Circumcision for phimosis

Normally, the foreskin can be pulled back behind the glans. Among other things, this enables regular cleaning as part of personal hygiene. Due to scarring with various causes, a narrowing develops and the foreskin can no longer be retracted. A circumcision, which is usually performed under local anaesthesia, can provide a remedy.

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Circumcision

How the operation works

Here you will find everything important about circumcision surgery for phimosis: why it is necessary, how it is performed and what special features there are.

  • Indication: Narrowing of the foreskin (phimosis) with restricted retraction of the foreskin, chronic inflammation or scarring.
  • Methods: classic circumcision – removal of the narrowed area of the foreskin, precise end-to-end suturing; special attention is paid to the frenulum.
  • Procedure: Operation under local or general anaesthesia, removal of the diseased tissue, reconstruction of the remaining foreskin and the frenulum for a smooth, functional result.
  • Goal: Elimination of the narrowing, avoidance of renewed phimosis, reduction of inflammation and scarring, a cosmetically and functionally clean result.
  • Special features: Children vs. adults – anatomical differences; the operation requires experience, as precise incision and skin positioning are crucial for success.

VIDEO


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Inhalt dieses Videos:

Foreskin too tight

Precision is decisive!

Prof. Lahme demonstrates the circumcision operation clearly on a 3D model and explains the anatomical challenges of this procedure step by step.

In this video you will learn:

  • Why a circumcision is not a simple routine operation
  • What the anatomical relationships of the inner and outer layers of the foreskin are
  • Why millimetre-precise incision is so crucial
  • How lymphatic drainage is preserved and bulging swelling is prevented
  • Why the precise separation of the tissue layers is crucial

About this page:

Author

Prof. Dr. med. Sven Lahme
Urology specialist

Medical director of the Goldstadt-Privatklinik.
Specialist for Urology, Mini-PCNL and robot-assisted da Vinci procedures.

Member in Scientific Societies and Reviewer of scientific journals.

Creation Date: 08.03.2020Modification date: 28.11.2025

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