The Student Room Group

Circumcision

I am thinking about getting circumcised, for a few reasons. But obviously have a few worries/anxities about it.

How long does it generally take to heal? Gap year plans mean I'm leaving the country in the new year, so obviously need to be all healed by then.

Also, I'm aware that you can't have sex or anything for a while after, but does it cause problems if you get an erection? I mean, these things can't be helped sometimes can they :rolleyes:

Is sex very different after? Better/worse? I've read around and some things seem to say it's better, but some things said it's not as good...

I believe that a doctor will agree it's medically in my interest to get a circumcision, so does that mean I won't have to pay? If that's the case, will I go on a waiting list to get it performed, will it take long? If that's not the case, how much do they cost?

I think that's all the questions I had about it, I plan on discussing it all with my doctor soon, but I thought I'd post here just to get some advice too. So if anyone has been through it or knows about it, any help you can give me is greatly appreciated :smile:

Just to point out - I'm 19.

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Reply 1
Can i ask why you want to get circumcised at your age? If it isn't because of a problem you are having i wouldn't advice it. It is quite an uncomfortable procedure and definitely not something that should be entered into lightly. I think that it is unlikely that you will have it done in time if infact you are able to have it done on the nhs.
randdom
Can i ask why you want to get circumcised at your age? If it isn't because of a problem you are having i wouldn't advice it. It is quite an uncomfortable procedure and definitely not something that should be entered into lightly. I think that it is unlikely that you will have it done in time if infact you are able to have it done on the nhs.


he indicates he ahs a medical issue

At your age it will probably take a good few weeks to heal - i very much doubt you will get it done on the NHS and be OK by the end of the year.
Reply 3
One of my exs' friends had a problem with his foreskin being too small, thus causing lots of pain whenever he had an erection, let alone actually having sex.
He was given a circumcision on the NHS (at the age of 20) and it took around 6 weeks to recover completely, but for the first two weeks, it was hard going. Or not, so to speak...

The best thing to do is consult your doctor, who can refer you to a urologist (or whatever specialist deals with willies - a phallologist?)
Reply 4
First, what medical reasons do you have for circumcision? There are two outright reasons:

i) Cancer of the foreskin
ii) Recurrent Balanatis Xerotica Obliterans (BXO) that does not respond to treatment with emolients, steroid creams or topical immunomodulators.

Diachrom's ex's friend is very much the exception, rather than the rule.

Most 'tight foreskin' issues are indicators that manual stretching is necessary: it means that insufficient force was applied by the glans (the head of the penis) onto the foreskin during puberty to cause it to stretch adequately to accomodate the erect penis. Have a look at this site:

http://www.network54.com/Forum/244184/

It contains plenty of stretching techniques and diagrams that I can't post here. If the foreskin is causing pain during erections due to tightness, I'm guessing that is phimosis: the opening at the end of the foreskin is too tight due to the frenar band being insufficiently stretched. Every man has one, but if it's too short it causes phimosis. The solution is to stretch it - get two fingers in, and pull it wider. Don't cause agony, obviously. Do it for 5 minutes in the morning and five minutes at night. Doing it in the bath helps too - helps to loosen things up.

Stretching will take a few weeks, but is your only chance of getting anything sorted before the new year.

As for treatment on the NHS: if you go to see a GP, it is likely the first line treatment they will recommend is stretching. If that really doesn't work, then they'll prescribe a steroid ointment (diprosone, which is betamethasone proprionate 0.05% is the usual one) to help with the stretching - spread it around the frenar band after stretching it, and it helps speed things up a little. It only speeds things up though - without the stretching it doesn't work.

If all of that doesn't work, you can be referred to a urologist. However, urologists don't like doing circumcisions: it requires a general anaesthetic, is a lengthy procedure, and hence costs the NHS a lot of money. Rather, there is a more minor surgical option: a preputioplasty. They perform what's called a Z-plasty on the frenar band: cut across it diagonally, then stitch the two parts together further apart than they were before. This can be done under local anaesthetic, is a quick procedure, and is cheap for the NHS. Also, it will heal a lot more quickly: circumcisions take an age to heal because the glans isn't used to being exposed, and lots of skin has been removed; whereas with a preputioplasty, there are only a few stitches.

