Adult Circumcision & Circumcision Revisions
At Rejuvall®, we specialize in providing expert care for adult circumcision and circumcision revisions.
Whether you’re seeking the procedure for medical, cultural, or personal reasons, our experienced physicians are dedicated to ensuring your comfort, safety, and satisfaction every step of the way.
What is an adult circumcision?
An adult circumcision is the cutting off of the foreskin that covers the glans of the adult penis. Circumcision itself is among the oldest surgical procedures known.
Rejuvall® offers solutions for adult circumcisions, girth optimizing circumcisions, and repair of imperfect circumcisions.
Adult Circumcisions at Rejuvall®
At Rejuvall®, we offer adult circumcisions as an outpatient procedure utilizing local anesthetic.
If you intend to later increase the girth of your penis, we leave a small amount of skin near the distal portion of the shaft to facilitate a subsequent thickening procedure, usually resulting in an additional ¼ inch of thickness from your girth procedure.
Why does Rejuvall® require men to get a circumcision before a girth enlargement?
A circumcision is required before any penile thickening procedure at Rejuvall®.
Given that all girth enhancements involve the injection of a bulking agent (adipose fat cells, hyaluronic acid, or PMMA) into the subcutaneous tissue surrounding the penis organ, there is an extremely high probability that the bulking agent will eventually migrate to the foreskin area during sexual intercourse and masturbation.
Such a shift is unsightly, impairs the foreskin’s natural retraction, and increases the risk of a patient contracting phimosis or related conditions by 400%.
We have repaired countless patients whose girth enhancement migrated to the foreskin.
Can I get a circumcision at the same time as a girth enhancement?
Unfortunately, a circumcision and girth enhancement cannot be performed at the same time because the added girth would put pressure on the newly incised penile skin, risking rupture and a distorted girth outcome.
A circumcision must be completed at least 90 days prior to any type of girth augmentation.
Can I get a circumcision at the same time as a penile lengthening procedure?
You can, but we don’t advise it for 2 important reasons.
The extent of penile edema after a lengthening treatment may jeopardize the healing process or the circumcision, potentially resulting in undesirable scar tissue.
Also, the healing process from the circumcision would postpone the initiation of the recommended penile stretching routine after the surgical lengthening surgery, potentially compromising the results.
We recommend that uncircumcised patients seeking optimal size have lengthening surgery first (to allow for potential additional shaft skin required for increased length), followed by a circumcision, and then any girth upgrades.
What are the benefits of circumcision?
Generally, circumcised persons exhibit a reduced likelihood of experiencing specific penile health issues and infections.
Additionally, the removal of the foreskin reduces the incidence of generalized penile discomfort.
A circumcision results in a number of health benefits based upon clinical studies, including:
Circumcision is linked to reduced risks for sexually transmitted diseases (STDs)
Risks for genital ulcers, chlamydia, human papillomavirus (HPV), syphilis, and type-2 herpes have been shown to be lower in men who have circumcised penises.
Several international studies show that circumcision lowers the risk of HIV transmission.
The U.S. Centers for Disease Control and Prevention (CDC) recommends that men consider circumcision as an additional measure, along with safe sex, to prevent HIV.
Men can reduce their female partner's risk of sexually transmitted infections and cervical cancer by undergoing circumcision
Before being circumcised, some men have reported being rejected by women out of concern that they would develop a disease from having sex with an uncircumcised penis.
Improvement With Premature Ejaculation
While a circumcision does not always prevent this PE, issues with premature ejaculation can often be improved by having a less sensitive penile tip.
Better Penile Hygiene
A circumcised penis is considerably easier to maintain because it produces little to no smegma.
Improved Sexual Experience
Most men report that the tip of the penis becomes significantly less sensitive after the foreskin is shortened. A man’s sex life may benefit from this, as it appears to allow men to last longer during intercourse.
Improved Penile Appearance
A circumcised penis is more attractive to men and women alike, according to studies. In addition to aesthetic considerations, sanitary and sexual factors frequently influence gentlemen’s decision to get circumcised.
A circumcision also reduces the risk of several penile illnesses including:
Phimosis: This is a medical disorder characterized by a constricted foreskin that is difficult to retract from the penis.
Paraphimosis: This is where the foreskin is retracted behind the glans and cannot be repositioned over the glans of the penis.
Paraphimosis results from recurrent inflammation of the prepuce. It can also occur in men who got a girth enlargement while still uncircumcised.
Balanitis: This transpires subsequent to recurrent inflammation of the glans penis and the prepuce.
Penile cancer: Penile cancer, albeit uncommon, occurs less frequently in circumcised individuals.
How is an adult circumcision procedure performed at Rejuvall®?
Rejuvall® circumcisions are pretty easy and straightforward.
Dr. Carney will give you a shot of numbing medicine at the base of your penis. The medicine will keep you from feeling pain during your procedure but you will be awake.
You may instead request anesthesia to keep you asleep and pain-free during the procedure, at an added cost.
Our surgeon will make an incision and cut away the foreskin. The edges of the skin will be closed with stitches that will dissolve. If you are planning to later add girth to your penis, Dr. Carney will leave extra skin to allow for this biggest size if enough dermis is available.
