What are the steps involved in circumcision?

Many men experience recurrent balanoposthitis and tight phimosis. This condition can affect individuals of any age. If left untreated, it may lead to excessive preputial secretions. During puberty, abundant preputial secretions may interfere with ejaculation and impair normal fertility. Therefore, circumcision is often recommended as a treatment. What are the procedural steps involved in circumcision?

Steps of Circumcision

Circumcision generally involves three main steps: anesthesia, excision, and suturing. For anesthesia, adults typically receive local anesthesia, whereas children usually undergo general anesthesia. General anesthesia must be administered by a qualified anesthesiologist. Local anesthesia is commonly performed by the surgeon, involving injection of anesthetic agents at the base of the penis.

During the excision phase, the surgeon first measures the amount of prepuce to be removed and marks the incision line with a surgical marker. The excess prepuce is then carefully excised along the marked line using surgical scissors—while the patient remains pain-free under anesthesia.

After excision, intradermal suturing is performed to approximate the inner and outer preputial layers—typically requiring approximately ten sutures. After about one week of recovery, once the wound has sufficiently healed, patients should visit a reputable medical facility for suture removal. Alternatively, absorbable protein sutures may be used, eliminating the need for suture removal postoperatively. We hope this information is helpful to you.