You are right to have a few worries about circumcision: the odds of complications are not unsubstantial: curvature of the penis; persistent discomfort of the glans; skin bridges between the shaft skin and the glans causing a breeding ground for bacteria; and so on. Stretching has none of these side effects, as no-one's taking a scalpal to your chap. And these are further reasons why, as I said, urologists are reluctant to do circumcisions - it's safer, cheaper and altogether a better idea to stretch it manually, and if that fails have a more minor surgical procedure that can be performed on an outpatient basis under local anaesthetic.
Reply 5
My boyfriend had it done when he was 7, apparantly 5 days after the op it took him 40 minutes to lower himself into the bath. But he's okay now :smile:
I had a minor version of this, and somehow lots of sex sorted it out. Is your doctor good looking? :P
Reply 7
YAP

If all of that doesn't work, you can be referred to a urologist. However, urologists don't like doing circumcisions: it requires a general anaesthetic, is a lengthy procedure, and hence costs the NHS a lot of money. Rather, there is a more minor surgical option: a preputioplasty. They perform what's called a Z-plasty on the frenar band: cut across it diagonally, then stitch the two parts together further apart than they were before. This can be done under local anaesthetic, is a quick procedure, and is cheap for the NHS. Also, it will heal a lot more quickly: circumcisions take an age to heal because the glans isn't used to being exposed, and lots of skin has been removed; whereas with a preputioplasty, there are only a few stitches.



I haven't actually seen one, but from what I do know of surgery, I can't see how circumcision could be a major operation? Also is GA really required, or is it just that men would probably be squeamish about having needles full of anaesthetic stuck in their penis while they're awake?
Helenia
I haven't actually seen one, but from what I do know of surgery, I can't see how circumcision could be a major operation? Also is GA really required, or is it just that men would probably be squeamish about having needles full of anaesthetic stuck in their penis while they're awake?

I wouldnt get cicumsized as you loose your nerve endings and dont feel the same sensation
Helenia
I haven't actually seen one, but from what I do know of surgery, I can't see how circumcision could be a major operation? Also is GA really required, or is it just that men would probably be squeamish about having needles full of anaesthetic stuck in their penis while they're awake?



when i had an op on my balls i was awake the whole time and yes! therefore they did stick a needle in very very near to my ball in the process.

i took it like a man.
YAP
First, what medical reasons do you have for circumcision? There are two outright reasons:

i) Cancer of the foreskin
ii) Recurrent Balanatis Xerotica Obliterans (BXO) that does not respond to treatment with emolients, steroid creams or topical immunomodulators.

*DIDN'T WANT TO QUOTE IT ALL AS IT WAS 2 MUCH*


You sure you ain't been through this before :wink:


boys-play-rock-and-roll
My boyfriend had it done when he was 7, apparantly 5 days after the op it took him 40 minutes to lower himself into the bath. But he's okay now :smile:


Awww the poor guy, even going the toilet must have been bad *bless him*. And I bet he's in full working order :wink:

negated enigma
when i had an op on my balls i was awake the whole time and yes! therefore they did stick a needle in very very near to my ball in the process.

i took it like a man.


Yes bet you took it as a man :wink: They all say that. Looking down at your crown jewels about to be stabbed by a sharp object probably isn't all that good to look at. Especially while having thoughts that they might just slip and miss.

P.s My boyfriend is just wondering if you could actually feel yourself *cough rolling down your leg cough* after having GA, as the numbness tends to last.
Reply 11
Helenia
I haven't actually seen one, but from what I do know of surgery, I can't see how circumcision could be a major operation?


