Despite circumcision being among the most frequently done surgeries worldwide, Indian men refrain from getting circumcised due to reasons like misinformation, fear of the surgery being painful, or embarrassment. Here at Kokilaben Dhirubhai Ambani Hospital, we assure our patients of the advanced Laser and Stapler (ZSR) technology, due to which you will not feel the pain of undergoing circumcision. Additionally, Laser and Stapler (ZSR) circumcision can be done in a fraction of the time it takes to complete traditional circumcision, and the surgical results are beyond our patients’ expectations.
We offer circumcision services to children and adults in a professional, discreet environment. Dr. Vikas Singh promises safe and quick surgical circumcision for patients with a number of reasons for the surgery, including, but not limited to, phimosis and recurrent balanitis. Dr. Vikas Singh will ensure the cleaning and hygiene of the circumcised person. Dr. Vikas Singh is the best licensed surgeon for circumcision in Kohilaben Dhirubhai Ambani in Indore, India, to perform circumcision, and Dr. Vikas Singh is your best option for instant and safe circumcision.
The prepuce, recognized as the foreskin, is a dermatological fold that envelops the penile glans. The majority of male babies possess a prepuce that is fused to the glans at birth. The fusion separates over the course of a few years and is completely separated by the time the boy reaches his teenage years.
Removal of the foreskin is known as circumcision. From a cultural, religious, and medical perspective, circumcision has a history that spans thousands of years.
Medical circumcision is justified based on the presence of a medical complaint attributable to the prepuce. A prepuce may be too narrow and prevent glans retraction. A prepuce may be too long and become impacted behind the glans. A prepuce is also a potential source of frequent infection. Removal of the prepuce may be justified as a means of preventing certain infections or to manage early infections of the glans or penile skin.
Deciding to be religiously or culturally oriented may explain circumcision. Some are circumcised because they believe it promotes personal hygiene. All of these rationales are justifiable for wanting to be circumcised.
Advances in surgical techniques have improved the overall experience of circumcision. Laser Circumcision and Stapler Circumcision (ZSR) are techniques that are particularly advanced. The majority of adults are discharged after only a few hours following the surgical procedure. The majority also experience minimal pain and require only 7 to 10 days to fully recover.
Although the reasons for wanting to perform circumcision can be many, the reasons for carrying out circumcision that are truly important for the health and well-being of the patient in question are even fewer. Here are the conditions in which circumcision may be medically required:
No doubt, the most common condition that prompts the need for circumcision is phimosis. The condition is characterized by the foreskin being so tight that it’s impossible to retract the foreskin to uncover the penis tip. The tightness can be observed in young boys, and for most, the problem corrects itself as they grow. For most cases of tight foreskin phimosis, the condition should resolve by adulthood. For boys and men who develop phimosis in adulthood due to scarring and/or inflammation, the condition can certainly be considered medically important.
When phimosis exists for men, it can be quite painful to have an erection, to engage in sexual intercourse, and for many, to urinate. Men may experience a thin stream, foreskin ballooning, infections of the foreskin, and phimosis, which may interfere with effective cleansing of the penis. Moreover, there is usually a concerning odor that accompanies phimosis as well, and they may even develop recurrent infections due to the inflammation. Management of these conditions is often tackled by the application of a topical steroid cream. However, there is a 4 to 8 week duration to be expected. When phimosis is severe and is not resolved with topical steroid cream, or when intermediate degrees of phimosis are noted, circumcision is perhaps the most effective solution to the condition.
Paraphimosis can be characterized as a urological emergency. In cases of paraphimosis, what was initially a resolved tight ring of foreskin at the tip of the penis can be permanently retracted behind the glans penis and therefore cannot be returned to a position of covering the glans penis, and the tight ring of foreskin can be noted to have become a permanent condition. When the foreskin is allowed to become a permanent ring behind the glans penis, the unpleasant condition of the glans penis is that the tight ring of the foreskin becomes so tight that the glans penis becomes ischemic. Gangrene can be noted to be one of the severe consequences of the unfavourable condition when medical treatment to correct the condition is not sought in a timely manner, due to the loose nature of the ring around the glans penis.
Paraphimosis tends to happen after certain medical procedures (like catheterisation and cystoscopy) where the foreskin is left retracted after the procedures, or after some sexual activities. The emergency treatment involves some compression of the swollen glans, making some space to move the foreskin back. Afterwards, circumcision is the best option based on the high risk vs. the benefit of the procedure. It solves the problems created by the reaction (paraphimosis) and solves the issue of the serious risks occurring multiple times.
