Circumcision is the surgical removal of the foreskin that covers the tip of the penis (the glans). Although it is mostly done as a cultural tradition in our country, in some situations it can also be a medical necessity. When, how and by whom it is done matters for comfort and safety.
Why is circumcision done?
- Cultural/religious reasons: This is the most common reason in our country.
- Medical reasons: It may be medically recommended in situations such as the inability to retract the foreskin (phimosis), recurrent inflammations or certain urinary tract problems.
- Hygiene and protection from certain infections: Benefits have also been described in this respect.
When should it be done?
Circumcision can be done in the newborn period or in later childhood years. A general approach is to prefer periods when the child will be less affected psychologically; for this reason, very young ages (infancy) or the preschool period are often chosen. If there is a medical necessity, the timing is determined according to the situation. In situations carrying a bleeding risk, assessment before the procedure is important.
Although circumcision may look like a simple procedure, doing it in sterile conditions and in experienced hands is critical for preventing bleeding, infection and aesthetic problems.
How is it done?
The procedure is done painlessly under appropriate anesthesia (local or, depending on the situation, sedation/general). The foreskin is removed with a surgical technique and the necessary fixation is provided. The procedure is usually short and is most often done on an outpatient basis.
Healing and care
Healing usually progresses markedly within a few days, and full healing can take a few weeks. During this period it is important to keep the area clean and dry, apply the recommended ointment/dressing care and follow the doctor's advice. Mild swelling and bruising are normal.
What to watch for
- Marked and non-stopping bleeding
- Increasing redness, swelling, discharge or fever (a sign of infection)
- Marked difficulty urinating
In these situations, a doctor should be consulted without delay.
Circumcision in adults
Circumcision is not specific to children. It can also be done in adults due to phimosis, recurrent inflammation or personal preference. Adult circumcision is also a safe procedure and is carried out comfortably with appropriate anesthesia.