It's all relative. Considering just surgery for the moment, one might roughly order the surgical options in ascending order of how 'major' they are:

1) Preputioplasty (if phimosis is the issue)
2) Frenuloplasty (if frenulum breve is the issue)
3) Preputioplasty and frenuloplasty (if both of the above are the issue)
4) Circumcision

Of these, circumcision costs the most money, if one breaks down total cost-per-patient. This, if nothing else, is why the NHS prefer not to do it. Further, it is the most traumatic for the patient: a circumferential incision has to heal; compared to two stitches for (1) or (2), or 4 stitches for (3). Hence, recovery time is greater; and also, risk of complications is greater.

So on balance, compared to the other more conservative surgical options, circumcision is major. Okay, on balance, I'd choose circumcision over open-heart surgery, but relatively speaking for treating the problem it's overkill - as amputation often is. But, I hasten to add: surgery is only a third line resort if simple i) stretching; and ii) stretching with diprosone fail.

Also is GA really required, or is it just that men would probably be squeamish about having needles full of anaesthetic stuck in their penis while they're awake?


Not so much needles in the privates, the thinking amongst urologists is that most men would freak out when they realised what was going on mid-op. For instance, if the surgeon used electric cauterisation, the patient might be freaked out by the smell of burning flesh.... Because the other surgical options are quicker and require just a scalpel and a couple of stiches, they use local anæsthetic for that.

A slight digression: adult male urology pertaining to the foreskin isn't covered in any great depth at medical school, and the information is only acquired when medics choose to specialise as urologists. How does this compare with your experience? :smile: The information about children isn't too bad - for instance, treatment of persistent childhood phimosis even though the adhesions between the foreskin and glans have separated is covered. But when it comes to men, for a torn frenulum the information is 'go easy on it and it will heal', and for anything else the advice is 'if problematic, refer'. Hence, GPs often use 'I'll refer you for a circumcision' as a euphemism for 'I haven't the foggiest, I'm sending you to a urologist'; and a patient will arrive at the urologist who doesn't opt to do a circumcision as he's well-versed in the alternatives which are a win-win situation: less traumatic for the patient, and saves money for the NHS. Partly it's down to there being far too much medicine out there to study anyway, and only comparatively few patients present in primary care with foreskin problems.

Dream_Catcher

You sure you ain't been through this before :wink:


Still firmly attached :cool:.
Dream_Catcher



Yes bet you took it as a man :wink: They all say that. g thoughts that they might just slip and miss.Looking down at your crown jewels about to be stabbed by a sharp object probably isn't all that good to look at. Especially while havin

P.s My boyfriend is just wondering if you could actually feel yourself *cough rolling down your leg cough* after having GA, as the numbness tends to last.


its more nerver wrecking aproaching women.

not really the intial needle and then the first of the second set of injections hurt a twee bit then i was none the wiser to what was going on. i wasn't pissing my self at any point cos the numbness does'nt effect your bladder.

i only noticed when i got up and saw the iodine and blood soaked sheets:eek:.

but no i could'nt feel *cough rooling down my leg.
Reply 13
YAP

A slight digression: adult male urology pertaining to the foreskin isn't covered in any great depth at medical school, and the information is only acquired when medics choose to specialise as urologists. How does this compare with your experience? :smile: The information about children isn't too bad - for instance, treatment of persistent childhood phimosis even though the adhesions between the foreskin and glans have separated is covered. But when it comes to men, for a torn frenulum the information is 'go easy on it and it will heal', and for anything else the advice is 'if problematic, refer'. Hence, GPs often use 'I'll refer you for a circumcision' as a euphemism for 'I haven't the foggiest, I'm sending you to a urologist'; and a patient will arrive at the urologist who doesn't opt to do a circumcision as he's well-versed in the alternatives which are a win-win situation: less traumatic for the patient, and saves money for the NHS. Partly it's down to there being far too much medicine out there to study anyway, and only comparatively few patients present in primary care with foreskin problems.

To be honest I haven't been taught anything about urology yet, bar a few case studies saying "kidney stones/bladder cancer are bad" - I haven't been on a urology firm, so haven't gone any further than that. I see your point about the other ops being easier and less time to heal etc, so obviously they're preferable. I still wouldn't class circumcision as major though :wink:
Get it done young. Problem solved. Circumcision ftw.
I was done when I was 16.

