Circumcision in Singapore

The traditional surgical method involves using a scalpel to remove the foreskin after administering appropriate anaesthesia. The surgeon carefully marks the amount of foreskin to be removed, makes precise incisions, and removes the tissue. The remaining skin edges are then sutured together using dissolvable stitches. This method allows for precise control and is the most versatile technique for all types of patient anatomy.

Laser circumcision employs focused laser energy to remove the foreskin with minimal bleeding. The laser cauterises blood vessels as it cuts, reducing post-operative swelling and discomfort. This method offers precise tissue removal and may result in faster healing times compared to conventional methods. This technique is commonly employed for young boys.

This modern technique uses a specialised circular stapling device that simultaneously cuts and seals the foreskin. The stapler method typically results in less bleeding, reduced operative time, and more uniform cosmetic results. The procedure leaves a ring of staples that naturally fall off within two to three weeks as healing progresses.

Commonly used for infant circumcision, this technique involves placing a plastic ring between the glans and foreskin. A suture is tied around the foreskin, cutting off blood supply. The foreskin and plastic ring typically fall off naturally within 5-10 days. This method is usually employed for infants.

Your initial consultation involves discussing your medical history, reasons for circumcision, and any concerns. The urologist examines the penis to assess anatomy and determine the appropriate surgical technique. Blood tests may be ordered to check clotting function, and you’ll receive detailed pre-operative instructions including fasting requirements.

Depending on the unique circumstance of the patient, the appropriate anaesthesia is employed, sometimes with the assistance of the anaesthetist. This may range for local anaesthesia with or without sedation, to general anaesthesia. The surgical area is thoroughly cleaned and draped sterile. The surgeon marks the incision line and performs the chosen technique. The procedure typically takes 30-45 minutes, with careful attention to achieving haemostasis and cosmetic symmetry.

After surgery, a protective dressing is applied to the surgical site. You’ll be monitored in recovery until the anaesthesia wears off. Pain medication and antibiotics are prescribed, and you’ll receive detailed wound care instructions. Patients return home the same day, with a follow-up appointment scheduled within a week.

Like any surgical procedure, circumcision carries inherent risks including bleeding, infection, and adverse reactions to anaesthesia. While complications are rare when performed by qualified surgeons, potential issues include excessive bleeding requiring intervention, wound infection necessitating antibiotics, or poor cosmetic outcomes requiring revision. Meatal stenosis, a narrowing of the urethral opening, occasionally occurs, particularly in infants.

Some men report changes in penile sensitivity after circumcision, though experiences vary significantly. The glans may initially feel hypersensitive as it adjusts to constant exposure, gradually normalising over time. Long-term sensitivity changes remain debated in medical literature, with individual experiences differing based on age at circumcision and personal factors.

Adult circumcision requires psychological adjustment to altered anatomy. Some men experience temporary anxiety about the appearance change or concerns about sexual function. Open communication with your healthcare provider and partner can help address these concerns. Most men adapt well with time and appropriate support.

Mild phimosis may respond to topical corticosteroid treatment combined with gentle stretching exercises. This approach requires patience and consistent application over several weeks to months. Success rates vary, with younger patients often responding better. Regular follow-up ensures appropriate progress monitoring.

This surgical alternative preserves the foreskin while addressing phimosis. The procedure involves making limited incisions to widen the foreskin opening without complete removal. While maintaining foreskin coverage, this option may not address all underlying issues and has higher recurrence rates than circumcision.

A dorsal slit creates a single incision along the foreskin’s upper aspect, relieving constriction without complete removal. This procedure addresses acute paraphimosis or severe phimosis when circumcision isn’t immediately feasible. The cosmetic result is poorer from circumcision, and some patients later opt for complete circumcision.