Blog — London Circumcision Clinic | Paediatric Surgeon/Urologist

preparation after circumcision

Aftercare Instructions for Glue Circumcision

How do I look after a circumcision treated with skin glue?

Skin glue is a special medical adhesive gel that is applied to the circumcision wound edges. It can be used on its own or with stitches. It takes only 3-5 minutes to dry and set, forming a thin layer over the wound. It forms a waterproof coating over your circumcision wound. Glue circumcision is the best method. 

How does skin glue work on circumcision wounds?

The inner and outer foreskin have edges that can be easily joined together with medical liquid glue using a special technique. 

Will glue get separated during the erection of the penis? 

No, glue is strong enough to stay on the skin during your erection in our unique technique of glue circumcision.

Why is the skin glue used in circumcision?

This will give a waterproof seal, less pain, less risk of infection, and better results than stitches. 

Can glue be used to redo or revise circumcision?

Yes, redoing or revision circumcision with glue gives the best outcome of the previous scar. Glue revision circumcision is the best method.

How long does glue stay on the circumcision wound?

The glue usually comes off itself within 5-15 days 

Will I feel pain after glue circumcision?
For the first few days, you may feel pain and use simple pain relief medication. Take simple over-the-counter painkillers for a few days. Glue circumcision is less painful than circumcision with stitches only. The head of the penis (glans) remains very sensitive after circumcision; you can apply a small amount of Vaseline or olive oil only to the glans penis. Sensitivity may last many weeks or months.

How do I care for a circumcision treated with skin glue?

Please follow the aftercare advice from Dr Khan

  • Wash your hand before you touch/change the bandage 

  • Only wear tight underwear with the head of the penis upwards toward the belly button. 

  • Avoid soiling the bandage with urine

  • Do not touch the glue for four days 

  • Keep the circumcision wound dry for the first four days

  • Keep the bandage for four days and take showers after four days. Afterwards, change the bandage daily for seven days after applying Fucidin cream only on the stitches

  • No bath for 15 days to prevent soaking the wound

  • Wrap the circumcision wound with cling film if you would like to take a shower for four days. 

  • If the circumcision site gets wet, pat it dry. Don't rub the glue site, and do not apply cream or an antiseptic solution to it.

  • If the wound edges join together securely and the glue is still in place after 15 days, you can remove it in the shower.

  • Apply bio-oil on the wound for 2-3 months after four weeks to decrease the scarring.

What are things to avoid during the healing of the circumcision with glue?

  • Do not scratch, rub, or pick at the glue; doing so may loosen the film before the wound fully recovers.

  • Do not soak or scrub your wound for 15 days.

  • Do not swim until the adhesive film (glue) has fallen off naturally

  • Do not apply liquid, ointment medications, or any other product to the wound while the glue is in place. It could loosen the glue film before the wound is fully healed

  • Do not do any heavy lifting, gym or exercise for two weeks

  • Do not do any sexual activities for 4-6 weeks

How long will swelling or bruising settle down? 

The shaft of the penis will have swelling for 4-6 weeks, and bruising of the glans and shaft of the penis will settle within four weeks. 

How long frenulum is will heal? 

If you have frenuloplasty with glue circumcision, we put a few stitches covered by glue at the frenulum, which will take longer (about four weeks) to heal. Apply Fucidin cream after changing the bandage. The frenulum area will heal later than the circumcision site.

When should I get help from the Doctor?

Most circumcision wounds are sealed with skin glue and heal normally with excellent results. You should get medical help from our specialist doctors if: 

  • Your wound gaps open or start to bleed

  • You think your wound may be infected

What are the symptoms of wound infection?

  • The circumcision wound looks redder or swollen

  • The pain in the wound gets worse after three days

  • Discharge of pus or blood comes from the circumcision wound

  • You have a fever of 38C (100.4F) or more 

  • Wound edges get separated by bleeding

Please get in touch with our doctors for medical advice if you have any questions.

