Advanced
Laser Circumcision
Surgery in Hyderabad

Laser Circumcision: Pre-Op & Post-Op Care

The process of laser circumcision involves three main stages: pre-operative, intra-operative, and post-operative. The pre-operative examination ensures sure of patient’s examination and preparation. The intra-operative stage focuses on the removal of the foreskin using laser technology. Post-operative procedure promotes healing and recovery. Together, these steps ensure of safe, minimally invasive procedure with faster healing and excellent results.

Before the Laser circumcision

The pre-operative phase involves patient examination, preparation, and counselling to make sure of safety and optimal surgical outcomes.

Patient examination and Identification

• Assessment of medical history is where the surgeon evaluates the patient’s medical history, including any long-term diseases (like diabetes, hypertension, or bleeding disorder), and current medicines.
• Physical evaluation is conducted to check for infections, phimosis, paraphimosis, balanitis, or other disorders of the penis.
• Blood tests involve routine investigations such as CBC, blood sugar, and coagulation profile may be ordered to ensure fitness for surgery.
• An allergy and anesthesia check is where the patient’s allergies to medicines or anesthesia are reviewed.

Patient counselling and consent

The surgeon explains the procedure, risks, benefits, and post-surgical expectations to the patient. Written informed consent is obtained prior to the procedure.

Pre-surgical preparations

• Patients are usually advised to fast for 6-8 hours before surgery.
• The genital area is then shaved to reduce the risk.
• A preventive dose of antibiotics may be given to lower infection.
• Depending on the case, local, spinal, or general anesthesia is chosen. Most adult circumcision uses local anesthesia with or without mild sedation.

Intra-operative procedure

This is the stage where the actual laser circumcision procedure takes place, where the penile foreskin is removed using laser technology. This procedure usually takes about 15-30 minutes.

The patient is advised to lie on his back, followed by disinfection of the genital area, done using antiseptic povidone-iodine solution. Sterile drapes are applied to maintain a clean surgical field.

The surgeon marks the incision line around the foreskin according to the desired level of removal. The foreskin is gently retracted to expose the glans and evaluate adhesions.

A diode laser or CO2 laser is used to make accurate cuts along the marked lines. The laser beam cuts and cauterizes the blood vessels at the same time. The foreskin is removed in a controlled manner, which ensures symmetric and clean removal.

Because the laser seals almost all blood vessels, the bleeding is very minimal. Fine absorbable sutures are then placed to secure the remaining edges of the skin to the mucosal layer around the glans. The surgical site is then inspected for symmetry and hemostasis.

A light sterile dressing is applied around the surgical site to protect it from friction and infection. The patient is then moved to recovery until the anesthesia wears off. Patient is usually discharged the same day.

After the Laser circumcision

The post-operative phase focuses on healing of the wound, management of pain, and preventing complications.

Immediate post-surgery care involves the patient being monitored for any bleeding, allergic reactions, or difficulty in passing urine.

Mild pain or burning is managed by prescribing painkillers for 3-5 days. The dressing is removed after 24-48 hours, and the wound is cleaned using an antiseptic solution. Loose cotton wear and soft fabrics are recommended to avoid friction. The surgical area must be kept dry and clean to avoid infection.

Swelling and redness are common for the first few days, with complete healing possible after 10-14 days. Sutures dissolve naturally. Patients are advised to avoid any kind of sexual activity for at least 4-6 weeks.

The first follow-up visit is generally scheduled after 7 days to check wound healing. Doctors advise the patient for additional visits if there is any risk of excessive swelling, bleeding or infection.

Benefits of Laser Circumcision at Yashoda Hospitals

• Minimal bleeding
• Decreased risk of infection
• Faster healing
• Less pain and swelling
• Improved cosmetic results
• Short procedure time