Gentle Circumcision Medical Group® is a medical specialty practice devoted exclusively to performing circumcisions. We are proud to be the referral source for over 300 medical practices and 15 hospital medical centers throughout Los Angeles County. Our board certified specialists have a combined 87 years experience performing the procedure and we schedule more than of 2000 circumcisions annually.
Adult circumcision is a procedure requested more often as new information on its health benefits have become available. In addition, alternative pain management has reduced cost dramatically. Circumcision in adulthood is expensive because general (sleep) anesthesia is costly. Choosing local anesthesia for pain management eliminates unnecessary fees, reducing the cost by 50%. Futhermore, a pain-free circumcision and recovery can be achieved with either choice of pain control.
The most common reasons for adult circumcision include:
1. Phimosis - Inability to retract the foreskin because of excessive tightness often resulting in tearing and painful sexual activity
2. Sexually Transmitted Disease (STD) prophylaxis - Many men will want to circumcise to lessen the risk of contracting a sexually transmitted disease. A large percentage of men who seek treatment for STD are uncircumcised. The World Health Organization and UNAIDS recommend the procedure as a means of reducing the spread of human immunodeficiency virus (HIV). The National Institute of Health states that routine male circumcision might reduce a heterosexual man’s risk of HIV infection by 65%. In a recent Johns Hopkins University study, circumcision was shown to significantly reduce the risk of contracting both genital herpes and humanpapillomavirus (HPV). Genital warts is caused by HPV and can develop on the foreskin of the penis. If lesions are isolated to the foreskin, circumcision would be curative. It is important to note that certain types of HPV are associated with cervical cancer in women and monogamous women with uncircumcised partners are twice as likely to develop cervical cancer.
3. Paraphimosis - This condition represents a medical emergency where the inner foreskin is trapped behind the corona (rim)of the penis. The usual cause is forceful retraction resulting in swelling and intense pain. If left unattended, could result in irreversible damage.
4. Penile Cancer - Although a relatively rare disease, cancer of the penis is virtually nonexistent in circumcised males.
5. Infection - Frequent inflammation of the penis (posthitis) or involving both the penis and the foreskin (balanoposthitis) is a medical indication for circumcision.
6. Partner Pressure - Many studies have concluded that a substantial majority of sexually active women prefercircumcised partners. Women believe that a circumcised penis is more hygienic and that circumcised men are less likely to transmit infections. They preferred to perform oral sex on a circumcised penis and, overall, believe the appearance of the circumcised penis is more pleasing. One study found that only 16% of women prefer uncircumcised partners
7. Religious - Conversion to Judaism necessitates circumcision. With Islamic conversion, circumcision is encouraged, though not mandatory.
8. Balanitis xerotica obliterans (BXO) - A skin condition that affects the foreskin, creating white patches that thicken over time and may prevent retraction.
9. Preference - Personal choice remains the most common reason the procedure is done.