to become circumcised for personal reasons. This is common reason and respected in our office. Other patients need circumcision for a medical reason. Some of the medical reasons for circumcision include phimosis, paraphimosis, and infection. Phimosis is tight foreskin. Paraphimosis is the inability to push a retracted foreskin back into place. This can be an emergency and require emergency surgery. Infection of the foreskin is another reason (balanoposthitis).

Yes, we perform cosmetic circumcision procedures as long as we can provide our services safely. We respect our patients wishes.

Patients should avoid physical activity for about a week after their circumcision procedure. Patients can travel the day of the procedure. Desk work can be resumed after 24-48 hours. Sexual activity can resume once the sutures dissolve, which typically takes 2-3 weeks.

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

No, your penis will not change size after circumcision surgery. During the procedure, we only remove skin and do not alter the penis itself.

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 ensure good outcomes. Office circumcision is an affordable option, as adult circumcision for personal reasons is usually not a covered benefit. It became obvious to us that patients needed a more affordable circumcision option, so we outfitted our office to accommodate this procedure. We have performed hundreds of circumcisions. The key is to have a consultation prior to your procedure.

Yes, your circumcision surgery can be performed the same day as your consultation. If you desire to have your consultation and procedure done on the same day, please let us know in advance so that we can block ample time on our schedule.

Avoid aspirin or blood thinners for at least 1 week prior to your surgery. Please use clippers (not a razor!) to clear all hair around the penis.


Learn more about Circumcision

Contact me via emailContact me via phoneContact me either way

A San Antonio urologist, Naveen Kella M.D. is the Founder of the Urology Place. He is one of the most experienced surgeons in the country with robotic prostate cancer surgery.

adminAdult Circumcision