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ABC of Circumcision

Everything You Need to Know About the Procedure and Its Benefits

Circumcision is one of the oldest and most commonly performed surgical procedures in the world, and in adult men it remains an effective method of treating several common urological problems — primarily phimosis and recurrent inflammation. However, many questions and myths have grown around the procedure. In this comprehensive guide, we explain what circumcision is, when it is indicated, which methods are used, what recovery looks like, and how the procedure affects hygiene and sexual life. The text was created for adult men considering the procedure and was consulted with urologists.

What is circumcision?

Circumcision (Latin: circumcisio) is a surgical procedure involving the partial or complete removal of the foreskin — the movable fold of skin covering the glans penis. In adults, it is usually performed on an outpatient basis, under local anaesthesia, and the patient returns home the same day. Depending on the indications and preferences, the entire foreskin may be removed — complete circumcision — or only part of it, leaving a fragment that still covers the glans — partial circumcision.

“In adults, circumcision is most often a medical decision, not merely a cosmetic one. Before referring a patient for the procedure, we carefully assess whether it is truly necessary and what extent of surgery will be optimal.”

— Dr Jakub Kłącz, MD, PhD, urologist

When is circumcision indicated?

In adult men, the most common reason for the procedure is discomfort or medical problems related to the foreskin. Typical indications include:

  • Phimosis — narrowing of the foreskin that prevents the glans from being freely exposed. This is the most common reason for circumcision in adults. You can find more information in our description of phimosis treatment.
  • Recurrent inflammation of the glans and foreskin — balanitis and balanoposthitis — especially when it recurs despite conservative treatment.
  • Paraphimosis — constriction of the glans by a retracted, too narrow foreskin; this is a condition requiring urgent medical attention.
  • Scarring and fibrotic changes, for example lichen sclerosus, which make the foreskin stiff.
  • Pain and cracking of the foreskin during erection or intercourse.
  • Difficulties with hygiene leading to recurrent irritation.

Some men also choose the procedure for hygienic, religious, cultural or aesthetic reasons. Whether circumcision is justified in a given case is always decided by a urologist after examination.

Health benefits — what does research say?

Circumcision is associated with several health benefits, although they should be considered with appropriate caution and in an individual context:

  • Easier hygiene — removal of the foreskin simplifies maintaining cleanliness, which in some men reduces the tendency to irritation and infection.
  • Lower risk of certain infections — studies, including analyses by the World Health Organization, indicate that circumcision may reduce the risk of HIV infection and some other sexually transmitted infections in heterosexual men. However, it does not replace condoms or other preventive measures.
  • Resolution of foreskin-related problems — the procedure eliminates phimosis and the risk of paraphimosis, and reduces recurrent inflammation.

These benefits do not mean that every man should be circumcised — in men without symptoms, the decision remains individual.

“Circumcision is not a miracle cure for everything and it does not replace safe sex. But in specific indications — such as phimosis or recurrent inflammation — it can genuinely improve a patient’s comfort and health.”

— Dr Jakub Krukowski, MD, PhD, urologist

Methods of circumcision

Today, the procedure can be performed using several techniques. The choice depends on anatomy, indications and the patient’s expectations:

  • Classical surgical method — the surgeon precisely removes the excess foreskin and places sutures. This method provides the greatest control over the final aesthetic result.
  • Stapler method — performed with a disposable stapler; it usually shortens the procedure time and may be more comfortable during healing.
  • CO2 laser — laser cutting usually means less bleeding and very precise tissue treatment.

A detailed comparison of the methods and their prices can be found on the circumcision procedure page.

“There is no single best method for everyone. The classical method gives the best control over the result, the stapler method is often faster, and the laser reduces bleeding. We choose the method individually during the consultation.”

— Jakub Gondek, MD

Are you considering circumcision?

On the procedure page, you can compare methods, check prices and book a urological consultation in Gdańsk.

See procedure details and prices →

What does the procedure look like step by step?

Preparation

Before the procedure, the doctor takes a medical history and performs an examination. The patient should inform the doctor about any medications being taken, especially blood-thinning medications, as well as any allergies. On the day of the procedure, hygiene of the intimate area and loose, comfortable underwear are recommended.

