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Circumcision Specialist In Singapore

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Dr Tan Teck Wei

MBBS|DFD (CAW)|MRCS|MMed (Surgery)|FAMS (Urology)

floating image Circumcision Specialist in Singapore -TEMPLATE
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FAQ

What is Circumcision?

Circumcision is a surgical procedure that involves the removal of the foreskin (prepuce), which is the retractable fold of skin covering the head (glans) of the penis. This procedure has been performed for thousands of years across various cultures. In Singapore, circumcision is commonly performed for religious, cultural, medical, and personal reasons.

The procedure can be performed at any age, from newborns to adults, though the techniques and considerations may vary depending on the patient’s age and specific circumstances.

Medical Indications for Circumcision

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Phimosis

Balanitis refers to inflammation of the glans penis, often accompanied by inflammation of the foreskin (balanoposthitis). When these infections occur repeatedly despite proper hygiene and medical treatment, circumcision may be recommended to prevent further episodes.

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Paraphimosis

Balanitis refers to inflammation of the glans penis, often accompanied by inflammation of the foreskin (balanoposthitis). When these infections occur repeatedly despite proper hygiene and medical treatment, circumcision may be recommended to prevent further episodes.

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Recurrent Balanitis

Balanitis refers to inflammation of the glans penis, often accompanied by inflammation of the foreskin (balanoposthitis). When these infections occur repeatedly despite proper hygiene and medical treatment, circumcision may be recommended to prevent further episodes.

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Foreskin Adhesions and Scarring

Balanitis refers to inflammation of the glans penis, often accompanied by inflammation of the foreskin (balanoposthitis). When these infections occur repeatedly despite proper hygiene and medical treatment, circumcision may be recommended to prevent further episodes.

Non-Medical Reasons for Circumcision

  • Religious and Cultural Practices

    Many families choose circumcision as part of their religious or cultural traditions. In Singapore’s multicultural society, circumcision is commonly practised among Muslim and Jewish communities, as well as some Christian denominations.

  • Personal Preference

    Some individuals opt for circumcision based on personal preference, aesthetic reasons, or perceived hygiene benefits. Adult circumcision for personal reasons requires careful consideration and thorough discussion with a qualified urologist.

  • Preventive Health Considerations

    Research has shown that circumcision may reduce the risk of certain conditions, including urinary tract infections in infancy, some sexually transmitted infections, and penile cancer. These preventive benefits should be discussed with a medical professional to understand their relevance to individual circumstances.

Circumcision Techniques

  • Conventional Surgical Circumcision

    This traditional method involves using a scalpel to remove the foreskin, followed by careful suturing to promote healing. This technique allows for precise control and is suitable for patients of all ages, particularly when there are anatomical variations or medical conditions affecting the foreskin.

  • Plastibell Circumcision

    Commonly used for infants and young children, this method involves placing a plastic ring between the foreskin and glans. The foreskin is tied over the ring, cutting off its blood supply. The foreskin and ring typically fall off naturally within 7-10 days.

  • Laser Circumcision

    Modern laser technology can be used to perform circumcision with minimal bleeding and potentially faster healing times. The laser cauterises as it cuts, reducing the need for sutures in some cases.

  • Stapler Circumcision

    This newer technique uses a specialised device that simultaneously cuts and staples the wound edges. This method can be quicker than traditional surgery.

  • Gomco Clamp Method

    This technique uses a specialised clamp to protect the glans while the foreskin is removed. The clamp provides haemostasis (bleeding control) during the procedure, making it a popular choice for infant circumcisions.

Pre-Procedure Preparation

Initial Consultation

Your first appointment will involve a comprehensive evaluation by our urologist. This includes discussing your reasons for seeking circumcision and medical history review. For children and adolescents, parents or guardians will be involved in all discussions and decision-making.

Physical Examination

A thorough physical examination will be conducted to assess the medical necessity or suitability for circumcision, and to plan the optimal surgical approach.

Pre-Operative Instructions

You’ll receive specific instructions about fasting requirements, medications to avoid, and hygiene preparation.

The Circumcision Procedure

Anaesthesia Options

The choice of anaesthesia depends on the patient’s age and the specific technique being used.

Options include:

  • Local anaesthesia with numbing injections
  • General anaesthesia or sedation

Procedure Duration

Most circumcision procedures take between 20 to 60 minutes, depending on the technique used and individual anatomy. The actual surgical time is often shorter, with additional time needed for preparation and immediate post-procedure care.

Immediate Post-Procedure Care

After the procedure, the surgical site is dressed with protective gauze. Patients are monitored briefly before discharge, and detailed aftercare instructions are provided to ensure proper healing.

Recovery And Aftercare

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First Week Post-Procedure The initial healing phase requires careful attention to hygiene and wound care. Pain is typically mild to moderate and well-controlled with prescribed medications. Swelling and bruising are normal and should gradually improve. The surgical dressing may need to be changed according to your surgeon’s instructions.
Activity Restrictions Most patients can return to work or school within 2-3 days for desk-based activities. Strenuous physical activities, sports, and heavy lifting should be avoided for 2-4 weeks. Adult patients should abstain from sexual activity for 4-6 weeks or as directed by their urologist.
Wound Care Instructions Keeping the surgical site clean and dry is crucial for proper healing. Specific instructions will be provided for bathing, dressing changes, and applying prescribed ointments.
Follow-Up Appointments Scheduled follow-up visits allow your urologist to monitor healing progress and address any concerns. The timing of these appointments varies based on the procedure type and individual healing response.

Potential Risks and Complications

While circumcision is generally a safe procedure with a low complication rate, understanding potential risks is important:

Immediate Complications

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Long-Term Considerations

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When to Seek Medical Attention

Contact your urologist immediately if you experience excessive bleeding, signs of infection (increasing redness, warmth, pus discharge), difficulty urinating, or fever above 38.5°C. Severe pain not controlled by prescribed medications also warrants medical evaluation.

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Dr Tan Teck Wei

MBBS (S’pore)

DFD (CAW)

MRCS (Edin)

MMed (Surgery)

FAMS (Urology)

A Senior Consultant Urologist in Singapore, Dr Tan Teck Wei specialises in the management of complex urological cancers involving the kidneys, prostate, and bladder.

He is fellowship-trained in open, laparoscopic and robotic surgery. He also specialises in the management of other urological conditions including:

  • Prostate Enlargement
  • Recurrent Urinary Tract Infections
  • Stones

To date, Dr Tan Teck Wei has been involved in more than 500 robot-assisted surgeries, building up his volume of cases from his fellowship training days and cementing his expertise in robotic surgery.

Dr Tan Teck Wei believes in the holistic management of his patients, and seeks to journey with them from diagnosis to cure.  Dr Tan is effectively bilingual in English and Mandarin, making him a popular choice with the young and old, as well as international patients.

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    Frequently Asked Questions

    When should I see a doctor about lack of urine control?

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    When should I see a urologist or urogynecologist?

    An individual should seek the expertise of a trained urologist or urogynecologists when he or she is coping with or experiencing symptoms of a condition of the genitourinary tract, including, but not limited to:

    • Recurrent Urinary Tract Infections
    • Blood in urination
    • Poor bladder control
    • Difficulty Urinating
    • Suspicion of Kidney Stones
    • Erectile Dysfunction
    • Suspicion of Male Infertility
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