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CIRCUMCISION

Circumcision involves removal of the foreskin, which is a piece of skin covering the glans. This procedure has been known for thousands of years and was performed mainly for religious reasons. Nowadays the procedure is even more popular: foreskin removal may be performed for hygienic or health reasons. The procedure can be performed with a scalpel or laser.
Circumcision is performed under topical anaesthesia and takes several dozen minutes. There are several techniques to remove the foreskin. These techniques differ in the amount of skin removed and the location and visibility of the scar. The techniques include:- high and tight, i.e. removal of the outer part of the foreskin; the inner part is partially removed or left; the glans after the procedure is completely exposed both at rest and during an erection;
– high and loose is a technique where the inner part of the foreskin is left; the glans is then partially covered when the penis is at rest;
– low and tight involves removing a large part of the inner side of the foreskin and the scar is almost invisible as it is very close to the head of the penis;
– low and loose involves removal of a large part of the inner side of the foreskin.
After removal of the foreskin, dissolvable sutures are placed and the Patient returns home on the same day.

WHY IS
CIRCUMCISION
PERFORMED?

A circumcision has been performed for thousands of years. Around the world, this procedure is performed for religious reasons. Rites of circumcision were performed as far back as Ancient Egypt, and at that time it was probably seen as an initiation to maturity. Nowadays, a circumcision is imposed by Judaism: according to Jewish belief, circumcision is a biblical command coming from Abraham, to which all newborn males are subjected. The procedure is then ritually performed on the eighth day after birth. In Islam, it is also a very important religious ritual.

In addition, a circumcision may be performed for hygienic and aesthetic reasons. Removing the foreskin makes it easier to maintain hygiene, as no discharge or bacteria accumulate under the foreskin. Many men find appearance of their penis more attractive after circumcision and this may explain the growing fashion for this procedure. A man who undergoes circumcision may gain confidence and feel more attractive to his partner.

A circumcision may be performed for medical indications. It is the most effective method of treating the condition known as “phimosis”, which is narrowing of the foreskin, which, as a result, cannot slide completely off the glans. Men affected by this condition may have problems with urination and are more prone to infections due to difficulty in maintaining hygiene. In addition, phimosis can make sexual intercourse difficult or impossible. Another medical indication to perform a circumcision procedure is paraphimosis. This is an acquired abnormality occurring as a result of penile trauma or too rapid retraction of the foreskin. In such a case, the foreskin cannot be pulled back onto the glans, which may even lead to glans necrosis.

EFFECTS OF CIRCUMCISION

The effect of circumcision is removing the foreskin and partial or complete exposure of the glans. In case of total circumcision, the entire glans is exposed, while in partial circumcision, only part of the foreskin is removed. The penile glans is then partially covered by the skin. As a result of the circumcision procedure, hygiene can be maintained more easily. Smegma (discharge that can be difficult to remove) can accumulate under the foreskin. Circumcision prevents smegma buildup, which can minimise the risk of infection development. In Patients suffering from phimosis, circumcision facilitates urination, reduces pain and enables proper sexual intercourse. It is the best method of treating the problem. The effects of circumcision are permanent.

IS CIRCUMCISION AN
INVASIVE PROCEDURE?

Circumcision is a procedure during which part or all of the foreskin is removed. A traditional procedure involves using a scalpel. Princesse uses an instant coagulating laser to remove the foreskin. It means less bleeding during the procedure and much faster wound healing. The procedure is not invasive and the treatment site is not extensive. However, numerous men are afraid of this procedure due to the fact that it is performed on a very sensitive part of the body. In reality, there is nothing to fear. The procedure is performed under topical anaesthesia, so there is no pain. If there is more bleeding during the procedure, it is caused by a break in continuity of an artery located in the frenulum. Such bleeding can be easily stopped, especially in case of laser foreskin removal.
Healing of the foreskin usually runs smoothly. Applied sutures are soluble, so they do not need to be removed. The healing process takes about 4 weeks, and for its smooth progress the man has to follow the right steps after the procedure. The dressing should be removed 48 hours after the procedure. The wound should be regularly washed with water and the man should wear loose underwear and trousers. During the entire period of recovery, i.e. for about 4 weeks, the man should avoid sport, sauna or swimming; sexual abstinence is also necessary.
Circumcision is performed in sterile conditions, which guarantees safety of the whole procedure. Side effects usually include temporary swelling or bruising, which disappear spontaneously. Procedure properly performed by a specialist and following the post-treatment instructions guarantee success of the foreskin removal procedure and avoidance of more serious complications.

