Circumcision method

As I was sedated, I don't recall the method that was used to circumcise me. I know that there are devices that are meant to make this surgery quicker and more precise (Gomco clamp etc.), some that are kinds of rings that crush the foreskin until it drops from lack of blood supply (Plastibel, Sheng ring…), and even some "staplers" that seem to largely automate the procedure.

I'm wondering, for those of you who saw the procedure (or discussed it with the surgeon) - what method was used on you? Any comments?

I was cut at 14 at home with dorsal slit. I have seen all the procedure and felt the pain.

I was done dorsal slit and forceps guided. Basic low style.

I was sedated too, circumcised at 7, dorsal slit method (no use of devices in France in 60-70).

@FrenchPatient @DocScrubs How do you identify the method, as you were asleep?

I'm not sure, of course. What I know is that there was no use of any device.

I'd like to know if a detailed examination of the scare can help to identify the exact method,

I was also sedated for the procedure, so I wasn't particularly aware of my surroundings and couldn't see what was going on. When I was already in the recovery room, I was told that I had a circumcision, but I didn’t fully understand what it was until the bandages were removed several days later. Decades later, when looking for something in the basement of my parents' house, I discovered a box full of my old medical records, including notes from the urologist where he wrote that he used a sleeve resection technique to excise the prepuce.

I can only say what my parents and medical records say. I was circumcised using the traditional method. Scalpel and free hand

I had no discussion with the doctors beforehand about technique. I didn't even know to ask. When I first removed the bandages I was left with a somewhat irregular scar line and a row of stitches all around, so I believe it was a freehand resection. It was insanely tight and somewhat high. As I've discussed elsewhere, I had agreed to allow the intern to perform the surgery and i suspect it was the result of his inexperience. Turned out alright in the end, but in the first couple of months the tightness was pretty intense.

Mine was done with a plastibell. I know because my mom saved it in a photo album, which I found in the basement when I was 12. You can see where the handle was broken off, and the string looks like dried blood.

@Jacana I was asleep, but been told later on by the dr

The surgeon told me she was going to put a ring on my penis to hold the foreskin in place and then cut into it and right around the ring so its exactly the same incision all the way around. I was awake but had a spinal anesthetic and they put a screen up so I couldn't see anything.

@snippedtight I feel as if parents are compelled to scrapbook a lot of things that happen with their children, or at least, did so more often before camera phones and digital photo books etc. I was talking with someone on here about how I am certain I saw doctors notes/ remainders of a circumcision device of my cousins (same age as me) that I suspect his mother had compiled.

Did you ever ask why it had been kept?

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@Badgy1 It sounds as if it may have been a gomco clamp, you know if it was? or another type of clamp? How long ago was this? And were you an adult when you were circumcised?

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It is fascinating to me how the methods for younger and older patients have changed or swapped over the years…

@NurseSammy The inventivity for circumcising babies, boys and men as quickly as possible is just impressive.

The traditional method involves the use of a scalpel. In this method, the surgeon remove the excess foreskin and after make a closure of the wound with sutures.

Another conventional method, similar to the standard one, use clamps (like Gomco or Mogen) in order to obtain more accuracy in the surgery.

Nowadays, there are some method that ar quite less invasive, quicker and most accurate, like Laser circumcision or Electrocautery.

At the end, the most innovative method needs a particular type of stapler that can help doctor standardising this type of surgery.

Indeed,

- It uses a disposable machine capable of "cutting" and "suturing" at the same time, releasing a series of small "staples" that will fall off in the following weeks.

- This stapler is studied and adapted in its various sizes to the patient's diameters during the first visit.

- The scars appear smooth compared to the nodular appearance found in traditional suturing methods, and post-operative edema is significantly reduced.

- A considerable reduction in pain not only makes the overall experience for the patient better, but also allows for easier dressing changes, significantly lowering the risk of post-operative infections.

I link you a photo of stapler: https://cdn.globalso.com/jswldmed/Circumcision-Stapler-004.jpg

Also, there are other methods similar or also non-surgical. And also, are different type of surgery that can be an alternative to circumcision, like frenectomy.

postectomy, frenuloplasty etc. that are more or less invasive by the case and the pathology

@lavementfille In addition to the "stapler" there is a variety of rings (sheng ring) / bells (Plastibel), that crush the foreskin and eventually drop.

@NurseSammy this was in my 40s so yes I was an adult, and I do not recall what kind of clamp or ring it was that she used? I just remember the surgeon putting it on before the anesthesiologist had come in to give me the spinal so I would be ready to go so it was kind of uncomfortable for a few minutes. I don't think it was fully tightened but she wanted to put it in the right place. I do recall it was pulling my penis down to the table because my legs were apart. Then I had the injection and it was over pretty quickly.

