142 George Lane, London, England, E18 1AY

Adult Circumcision With Circcurer (Langhe) Staple Device (ZSR Circumcision)

First Private Clinic at London, UK that Offers Circumcision with this Novel CircCurer (LangHe) staples Device

Many patients are asking from Dr Khan to circumcise with ZSR or stapler devices. Adult circumcision can be performed by  CircCurer (LangHe) staples suture device. Dr Khan has simulation training of  CircCurer (LangHe) staples suture device. 

Dr Khan offers circumcision with this new CircCurer (LangHe) staple device at The London Circumcision Clinic, Leyton, London. 

Adult circumcision with CircCurer stapler is a quick procedure. When it was compared with the conventional circumcision with stitches, stapler circumcision is associated with shorter surgical time, higher patient satisfaction with penile looks, lower operative pain, less operative blood loss, and lower wound bleeding post-operatively. However, wound healing takes longer than traditional circumcision in adults.

Anaesthesia

A local anaesthetic is used for the circumcision with staplers and injected into the base of the penis and all around the shaft of the penis. This provides safe and effective pain-relief during the circumcision. This also minimises post-operative pain for a few hours.

Men’s Circumcision Cost With Circcurer in the Uk (16-year-old and Above)

Circumcision with stapler Device £750 which includes consultation on the same day and one free follow up visit.

Informed Consent

We provide the patient with all the information about the stapler circumcision ahead of time. Stapler Circumcision is an irreversible procedure and makes the head of the penis exposed permanently. Informed consent is taken before the procedure.

Full or Partial Circumcision

Full circumcision means moderate cutting inner and outer foreskin to expose the full of head of the penis. Partial circumcision leaves loose skin, which partially covers the glans (head of penis). Partial circumcision may not work in all adults. 

Full circumcision might give a false impression of loose/partial circumcision when the penis is in a flaccid state especially patient with a buried penis. Partial circumcision is possible, but it has a few complications in the long term. These can be talked with Dr Khan at Adult Circumcision Clinic  in London, UK

 Procedure Technique

Following are methods of adult and boys over 16-year-old for circumcision: 

  • After local anaesthesia, foreskin retracted, and assess the suitability.
  • If there is scarring due to BXO, stapler circumcision is not advisable to perform.
  • Apply the bell of the instrument inside the foreskin
  • Secure the right position of the stapling device
  • Cut the skin and staples applied at the same time
  • Apply the bandage around the wound at the end of the circumcision

Recovery for Adult Circumcision With Staplers 

Circumcision with stapler heals quicker than one with stitches. Swimming and weight lifting should be avoided for 2-3 weeks. Full recovery following circumcision generally requires 4-6 weeks.  Over-sensitivity of the glans may take a few months to resolve.

Adult Circumcision Healing Tips

To reduce the effect of night erections pulling on the staplers during the first few days after the adult circumcision, empty your bladder before retiring and a few times during the night. Sleep on your side or back. It may be helpful to draw your knees up a bit into a more foetal position. Wear tight underwear after the circumcision to prevent unnecessary movement. Follow the aftercare advice and keep the wound dry for 5 days. 

Please take vitamin C regularly for 10 days to promote healing. Apply vitamin E cream, Mederma gel or bio-oil to the scar after 15 days if the staplers are completely off. This will  improve the scaring.  Please contact us at The London Circumcision Centre for further advice.

Medical Evidence 

Five recent studies involving 2026 men were included in the comparison of the stapler and conventional circumcisions with stitches.  The statistically significant less incidence in circumcision with staplers were intra-operative blood loss, operating time, the mean pain score on the operation day,  the mean pain scores on post-operation days and wound healing time. The majority of the patients (88.0%) required the removal of residual staples postoperatively after 4 weeks. 

References: 

  1. Brazilian Journal of Medical and Biological Research (2015) 48: 577-582
  2. Asian Journal of Andrology (2017) 19, 362–367
  3. Scientific Report (2016) 6, 25514 

Risk of Adult Circumcision

Risks of the circumcisions explain to the patients. Risks are failed staple procedure requiring traditional circumcision, bleeding, bruises, haematoma formation, infection, retaining of staplers more than 4 weeks,  inadvertent damage to the glans, removal of too much or too little skin, lymphoedema, aesthetically displeasing results and a change of sensation during sexual activity.

The patient should also be informed that, during the postoperative period, erections can cause pain, bleeding and discomfort. Very small chances of disruption of the staples or scarring of wounds which might require a redo or revision circumcision. 

Postoperative Care

You might experience discomfort for a few days after the circumcision, but painkillers help to decrease the discomfort. Passing urine is not usually affected by the circumcision. There will be swelling and bruising of the shaft of the penis for 2 to 3 weeks  after the stapler circumcision. This will then subside gradually and should not be a cause for alarm. Bleeding after circumcision can be stopped by applying pressure or a bandage.

A dressing (bandage) is applied around the wound line to prevent the wound from sticking to your underclothes. A bandage will stay for 3 days with self-adhesive stretch gauze (Cobain). The wound will be at least 2-3 weeks before healing completes and you may return to work when you are comfortable enough.

Most people require at least 2-3 days off work. You should gently wash the wound daily after one week if the wound is dry and shower regularly.  You should stop the gym or heavy weight lifting for 2 weeks. You should avoid from any sexual activity for  4-6 weeks after the circumcision to avoid breakdown of the wound.

Follow Up Visit

 Some of the staplers come off itself. However, there are some staples remain over the wound after 3 weeks. All patients require to arrange an appointment after 3-4 weeks so that we must remove the residual staples. 

PS: This information is for suggestion only. This is not a substitute for professional medical advice. Please call to Dr. Khan for free telephone advice +447527314081 without any obligation.

BOOK NOW

 © London Circumcision Centre, 2019. Unauthorised use and duplication of this blog without express and written permission from this blog’s author and owner is strictly prohibited.

Related posts

Have Questions?