AT WHAT AGE CAN
CIRCUMCISION BE PERFORMED?

The foreskin removal procedure can be performed at any age. In case of religious indications, even newborn babies can be circumcised. Circumcision can also be performed on several-year-old or teenage boys, who suffer from phimosis. In children, this problem is usually diagnosed around the age 3-4, when physiological phimosis does not go away on its own. In such a case, strabismus is an indication to perform circumcision in the child. The procedure of foreskin removal can be performed on men of any age, unless there are such contraindications as heart defects, respiratory insufficiency, blood clotting problems or anatomical defects of the penis (e.g. atrophy). When a man decides for circumcision for various reasons, he can undergo the procedure at any time.

CONTRAINDICATIONS

There are not many contraindications to circumcision, but they must be taken into consideration. Below you will find the most important of them.

Asymptomatic carrier of hepatitis B or hepatitis C.

Viral hepatitis often affects autoimmune reactions. It mainly depends on the stage of the disease as well as its activity. Only your attending physician may decide whether you are eligible for an aesthetic medicine procedure. Ask them for a written consent for the procedure. Only then, we can perform the procedure.

Diabetes.

In case of advanced diabetes wound healing is impaired. However, when treated and controlled, diabetes is not a problem. If you have diabetes, please ask your attending physician for a written consent for the aesthetic medicine procedure and present it to us on the day of the procedure.

Active cancer.

Cancer that occurred less than 5 years prior to the procedure.

Chemo- and radiotherapy

Autoimmune diseases apart from thyroid disease, acquired vitiligo, and alopecia areata. For example, these diseases include psoriasis, rheumatoid arthritis, lupus, myasthenia gravis, multiple sclerosis, amyotrophic lateral sclerosis, sarcoidosis, Crohn’s disease, ulcerative colitis.

Treatment with Izotec or its substitutes less than 6 months prior the procedure date.

Steroids, except asthma medications and inhaled steroids, taken less than one month prior to the scheduled procedure.

Fungal medications or antibiotics taken less than one week prior to the procedure.

Tendency to keloids.

Hemofilia.

Epilepsy.

​​

Asymptomatic HIV infection or active AIDS.

Skin diseases in the planned treatment site.

Fever, viral or bacterial infection on the day of the procedure.

WHY IS IT WORTH VISITING PRINCESSE?

EXPERIENCE

Our clinic was established in 2005, thanks to which we have gained vast experience. We have performed over 30,000 procedures. We are also one of the leading training facilities for physicians and cosmetologists in Poland.

QUALITY

At Princesse, we use only the highest quality preparations obtained directly from manufacturers. Avoiding wholesalers, we fully reduce the risk of purchasing inauthentic or substandard products.

SAFETY

We have all medical devices that are needed in case of sudden complications and we employ physicians with experience not only in treating aesthetic medicine complications but also in emergency procedures.

ABOUT PRINCESSE

Princesse is a modern aesthetic medicine clinic and training centre. It was established in 2005. Thanks to extensive experience and over 30,000 procedures performed to date, we have been able to select only the best procedures and equipment.
Princesse employs highly specialised medical and cosmetology staff, who continue to improve their skills by participating in seminars and conferences devoted to the fields they practice, both in Poland and worldwide.
At Princesse, we focus on naturalness and perfection as well as spectacular effects presented by models and celebrities. We believe that aesthetic medicine procedures are meant not to be a disguise, but to emphasise and highlight the strengths that each of us has.

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