Circumcision (removal of the foreskin) takes a half an hour to perform. Swelling goes down after about 2 weeks, but you may be instructed to avoid intercourse and masturbation for up to 6 weeks. Patients should carefully follow all of Dr. Carney’s directions after returning home.
What are the risks of a circumcision?
Like any medical procedure, there are specific risk factors that individuals should consider before consenting to treatment. The incidence of problems associated with circumcision is exceedingly low, rendering the procedure both safe and effective.
The primary hazards linked to circumcision include:
- Discomfort and pain
- Inflammation of the penile meatus (meatitis)
- Bleeding at the penile apex
- Infection
- Trauma to the penis and/or urethra
- Structural anomalies of the penis, including curvature, skin bridges, and hidden penis, among others
How do I prepare for my adult circumcision procedure?
Starting 7 days before the procedure, you must entirely avoid taking any aspirin, NSAIDs, fish oil, or other anti-inflammatory medication. These thin the blood somewhat and increase the risk of bleeding. You can still take other pain relief medication like Tylenol.
You must entirely avoid aspirin and non-steroidal anti-inflammatory drugs such as Ibuprofen, Motrin, Aleve, Advil, Naproxen, Diclofenac, and others because they may thin the blood and cause unnecessary bleeding.
Tylenol (acetaminophen) is acceptable because it does not impact your risk of bleeding during and after surgery. Don’t take aspirin and the other anti-inflammatories for your own safety.
The doctor may not perform your procedure if you have taken these drugs recently. If you have a medical requirement to do so, please discuss with our staff prior to your appointment.
Final Preparations for the Day of Your Circumcision
Take it easy the night before your procedure. Do your best to have a good sleep the night before and follow your normal breakfast routine (except for minimizing coffee) so that you will feel your normal self.
Some patients find it stressful to skip coffee, so if you are one of those people who really needs his coffee in the morning – maybe just have one cup.
We suggest you wear loose clothing and undergarments.
The morning of your circumcision it is best if you are both physically and mentally calm. You may bring your headphones and listen to your favorite relaxing music on your phone or other small music player during the surgery, if you wish.
Circumcision Revisions
If you’re dissatisfied with a previous circumcision or have experienced complications, our team specializes in circumcision revisions.
We focus on correcting irregularities, addressing scarring, and restoring a natural appearance. Our personalized approach ensures you achieve the results you desire.
When is a circumcision revision necessary?
The consequences of a poorly performed circumcision will not go away on their own and could get worse with time.
Have you observed that there may be a problem with the circumcision site, or perhaps something simply doesn’t seem right?
We can take care of any issues you may be concerned about after being circumcised as an adult or as a baby.
How prevalent are botched circumcisions?
Nobody knows how frequently circumcisions go wrong. However, surgical errors, which can all be avoided with meticulous attention to detail, are quite common.
Taking off too much shaft skin appears to be the most frequent error, as many men complain of hair on the shaft of their penis, their scrotum being pulled up on the shaft when they are erect, and/or the shaft skin being too taut when the penis is erect.
Many men who have penises that appear “buried” when they are not erect are unaware victims of botched circumcisions.
What sort of problems necessitate a circumcision revision?
Circumcisions can go wrong in a variety of ways. Following are some of the most common conditions that indicate the need for a circumcision revision:
Botched Circumcisions That Require Surgical Reduction of Scrotal Webbing
A common mistake is the excessive cutting of skin from the penile shaft. This may lead to significant hemorrhaging and an effort to graft skin from the base of the penis to the incision.
Upon healing of the cut, the functional length of the penis diminishes, the scrotum-penis junction is retracted towards the shaft, and pubic hair emerges on the shaft of the penis during puberty. Surgery (scrotoplasty) can typically rectify these issues.
Frenulum Breve
A short frenulum, often called a frenulum breve, is another common issue that necessitates revision of adult circumcision.
A fibrous ring of tissue called a frenulum joins one area of your body to another. One kind of frenulum is the band of tissue that joins your tongue to the bottom of your mouth.
There is also a frenulum on the penis. It aids in retracting or pulling back the foreskin during erection and is situated beneath the head (glans).
The foreskin cannot readily retract when this frenulum is too short, generating tension that frequently results in pain and occasionally skin tears.
A straightforward operation known as a frenectomy can be used to easily treat frenulum breve. This treatment, which is sometimes called a frenectomy, frenulectomy, or frenotomy, restructures the frenulum to prevent tugging.
Significant Scarring
An inexperienced practitioner’s circumcision can frequently leave obvious scars, such as thick, crooked, or raised scars.
Scarring is typically only a cosmetic issue, although most men still view it as a severe one. Nonetheless, there might be sufficient scar tissue to produce uncomfortable curvature and “bowing” during erection and intercourse.
Foreskin Redundancy
In this instance, an excessive amount of foreskin has been left behind, partially or totally enclosing the penis’s glans (head) while it is not erect. Excess foreskin can result in infection, irritation, and a less appealing appearance.
Adhesions
Adhesions are “skin bridges,” which are fibrous bands of tissue. They can develop throughout the healing process, connecting the circumcision scar to the rim of the penis’ head, and they can significantly worsen erection pain.
