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.