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@Badgy1 It sounds as if it may have been a gomco clamp, you know if it was? or another type of clamp? How long ago was this? And were you an adult when you were circumcised?

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It is fascinating to me how the methods for younger and older patients have changed or swapped over the years…[/quote]

I was 10 and awake for mine, but there was a curtain up so I couldn't see what was happening or what method they used. I am fairly sure my doctor did it freehand, but I have always been interested in what he actually did and what it would have looked like as he did it. There were stitches afterwards. I vividly remember laying on the table wanting the ground to swallow me up as I listened to everyone talk around me and then hearing the doctor ask for a scalpel. At the time I simply wanted it to be over so I could leave, but as I got older I started to wish I had asked more questions about it.

You were cut at home at 14?

You were cut at home at 14?

Me? No. I was 10 and it was at a clinic

@toshe63 @MedExaminee tells the story here: https://en.zity.biz/index.php?mx=forum;ox=display;msg=1387014

I'm surprised that he would undergo this so late in a Muslim family.

There is a scene like this in Kusturica's "When father was away on business", a something like 10 year old boy gets circumcised at home by a barber.

I have a different perspective to this question but I would like to answer. I am not circumcised but my parents wanted me to be RIC but it never happened (I have written about it on other posts on Zity).

I know that my parents had chosen a mogen clamp circumcision for me, but it never happened. I would have been awake and but sedated with a local anaesthetic.

I know that my parents had chosen a mogen clamp circumcision for me, but it never happened. I would have been awake and but sedated with a local anaesthetic.

Do you know if other options were considered @Intrigue? Like did they pick a practitioner and that doctor offered that method, or did they choose a method and find a practitioner?

I'm surprised that he would undergo this so late in a Muslim family.

In times past, circumcision in some/many Muslim cultures was treated as a coming of age ceremony, done around the onset of puberty. Sort of like Confirmation in Christian denominations or a Bar Mitzvah. I've read about circumcision ceremonies done from around 7/8 to 12/13 or so. It all depends on the local culture and traditions. And also on the availability of a recognized circumcizer. In more remote rural areas, all the boys in a village from those age groups might be done at the same time.

And if circumcision is meant to be an affirmation of belief or acceptance into a religious community as an adult, it wouldn't make much sense to do so as a newborn.

I am guessing though that in Western European countries, Muslim families opt for circumcision at birth because of the ease and safety when done in a hospital after birth.

@agracier Yes but I thought this "coming of age" would be something like 10.

I don't think circumcision at birth is offered in Europe, except perhaps by Jewish mohels.

Yes but I thought this "coming of age" would be something like 10.

I don't think circumcision at birth is offered in Europe, except perhaps by Jewish mohels.

Coming of age can be any age that a particular culture thinks it is.

I know that in Belgium, Muslim parents usually have their boys circumcised at birth. I've never heard or read about it being done at a later age or hearing about the attending family party/celebrations that often accompany circumcision in other cultures. If this were common here, you can be sure it would have been used ad infinitum by anti-immigrant proponents.

And if it's this way in Belgium, 10 to one it's the same in France (and visa versa). The Netherlands as well for that matter.

And btw, in Belgium, Mohels have to be medically accredited or else they can be accused and prosecuted for illegally practicing medicine. And again, ten to one this is the case in France and most European countries. I just looked up a few news articles on this in Belgium. For other countries I will leave it to others.

@agracier I know that there are clinics offering circumcision services for non medical reasons, but my impression, seeing the advertisements, is that they target babies not newborns.

@agracier I know that there are clinics offering circumcision services for non medical reasons, but my impression, seeing the advertisements, is that they target babies not newborns.

I've never seen any such advertisements since, by law, it is illegal (in Belgium) to place advertisements for medical services of any kind.

The same goes for legal practices btw. So clinics, doctors, lawyers, notaries etc are not allowed to advertise in any manner. I was under the impression that like so many laws here, it was inspired/copied from similar French laws.

I've never seen any such advertisements since, by law, it is illegal (in Belgium) to place advertisements for medical services of any kind.

The same goes for legal practices btw. So clinics, doctors, lawyers, notaries etc are not allowed to advertise in any manner. I was under the impression that like so many laws here, it was inspired/copied from similar French laws.

Those Belgian laws are good! I find it unethical for doctors, lawyers, and other professional services to solicit like they do in the US. They plant seeds that you might need something you really don’t need.

I find it unethical for doctors, lawyers, and other professional services to solicit like they do in the US. They plant seeds that you might need something you really don’t need.

The laws even limit the size of plaques or nameplates that are placed on buildings where these kind of professionals work. So no giant 2 by 10 meters signs on the buildings or anything. Just a modest sized plaque is allowed, with a listing of each name for a group practice for instance.

This reduces costs for the professionals as well, as there is no one-upmanship competition in advertising.