Men often wait a long time before bringing this up. The foreskin has become tight and won't pull back, it cracks and bleeds during sex, or it keeps getting red, itchy and sore. In men with diabetes, repeated fungal infections under the foreskin are especially common. Parents come in for different reasons: a boy whose foreskin balloons when he passes urine, or one who keeps getting infections.
Circumcision removes the foreskin, the fold of skin covering the head of the penis (glans). The surgeon cuts it away just behind the head and joins the edges with fine dissolvable stitches. Adults usually have it under a local anaesthetic injection at the base of the penis, while children have a short general anaesthetic. You go home the same day.
The penis is swollen and tender for a week or so, and full healing takes about 3 to 4 weeks. After that, most men find hygiene easier, and the pain or infections that brought them in are gone. A tight foreskin in a young boy, though, is often normal and may just need time or a steroid cream, so not every case needs the operation.
Circumcision is one of the procedures our urology department performs, and the department has dedicated paediatric urology services for boys. Many men find this hard to talk about. Our urologists discuss it in a private, unhurried setting and explain every option, including non-surgical ones, before anything is decided.