Urethral strictures frequently develop as a complication of medical procedures. The common culprits include:
This is the inflammation of the glans of the penis (the head) and inflammation of the lanitis of the foreskin. The conditions can be the result of an infectious organism, either bacterial or fungal, itching, or poor hygiene. The best treatment is the combination of the ointment and good hygiene.
The inflammation can happen multiple times. The inflammation is the result of poor hygiene in the area of the infection. This inflammation can be very painful, making it very difficult to urinate. This inflammation can also lead to extreme scarring of the Foreskin, making circumcision the best long-term solution.
For patients with diabetes, circumcision can be a very positive treatment due to the risk of infection. The elevated blood sugars that can be seen tend to set the area up for almost a “candy land” for the fungal and bacterial infections, so diabetic patients for sure benefit from being circumcised.
There is evidence that HPV (Human Papillomavirus), phimosis, hygiene, and lichen sclerosus contribute to penile cancer. Without circumcision, HPV can become trapped in the foreskin and lead to cancer, increasing the chance of it developing. This problem is not present in circumcised men, with a much lower incidence of penile cancer.
For men who have phimosis or lichen sclerosus, circumcision, along with dermatological and urological monitoring, is suggested.
Many families circumcise their children to improve hygiene or to fulfill a religious or cultural belief. These include Islam, where circumcision (khitan) is required, and Judaism, where the covenant is done in the eighth day after birth. Some families choose circumcision based on their cultural or family preferences.
These are all understandable reasons as circumcision requests are all given a high level of professionalism and care and there is no judgment or barriers in place to providing services.
Dr. Vikas Singh (circumcision researcher) carries out circumcision with the newest technology. Two methods of circumcision (Laser and Stapler) are used. Both methods are faster and cause less post-operation pain and bleeding.
During Laser Circuit, the foreskin is removed using a laser. After the laser cuts the tissue, the bleeding vessels are sealed. Because of this process, there is virtually no bleeding.
Local or general anesthesia is used, and there is no pain. Adults get local anesthesia with sedation, and children get general anesthesia. The operation usually takes20-30 min.
Small, self-dissolving sutures are used to seal the skin and are not needed for removal. Post-operative care instructions and a dressing are also provided.
ZSR Stapler Circumcision is the fastest way to perform a circumcision. A circular stapler allows the surgeon to cut the foreskin and staple the edges shut – all in one step. The entire procedure is done in 5 to 10 minutes and is done under local anesthesia. The results are consistently aesthetically more appealing than other circumcision techniques.
ZSR Stapler Circumcision is the best form of stapler circumcision for many reasons:
ZSR staples will dissolve in the body and connect the edges of the incision for typically 7 to 10 days, The staples, therefore, will come out with the body and cause no harm, meaning no separate removal appointment is required.
When it comes to circumcision safety concerns and outcome complaints, Laser and Stapler circumcision have more advantages over traditional circumcision techniques. This is a simple guide to help you talk to Dr. Vikas Singh about the differences:
Factor | LASER Circumcision | Stapler (ZSR) Circumcision |
Procedure Time | 20–30 minutes | 5–10 minutes |
Anaesthesia | Local (adults) or General (children) | Local anaesthesia (most adults) |
Bleeding | Minimal – laser seals vessels as it cuts | Minimal – stapler compresses tissue simultaneously |
Stitches | Fine, self-dissolving sutures | No sutures – staples fall off naturally in 7–10 days |
Pain Level | Very low post-operative pain | Very low post-operative pain |
Cosmetic Result | Excellent – precise laser cutting | Excellent – uniform circular result |
Recovery Time | 7–14 days | 7–10 days |
Hospital Stay | Day procedure (2–4 hours) | Day procedure (2–3 hours) |
Best For | All ages; complex anatomy; phimosis with scarring | Adults; standard anatomy; patients wanting the fastest procedure |
Infection Risk | Very low | Very low |
Many men know they need to get circumcised, but the main roadblock is the thought of the pain. Many men have admitted they have opted out of the procedure because of the pain factor, but the truth is, here is what you should know.
Before the Procedure – A full medical history is taken to note of any possible complications. Minimal blood tests, including rH testing, are done. If surgery is done under general anaesthesia, patients are asked to fast overnight. An oral sedative is administered before surgery to ease nerves.
During the procedure, patients will feel nothing. A local anaesthetic is often used to numb the incision area. The only instance patients feel a momentary discomfort is a small prick at the base of the penis for the local anaesthesia. The numbing solution is also used in the operating area as well.
After the procedure, most patients feel mild soreness or tenderness after the anaesthesia has completely worn off. This is often a dull ache, and discomfort is often completely manageable with over-the-counter pain relief. Most patients describe post circumcision discomfort often as a 2 to 3 out of 10, and much less compared to what they feared. The first few days of the procedure, it’s completely normal for the area to be swollen with inflammation. Most patients feel mobile and often comfortable by 2 or 3 days post circumcision.
