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When searching for information about medical procedures, it is natural that questions and concerns arise.

In this guide, we will address one of the topics that can generate curiosity and anxiety in some men: circumcision. Through frequently asked questions, we will provide clear and accurate information to help clarify any questions you may have.

What is circumcision? When is it recommended?

Circumcision is a surgical procedure in which the foreskin, the skin that covers the head of the penis, is removed. The decision to perform a circumcision should be discussed and evaluated by a qualified urologist. In general, it can be recommended in the following cases:

  • Phimosis: when the foreskin is too tight and cannot be retracted properly, which can cause discomfort or hygiene problems. 
  • Paraphimosis: when the foreskin retracts behind the glans and cannot return to its normal position, which can cause painful constriction of the glans.
  • Prevention of recurrent infections: In some cases, circumcision may be recommended to reduce the risk of urinary tract infections, sexually transmitted diseases, or recurrent yeast infections (common in diabetic patients).
  • Personal reasons: Some men choose circumcision for reasons of hygiene, personal preference, or cultural or religious beliefs.

What is circumcision without stitches or without a scalpel?

Recently, single-use devices have come onto the market that allow circumcision to be performed quickly and effectively and without using a scalpel or traditional stitches. These are semi-automatic staplers that have gained a lot of popularity in recent years.

What is circumcision without stitches or without a scalpel?

Appearance of the semi-automatic stapler that we use for circumcision without traditional stitches.
Appearance of the semi-automatic stapler that we use for circumcision without traditional stitches.

Unlike traditional circumcision, in which sutures are used to close the wound, stitchless circumcision uses a special technique that does not require visible traditional stitches.

How is circumcision performed without stitches?

Circumcision without stitches is performed using a technique that involves the use of a special device or semi-automatic stapler. This device allows the tissue to be cut and sealed simultaneously, without the need for sutures. The procedure is performed under local anesthesia to minimize any discomfort.

What are the advantages of circumcision without stitches?

Circumcision without stitches has several advantages compared to traditional circumcision:

  • Less postoperative pain: Since stitches are not used, recovery tends to be less painful and faster.
  • Less risk of infection: By sealing the tissue more effectively, the risk of infection is reduced compared to traditional circumcision. 
  • Aesthetic results:The stitchless technique generally provides more aesthetic results, as there are no traditional sutures visible in the area.
Immediate appearance of the penis after performing circumcision with a semi-automatic stapler.
  • Less recovery time:Patients are usually able to return to normal activities faster due to less postoperative discomfort.

How long does it take to recover from a circumcision without stitches?

Recovery time may vary from individual to individual, but in general, most patients can return to normal activities within a few days. It is important to follow the post-operative care instructions provided by your urologist to ensure optimal recovery. This may include using a special dressing and avoiding strenuous sexual or sports activities for a specific period of time.

Are there risks associated with circumcision without stitches?

As with any medical procedure, there are some potential risks associated with circumcision without stitches. These may include:

  • Infection: Although the risk is low, there is a possibility of infection in the operated area. 
  • Bleeding: Rarely, excessive bleeding may occur during or after the procedure.
  • Pain: Although the no-stitch technique tends to be less painful than traditional circumcision, there may still be discomfort during recovery.
  • Unsatisfactory aesthetic results: Although this is uncommon, in some cases, the results may not be aesthetically satisfactory.

It is important to talk to your urologist about any concerns you may have before undergoing stitchless circumcision.

When can I resume sexual activity after circumcision without stitches?

Resumption of sexual activity after circumcision without stitches should be discussed with your urologist. In general, it is recommended to wait at least 1 month to allow adequate healing and avoid any discomfort or complications. Your urologist will provide you with specific guidance on when it is safe to resume sexual activity.

Where can I get more information about stitchless circumcision?

If you are considering circumcision without stitches or have more questions about the procedure, the best thing you can do is schedule a consultation with us. Dr Puche will evaluate your individual situation and provide detailed information and specific guidance.

If you wish, you can see the complete technique performed by Dr. Puche in the following video. Please note that the procedure is performed under anesthesia and you will not feel any pain during the procedure.

Circusion video without stitches performed by Dr Puche.

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