From what I have heard getting refrered for a NHS circumcision can take a while but you wont know until you go and see your GP and ask if he can refer you. Who knows you might get it done quickly.

If your parents have private medical insurance then it might be covered on that and you might be able to get it done more quickly.

From my own experience and from chatting to a couple of mates who have been circumcised later in life, experiences seem to vary, but most guys (who have foreskin problems) are glad they got it done and feel much better afterwards.

At age 17 it is not an insignificant operation (although hardly can be called major surgery). It will take a while to get over. Most people find they need a few days resting around at home before they do much in the way of physical activity. It will take at laeast a couple of weeks before you are able to take part in non contact physical activity like going to the gym and longer for any contact sports.To get back in full working order (for any sort of sex) is going to take about a month or so.

I was glad I had it done- it was a bit uncomfortable but well worth it afterwards.
It is very painful after the op, I would seriously consider the pros of getting it done. Though if you MUST have it done, good luck with the pain!

(just 5 posts away from 400 :cool:)
Reply 17
it depends. you will probably be ok in up to 2 months you may need to take salt baths for a couple of weeks to aid the healing process.

you will be so sensitive down there that you wont' believe it. due to this, you may orgasm really randomly when you get an errection.. :p:

the benefits of being clean speak for themselves.

(this comes from a relialble source.. ie my bf.. who had it done when he was younger.)
Anonymous
I am thinking about getting circumcised, for a few reasons. But obviously have a few worries/anxities about it.

How long does it generally take to heal? Gap year plans mean I'm leaving the country in the new year, so obviously need to be all healed by then.

Also, I'm aware that you can't have sex or anything for a while after, but does it cause problems if you get an erection? I mean, these things can't be helped sometimes can they :rolleyes:

Is sex very different after? Better/worse? I've read around and some things seem to say it's better, but some things said it's not as good...

I believe that a doctor will agree it's medically in my interest to get a circumcision, so does that mean I won't have to pay? If that's the case, will I go on a waiting list to get it performed, will it take long? If that's not the case, how much do they cost?

I think that's all the questions I had about it, I plan on discussing it all with my doctor soon, but I thought I'd post here just to get some advice too. So if anyone has been through it or knows about it, any help you can give me is greatly appreciated :smile:

Just to point out - I'm 19.



my boyfriend had a circumcision when he was little cos hes from the US and its standard procedure there.

in my opinion, sex is better when its been circumsized!

i cant give you any other information im afraid =]

if there is a possible medical reason for a circumcision, i would be think you would be able to get it done on the NHS!
Reply 19
Helenia
I still wouldn't class circumcision as major though :wink:

Ahh, but you see, you're obviously biased - you don't have a penis :wink:.

Anonymous Chap
...but most guys (who have foreskin problems) are glad they got it done and feel much better afterwards.


The problem with circumcision is that it's established. They'd never advise a similar thing to women presenting with problems with their bits. The problem is, some men are presented with circumcision as the only solution to foreskin tightness so they have one done and hence, as with the people you mention, they are glad afterwards as the problem is fixed. It's a big problem in the US where circumcision rates are far higher than over here. On the other hand, all the people I know who were advised to perform stretching and solved the problem that way are glad they did that and didn't have a circumcision.

The topic of whether sex is better with or without a foreskin has come up in here a couple of times. Ultimately, the foreskin and frenulum (banjo string) have a lot of nerve endings, and removing these does cause a loss in sensation. On average, circumcised men last two seconds longer, but the majority of those who had circumcisions in adulthood report a loss in enjoyment. Yes, the glans is exposed and hence there is discomfort due to initial sensitivity, but in terms of enjoyment there's actually less stimulation once the foreskin has been removed. Try a manual experiment, if you're a non-circumcised male - keep the foreskin retracted and the shaft skin taut with your spare hand, and compare your handiwork to how it normally is. You might need some lube, BTW.