There are different techniques of carrying out circumcision. We use the Plastibell (ring) method for infants and Forceps Guided or Sleeve Resection method for older children and adults.
Plastibell (Ring) Technique (For babies and infants):
After consultation we apply local anesthesia by means of injection at the base of the penis. We wait for about 20 minutes and confirm the foreskin is numb. An incision is made along the length of the penis just enough to allow the ring (Plastibell) to be placed on the head (glans) of the penis. A string is tied over the ring, the foreskin is cut and dressing applied.
Within 3-10 days the string, ring and the foreskin separate and the circumcision is complete. This is the most common method used in babies all over the world.
Forceps Guided Method (For older kids and adults):
After anaesthesia has been confirmed the foreskin is pulled forward using clamps, the extent of the traction determining the tightness of the resulting circumcision.
A large pair of forceps is then clamped across the foreskin at the place where the cut is to be made. A scalpel is run across the top of the big forceps. The edges of the resulting cut are then stitched with dissolving suture so you do not need to come back to the clinic for stitch removal.
Sleeve Resection Method (For older kids and adults):
After anaesthesia has been confirmed two circumferential cuts are made and the strip of skin between them (the ‘sleeve’) is removed. The edges of the cuts are then pulled together and sutured. The frenulum can be included in the main cutting, or can be cut separately, or left intact. The scar line can be positioned anywhere as the client desires and the result of the circumcision depends on the client’s preference, that is loose or tight. This technique is most commonly used on adults when circumcision is performed by a trained urologist.