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 today as new information on its health benefits and on alternative pain management choices have become available. Cost was prohibitive because general anesthesia requires operating room, anesthesia specialty and recovery room fees. Opting for local anesthesia eliminates these fees and makes the procedure surprisingly more affordable, reducing the cost 50% lower than previous levels.

Reasons for adult circumcisions fall into one of the following catagories:

-Phimosis - inability to retract the foreskin because of excessive tightness often resulting in tearing and painful sexual activity

-Balanitis xerotica obliterans (BXO) - a skin condition that affects the foreskin, creating white patches that thicken over time and may prevent retraction.

-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 sexually transmitted infections are uncircumcised The World Health Organization and UNAIDS recommends the procedure as a means of reducing the spread of 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 genital herpes and humanpapillomavirus (HPV).Condyloma acuminata-or genital warts is caused by HPV and can form on the foreskin of the penis for which 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 uncircumcircumcised partners are twice as likely to develop cervical cancer.

-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 tissue death or auto-amputation.

-Penile Cancer –although a relatively rare disease, cancer of the penis is virtually nonexistent in circumcised males.

-Infection-Frequent inflammation of the penis (posthitis) or involving both the penis and the foreskin (balanoposthitis), is a medical indication for circumcision.

-Partner Pressure-Many studies have concluded that a substantial majority of sexually active women prefer circumcised 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.

-Religious- conversion to Judaism necessitates circumcision. With Islamic conversion, circumcision is encouraged, though not mandatory.

-Personal Preference-Despite the reasons mentioned above, personal choice remains the most common reason the procedure is elected.