MediWell Clinic in London

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A Circumcision Assessment is a clinical evaluation to determine whether circumcision is appropriate for a child, teenager or adult.

Circumcision is the removal of the foreskin that covers the tip of the penis. The assessment includes a review of medical history, current symptoms and any personal or cultural reasons for considering the procedure. The aim is to guide families and patients, rather than promise specific results. Suitability depends on age, anatomy and health status.

Mediwell Clinic

Circumcision Clinic

Common Symptoms / When It May Be Needed

Circumcision may be considered for several medical reasons. Some individuals experience recurrent infections, tight foreskin (phimosis) or painful retraction. Others may have inflammation such as balanitis. Symptoms vary from person to person. Parents may also request circumcision for cultural, religious or personal reasons. An assessment is recommended when discomfort, hygiene difficulties or repeated infections occur. Adults may also seek evaluation when symptoms interfere with daily life or sexual comfort.

Causes & Risk Factors

Tight foreskin may occur naturally in young children and often improves over time. In some individuals, persistent tightness may lead to hygiene challenges or infections. Recurrent balanitis may develop due to irritation, poor hygiene or skin conditions. Scar tissue may form after repeated inflammation. Research suggests that conditions such as diabetes may increase infection risk. Your clinician considers age, anatomy, medical history and lifestyle factors to determine whether circumcision is suitable.

How the Condition is Diagnosed

Diagnosis begins with a gentle physical examination. Clinicians assess foreskin flexibility, signs of inflammation and any structural concerns. They may ask about pain, infections or hygiene difficulties. For teenagers and adults, clinicians may discuss sexual health or previous medical issues. When necessary, urine tests or swabs may be requested to rule out infection. A GP or specialist consultation is recommended if underlying medical conditions affect healing or increase procedural risks.

Treatment Options

If circumcision is appropriate, clinicians explain the available approaches. Options may include circumcision under local anaesthesia, regional anaesthesia or general anaesthesia depending on age and medical history. Infants may be treated using specific techniques suitable for their age. Older children and adults usually require different methods. If circumcision is not recommended, alternatives such as topical creams, stretching techniques or hygiene management may be discussed. The clinician explains each option clearly and safely. Pricing may vary. Please contact the clinic for up-to-date information.

Benefits & Limitations

Circumcision may help reduce infections and improve hygiene in suitable cases. Some patients may experience improved comfort when foreskin tightness is resolved. Infants generally recover quickly when appropriate techniques are used. However, circumcision has limitations. It does not guarantee the prevention of infections or long-term issues. Not every individual with foreskin concerns requires circumcision. Cosmetic results vary depending on anatomy and healing. The assessment aims to provide realistic expectations.

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Potential Risks & Side Effects

Circumcision, like all surgical procedures, carries potential risks. Some patients may experience swelling, bruising or mild discomfort. Bleeding may occur but is usually minimal. Infection is possible but uncommon when aftercare instructions are followed. Rare complications may include excessive scar tissue or altered sensation. In young children, irritability may occur during healing. Your clinician will discuss all risks before the procedure. There are no zero-risk surgical treatments.

Who is Suitable / Who May Not Be Suitable

Many healthy infants, children and adults may be suitable for circumcision. However, individuals with bleeding disorders, uncontrolled medical conditions or active infections may not be candidates until further evaluation. Infants born prematurely or with certain anatomical differences may require specialist referral. Adults with specific medical concerns may need GP approval before the procedure. Suitability depends on safety, anatomy and clinical findings.

Aftercare & Recovery Expectations

Aftercare depends on age and technique. Infants usually recover within a few days, but mild swelling may occur. Older children and adults may require more time. Clinicians provide guidance on cleaning, pain relief and activity restrictions. Patients should avoid friction until healing is complete. Loose clothing may help reduce discomfort. Follow-up visits may be recommended to monitor healing. Good hygiene supports recovery and reduces infection risk.

When to Seek Medical Advice

Patients should seek medical advice if they notice heavy bleeding, persistent fever or swelling that worsens. Pain that does not improve, difficulty passing urine or signs of infection require prompt evaluation. Mild concerns such as temporary redness may be discussed at routine follow-up appointments. A GP or specialist consultation is recommended for individuals with underlying health issues.

Frequently Asked Questions

Is circumcision painful?

Clinicians use anaesthesia to help reduce discomfort, but mild soreness may occur after the procedure.

Infants usually heal within days. Older children and adults may need longer.

Not always. Suitability depends on symptoms, anatomy and clinical finding

No. Healing and cosmetic appearance vary based on individual factors.

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