Most of those who experience Laser or Stapler circumcision at Kokilaben Hospital describe recovering from the surgery as much less of a challenge than they originally anticipated and are often surprised at the speed at which they regain the ability to take part in their normal activities with ease.
Any male, at any age, can receive a circumcision. While there are many similarities, there are some circumcision procedure variances depending on age:
Culturally, Dr. Vikas Singh leads the efforts at Kokilaben Hospital for developing child-centric care. The nursing team are also appreciative of the need to manage the expectations of anxious parents.
Circumcision recovery from modern Laser or Stapler circumcision methods is typically easy and uncomplicated. Here is a summarized version of the recovery process.
Both Laser Circumcision and Stapler (ZSR) Circumcision are the least invasive and patient-friendly as compared to all the methods that are used. They both have better outcomes than traditional surgical circumcision methods when compared in terms of pain, bleeding, and recovery time.
Both Laser and Stapler circumcision are day-care procedures at Kokilaben Hospital. You arrive in the morning and go home the same afternoon. Delaying an overnight stay in the hospital is the most common.
From the Near Repose that of Dr. Vikas Singh’s staff is available to the near repose that is gap concerned and easy to manage to the gap that is for the healing concerns of staff, to the near repose for your all near repose.
Kokilaben Dhirubhai Ambani Hospital, Nipania, Indore, provide sterile, state-of-the-art operation theatres, experienced nursing staff, and full-service day care facilities – ensuring the highest standard of safety and care for every procedure.
Definitely. Modern urology procedures, including circumcision, are safe when you get it done from an expert surgeon. Nearly zero percent complications are reported with Laser or Stapler Procedures. Like with any surgical procedure, there is a small risk of bleeding, infection, or healing issues; however, they are incredibly rare and easily managed.
Laser Circumcision is done in 20 to 30 minutes. Stapler or ZSR circumcision is done in only 5 to 10 minutes. Total stay in the hospital, including the preparation and recovery time from anesthesia is 2 to 9 hours. Most patients go home the same day.
Most adults can take about 3 to 5 days off of work to recover enough to go back. Most of the time, the length of recovery depends on how physically demanding the work is. More physically demanding work can require a leave of 7 to 10 days. Dr. Vikas Singh will discuss with you the nature of your work and suggest the appropriate length of leave.
After getting the circumcision procedure done, you should not engage in any sexual activity, including intercourse and even masturbation, for about 4 to 6 weeks. Engaging in sexual activity sooner increases the chances of infection and also increases the chances of the circumcision not healing and the process being undone. At your followup appointment, Dr. Vikas Singh will advise you on when you can engage in sexual activity.
The sexual sensations and performance of a vast majority of men remain mostly unchanged. The tip of the penis tends to feel more sensitive to touch for a few weeks after a circumcision as it gets used to the change. This ‘sensitivity’ tends to become normal after the adjustment period. In fact, some men report that the sexual experience becomes more pleasurable, especially those who have Phimosis. In Phimosis, there is a painful inability to uncover the glans, as a result of an excessively tight prepuce – the loose skin covering or the foreskin.
Traditional circumcision tends to involve multiple use of a surgical blade, and scissors, followed by hand-stitched sutures. This type of circumcision tends to lead to more blood loss, extensive post-operative swelling, and prolonged recovery. Laser circumcision, on the other hand, tends to use a laser that cuts and closes blood vessels simultaneously. There is also a distinct difference in the amount of blood loss, swelling, and post-operative recovery discomfort, as well as recovery time. In Kokilaben Hospital, Laser and Stapler techniques are exclusively used by Dr. Vikas Singh to ensure that the outcomes are substantially better in relation to all comfort and recovery parameters for the patients
Typically, a person can be of any age when a circumcision is done. It can be a religious or a cultural requirement. As a result, often, the persons are infants or children. Medically, it is also performed for Phimosis or Balanitis when the medical conditions are resistant to the topical steroid therapy. This can also be performed when the person is a young child or an adult.
Some children or mild adult phimosis cases may be treated topically. A steroidal cream like betamethasone may be applied to the genital area twice a day. This steroidal cream loosens the foreskin, but efficacy may vary. If the phimosis is marked, lichen sclerosus or an infection is present, or topical treatment is unsuccessful, the only solution is circumcision.
Absolutely. Dr. Vikas Singh can perform circumcision on all children, even infants. A general anaesthetic is provided to make sure the child does not feel anything. The paediatric nurses on staff at the Kokilaben Hospital have experience dealing with children, and think of this process as an opportunity to provide further care for the child.
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