Circumcision Procedure

The Melbourne Circumcision Clinic provides a professional, quality circumcision service to families who wish their sons to be circumcised.

The Clinic was set up by Dr. Athari an experienced physician with over 35 years of experience in circumcising.

With great pleasure, we welcome Dr. Rahul Tipnis to our clinic. Dr. Tipnis brings his expertise in surgical procedures and shall be performing circumcisions for all ages from infants to adults. He is trained as a general surgeon from Mumbai India and has worked at various hospitals in the UK and Australia.

Circumcisions are performed at our surgeries and take about 15 minutes to 1 hour to complete depending on the age of the patient.

Circumcision is a surgical procedure to remove the skin covering the end of the penis called the foreskin.
Circumcision is performed for religious, cultural, traditional, personal, and medical reasons.

Some of the medical reasons are:

Phimosis (inability to retract the skin (foreskin or prepuce) covering the head (glans) of the penis.
UTI (urinary tract infection).

STD (sexually transmitted disease.

Balanitis (skin irritation on the head of the penis).
There are different methods used depending on age and clinical indications.  Dr. Athari and Dr. Tipnis will explain to you which method is suitable for your son.

-The Plastibell – with this technique the baby goes home with a small plastic device tied on to his penis tip that allows the foreskin to desiccate (dry out and fall off) over subsequent days.

-The Gomco Clamp method.  A small circular clamp device is used to collect and remove the redundant foreskin.

-Freehand (conventional) circumcision using a scalpel blade to cut the foreskin and repairs with dissolvable stitch. (this done in adults and older children)
Plastibell Technicque

The surgery involves a plastic ring called the Plastibell device. The Plastibell is placed between the foreskin and glans of the penis. The Plastibell is tied off and the excess skin is removed. This is performed under local anesthesia which involves giving local anesthetic injections at the base of the Penis.  No stitching or dressing is necessary. After 3-7 days, the Plastibell becomes detached, leaving a clean healed cut at the tie-line.

(From Stanford medicine) From the three commonly used techniques (Gomco, Mogen, and Plastibell), the Plastibell has the lowest incidence of bleeding as the suture remains in place for a few days after the procedure. With both clamp devices (Gomco and Mogen), hemostasis is dependent on the adequacy of the crush injury
Circumcision for Infants.

The procedure usually varies for infants and adult males.  Because infants are not fully developed, their procedure usually is much simpler.

We recommend the Plastibell technique as the most clinically appropriate and least painful method of circumcision for infants and toddlers.

The operation itself normally takes about 15 to 30 minutes.  Your child will be observed for a further half an hour in the clinic.  The Plastibell procedure is virtually pain-free. it is carried out under local anesthetic and needs no stitching, dressing, and stitch removal, which may be needed by other methods of circumcision.

After-care is usually limited to applying Vaseline, Betadine, and saltwater bathing.  Post-operation trauma is minimal, and over 95% of patients have no need for a return visit to the clinic after the procedure.

Circumcision for Adults

Adult circumcision is also performed under local anesthetic the penis is numbed with an injection at the base with a mixture of two medications.  You only feel the first needle prick and no discomfort after that.  If you are afraid of needles or tend to become faint at the sight of needles, a relaxing agent like valium or nitrous oxide (extra cost) can be used.

We recommend that you make an appointment for a pre circumcision consultation prior to the procedure. This consultation allows the doctor to provide a detailed explanation of the procedure and an opportunity to clarify any issues of concern. We do not require a referral and consultation is bulk billed.