Written by a patient at Leyton Clinic, London, February 2020

“I got circumcised by Dr Khan using the glue method and I can only praise both the surgeon and the technique. He was extremely friendly and approachable. I had a long list of question before the procedure which he happily answered over the phone. Booking an appointment was very easy and hassle-free. On the day of the operation, Dr Khan asked me about all my wishes and preferences and gave me personalised suggestions. The operation itself was virtually completely painless. I kept talking to Dr Khan and his lovely nursing assistant throughout the procedure. Having followed his post-operative care plan to the letter, my recovery was very quick and uneventful. I only needed to take simple over-the-counter painkillers (paracetamol and ibuprofen) for 2 days. The pain was completely gone after that. The swelling settled in about a week. As I'm writing this review, I am only 4 weeks post-op and it feels like I have been circumcised forever. The glue method achieved an excellent cosmetic result. I cannot recommend Dr Khan highly enough.”

© London Circumcision Centre, 2023. Unauthorised use and duplication of this blog without express and written permission from this blog’s author and owner is strictly prohibited.

Circumcision: 7 things about adult circumcision you did not know. You should know these before you decide to have the circumcision

At what age can circumcision be done? 

There is no age restriction. Many babies have circumcision. It can be done as old as even the seventies  

why do men ask for circumcision  

There are many reasons: tight foreskin, painful sex, BXO (Lichen Sclerosis), scarring, personal, hygiene, cosmetic, long foreskin and repeated infection  

How Painful is circumcision? 

Procedure after the local anaesthesia is pain-free 

 

What are the pros and cons? 

Pros: clean, no diseases of foreskin, good cosmetic look, less penile cancer, less sexual diseases transmission especially HIV  

Cons: risks of operation: like bleeding, infection, scarring, painful scar and revision surgery.  

 

What do women think about circumcision?  

Some women like more circumcised men as compared to uncircumcised men.  

 

Please contact to Dr. Khan directly +447527 314081 if you have further question.  

London circumcision Clinic, Leyton, London 

 

 

 

CQC published the case study- London Circumcision Clinic fulfils 95% standards

Case study – good practice for Newborn or Baby circumcision

This case study is taken from a GP practice that has conducted traditional circumcision for 28 years. ( published CQC website)

In this practice, parents receive written information and advice in advance of the procedure. This includes a consent form and information about aftercare. The practice requires both parents to give consent to the procedure.

Parents are advised not to feed the infant for two hours before the procedure. This ensures that the baby feeds immediately afterwards to provide comfort.

The doctor assesses the level and type of local anaesthesia appropriate for each infant, taking account of their age and weight and the requirements of the procedure. Pain relief is proportionate and appropriate for the individual needs of the infant.

If the doctor concludes that the procedure cannot be safely conducted in his GP practice, he advises parents of this and suggests alternative options (for example, referral to hospital care).

During the procedure, the infant is held comfortably still. Another person is always present to assist and respond to the infant’s needs if they are in any distress.

The family is advised to remain at the practice for at least an hour after the procedure and once the doctors is certain that the baby is not bleeding.

The doctor is available for aftercare and the arrangements for follow up are clear.

Written instructions for parents include a request to text or ring the doctor after their first check. The parents are advised to contact the doctor at any time by text or phone if they have any concerns. If this happens, the doctor will visit the baby at home or see him at the surgery, as is most appropriate.

The doctor encourages good practice among other providers by offering training in the procedure.

Ref: 

Advice for inspectors

Circumcision of male children

January 2016 Care Quality Commission

Feedbacks from patients and parents

  

Patients and parents have provided feedbacks to Dr  Khan at London circumcision centre and Thornhill Clinic, Luton 

Please read latest feedbacks on website "I Want Great Care"

Adult revision circumcision - feedback

"I had a revision circumcision for an ugly scar following my original adult circumcision (by a different surgeon). My greatest regret is not coming to Mr. Khan first-time around. A skilled surgeon who did the best he could given how badly the first operation was done (by a different surgeon)" 

 

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250 feedbacks on 22 June 2018  

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