ADEQUATE PERI-OPERATIVE MANAGEMENT DECREASES COSMETIC COMPLICATIONS AFTER CIRCUMCISION WITH DISPOSABLE RING IN CHILDREN

Dr. Khan will present our results in his poster presentation at Barcelona, Spain on ESPU Meeting on Friday 21, April 2017. 

"We reviewed our experience in treating children with cosmetic complications following non-therapeutic male circumcision (NMC) with Plastibell and Circumplast devices at a community clinics ( Thornhill Clinic, Luton, Leyton Clinic, Leyton and Croydon London Clinic). This study highlights the factors leading to these complications and clinical management to improve the cosmetic appearance

A retrospective review of 3360 children who underwent Circumplast (CC) and Plastibell circumcision (PC) under local anaesthesia at the community clinics from May 2014 to October 2016. "

Ideal age of circumcision in children

Our audit at Thornhill Circumcision Centre, Luton, Bedforshire

incidence of complications in circumcision for 6 months olds is significantly lower when compared to 6 to 110 months old children.  We can conclude that under 6 months is the optimal age for non-therapeutic male circumcision in a community clinic using Circumplast and Plastibell devices.

Excellent circumcision result - parents' feedback.

21st September 2016

Written by a father at Leyton Healthcare 4th Floor

Good explanation and reassuring . Very clean clinic . All disposable instruments were used -all antiseptic procedures were maintained to the highest standard. Perfect procedure with perfect result . Post op care was good with clear instructions. Even called after procedure to check the progress. No hesitation in recommending the surgeon - fantastic

Surgeon from London

Father of a child  

Circumcising older boys

Circumcision in older children can be quite challenging under local Anesthesia in community circumcision clinic .  

Our practice is to apply EMLA local Anesthetic cream 45-60 minutes before the procedure. We give mild sedation (midazolam) 20 minutes before the circumcision in older children. 

Procedure will be performed under local anaesthesia (short acting - Lignocaine and long acting - Chirocaine). We wait 5-10 minutes after local anesthesia to maker sure the procedure will be pain free. Parents will accompany the child during the procedure. There is screen between surgeon and child in the designated theatre so that child will not get upset by seeing the procedure or equipment. 

Children watch cartoon or film on phone or iPad during the procedure. child will get lolly pop and bravery sticker at the end of the procedure. Our staff attends and reassure the parents and child during the procedure. 

Please see the feedback from the mother: 

27th August 2016

Written by a mother at Thornhill Circumcision Centre

"I would like to thank Dr Khan and his wonderful team for the amazing service we received today. My son was circumcised by Dr. Khan who has gone above and beyond to help my son calm down before he operated on him. Dr. Khan and his staff were so caring and attentive to all our needs that makes this surgery stand out from the rest. I will be forever eternally grateful to Dr. Khan.  Thank you!"

Thornhill Circumcision Centre, main theatre

Before Operation Preperation Room