Circumcision – Stapler & Open Technique
Circumcision is the surgical removal of the foreskin (prepuce) of the penis. It is one of the most commonly performed urological and general surgical procedures worldwide, carried out for medical, therapeutic, and cultural reasons. Dr. Pravin Goykar performs circumcision using both the conventional open technique and the advanced stapler (circular stapler) technique, offering patients a choice based on their clinical needs, preferences, and recovery expectations.
Indications for Circumcision
- Phimosis – Tightening of the foreskin that prevents retraction over the glans, causing pain, difficulty urinating, or recurrent infections.
- Paraphimosis – A condition where the retracted foreskin cannot be returned to its normal position, causing swelling and restricted blood flow — requires urgent intervention.
- Recurrent Balanitis – Repeated infection or inflammation of the glans and foreskin.
- Balanoposthitis – Infection involving both the glans and the foreskin.
- Lichen Sclerosus (BXO) – A chronic skin condition causing scarring and narrowing of the foreskin, frequently requiring circumcision.
- Premalignant or Malignant Foreskin Lesions – Surgical management as part of penile cancer treatment.
- Cultural or Religious Reasons – Elective circumcision performed safely with appropriate anaesthesia.
Techniques Offered
Open Circumcision (Conventional Technique)
The conventional open circumcision is a well-established surgical technique performed under local, spinal, or general anaesthesia. The foreskin is excised using a scalpel or electrocautery, followed by careful haemostasis and suturing of the wound edge. This technique is highly versatile, suitable for all age groups and all indications, and allows the surgeon to customise the amount of skin removed to achieve the best cosmetic and functional result.
- Suitable for all clinical indications including severe phimosis and BXO
- Precise control of skin excision for optimal cosmetic outcome
- Absorbable sutures — no suture removal required
- Day-care procedure in most cases
Stapler Circumcision (Circular Stapler / ZSR Device)
Stapler circumcision uses a specially designed circular stapling device (ZSR circumcision device) to simultaneously excise the foreskin and apply a ring of staples or absorbable sutures in one smooth action. This technique offers significant advantages in terms of reduced operative time, minimal bleeding, and less post-operative pain compared to the conventional open approach.
- Significantly reduced operative time (procedure completed in minutes)
- Minimal intra-operative bleeding due to simultaneous cutting and closure
- Less post-operative pain and swelling
- Faster return to normal activities
- Neat, uniform circumferential scar with excellent cosmetic outcome
- Suitable for adults and adolescents seeking elective or medical circumcision
Post-Operative Care
- Wound kept clean and dry as per surgical dressing instructions
- Analgesics prescribed for post-operative comfort
- Antibiotic cover as clinically indicated
- Abstinence from sexual activity until complete wound healing (typically 4–6 weeks)
- Follow-up appointment to confirm wound healing and remove staples if applicable
Why Choose Dr. Pravin Goykar?
- Both stapler and conventional open techniques available
- Technique selection tailored to individual clinical indication and patient preference
- Performed under appropriate anaesthesia for a pain-free surgical experience
- Day-care procedure with same-day discharge in most cases
- Emphasis on cosmetic outcome and complete wound healing
- Confidential and sensitive consultation environment