Anaesthesia

In adults, the procedure is performed under local anaesthesia — the operated area is completely anaesthetised, which makes the procedure painless.

Course of the procedure and wound closure

The procedure itself usually takes 30 to 60 minutes. The surgeon removes the excess foreskin using the selected method, closes the wound with sutures — usually absorbable ones — and applies a dressing. After a short observation period, the patient returns home the same day.

Recovery after circumcision — what to expect?

Healing takes place in stages and is individual, but it usually looks as follows:

  • First days — swelling, bruising and discomfort may occur and can be relieved with standard painkillers.
  • 1–2 weeks — initial wound healing; most patients return to office work within a few days.
  • Several weeks — full recovery; during this time, it is recommended to limit intense physical activity and temporarily refrain from sexual activity according to the doctor’s instructions.

During healing, it is worth following the recommendations regarding dressings and hygiene, and wearing loose underwear.

“The most common mistake after the procedure is returning too quickly to physical activity and intercourse. Patience during the first weeks translates into better and more aesthetic healing.”

— Dr Jakub Kłącz, MD, PhD, urologist

Risks and possible complications

Like any surgical procedure, circumcision involves a small risk. The most common, usually mild problems include:

  • infection — minimised by following hygiene rules and medical recommendations,
  • bleeding or minor bruising,
  • less commonly — delayed healing or small scars.

The vast majority of complications are mild and easy to manage when the patient follows postoperative instructions.

Circumcision and sexual life

This is one of the most common concerns among men considering the procedure. Available studies indicate that in most patients circumcision does not significantly worsen sexual function or satisfaction with intercourse. Some men report changes in sensation, but most often these do not negatively affect sexual quality of life. After the procedure, temporary abstinence is necessary until healing is complete.

“Patients most often ask whether they will lose sensation. In most men, sexual satisfaction remains at the same level, and many report improved comfort — especially those who previously suffered from phimosis or pain.”

— Dr Jakub Krukowski, MD, PhD, urologist

Alternatives to circumcision

If the foreskin problem is not advanced, the doctor may suggest less invasive options:

  • Conservative treatment — steroid ointments and foreskin stretching exercises, effective in some mild cases of phimosis.
  • Foreskin plasty — a tissue-sparing procedure that widens the foreskin while preserving it.

The best option is chosen by the urologist after examination — it is worth discussing this during a urological consultation.

Most common myths about circumcision

  • “Circumcision always reduces sensation.” — In most men, sexual satisfaction remains without significant changes; comfort often improves.
  • “It is a very painful procedure.” — It is performed under local anaesthesia and is painless; discomfort appears only during the healing period.
  • “Phimosis always has to be treated with circumcision.” — Some cases can be treated conservatively or with foreskin plasty.
  • “After the procedure, you have to stay in hospital.” — In adults, this is an outpatient procedure; the patient returns home the same day.

Frequently asked questions about circumcision

Does circumcision hurt?

Not during the procedure — it is performed under local anaesthesia. After the anaesthesia wears off, discomfort may persist for several days and can be relieved with standard painkillers.

How long does the procedure take?

In adults, usually 30 to 60 minutes, depending on the method and the individual situation.

Do I go home the same day?

Yes — it is an outpatient procedure, and after a short observation period the patient returns home.

When can I return to work and activity?

Usually after a few days in the case of office work; intense physical activity and sexual intercourse should be limited for several weeks, according to the doctor’s recommendations.

Can phimosis be treated without circumcision?

In some cases, yes — alternatives may include conservative treatment or foreskin plasty. The decision is made by the urologist after examination.

Would you like to discuss circumcision with a urologist?

Experienced urologists in Gdańsk will assess the indications, choose the appropriate method and answer your questions — discreetly and without haste.

Book a consultation in Gdańsk →

Summary

Circumcision is a safe and effective procedure that in adults most often solves the problem of phimosis and recurrent inflammation, while also making hygiene easier. Several methods are available — classical surgical, stapler and laser — and they are selected individually. In most men, the procedure does not negatively affect sexual life and often improves comfort. The best first step is a urological consultation, during which the doctor will assess the indications and present possible options.

This article is for informational purposes only and does not replace a medical consultation. The indications, choice of method and possible effects are determined by the doctor during the visit.