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He Medical Clinic

Adult Circumcision in Malaysia: What You Need to Know

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What Is Circumcision?

Circumcision is a procedure that removes the extra foreskin. For thousands of years, boys have been subjected to this practice. It is now practiced by a wide range of religions and cultures. It is commonly done within the first few days of life in the United States. Circumcision of boys is widely performed among Muslims and Jews. It is, in fact, very recommended because it promotes better hygiene.

According to a study done by the Translational Genomics Research Institute, male circumcision reduces the quantity of bacteria living on the penis, which could explain why circumcision offers men some protection against sexually transmitted diseases (STD).


Circumcision has been practiced in numerous societies around the world for thousands of years. Phimosis (tight foreskin), recurrent balanitis (penile infection), and premature ejaculation are all medical conditions for which this procedure is recommended.


The public health benefits of male circumcision are currently a hot topic, particularly in the prevention of human immunodeficiency virus (HIV). It has been demonstrated to minimize the risk of HIV infection dissemination in heterosexuals. It has been shown to reduce the risk of urinary tract infections in boys as well as the spread of other sexually transmitted illnesses.


What are some of the reasons that circumcision is performed?

  • Hygiene


A circumcised penis is generally thought to be cleaner or easier to keep clean. When the foreskin is present, smegma (a natural substance made up of dead skin cells, normal flora, and secretions containing the natural antibacterial agent lysozyme) is more prone to accumulate.

  • Infections


Circumcised men are less likely to get HIV, the virus that causes AIDS, which is one of the most intriguing benefits of circumcision. In a 2005 study of South African men, it was discovered that circumcised men who had sex with an HIV-positive woman were 63 percent less likely to get the infection than uncircumcised men.

  • Religion


There are a variety of cultures and religions that practice circumcision for various reasons.

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How does conventional circumcision procedure done?

The majority of male circumcisions are performed for religious or cultural reasons around the world. Such operations are usually conducted outside of formal medical settings by providers who may or may not have particular training but are not health professionals.

When adolescent and young adult males are circumcised, it frequently represents the shift from boyhood to manhood. Boys and men are taught about their obligations and duties as adult members of the community during various traditional circumcision ceremonies. The particular details of what is taught are typically regarded confidential or secret and are not properly documented.


These ceremonies frequently include bravery and manly demonstrations to ensure that the initiate is ready and deserving of becoming an adult member of the community. While the cutting of the foreskin is an important part of the circumcision ritual, it is only a small part of the overall procedure.


The majority of circumcisions in boys and men are currently done using one of the three open surgical procedures. The World Health Organisation’s Manual for Male Circumcision under Local Anaesthesia describes the forceps-guided method, the dorsal slit method, and the sleeve resection method, all of which are commonly used in Malaysia and many other countries where circumcision is common.


However, those methods are known to be time consuming, painful, and the end result is highly dependent on the surgeon’s skills and patient tolerance of the procedure, given that the majority of circumcision patients are young males aged 4 to 12, for whom the idea of using traditional methods (blades, sutures, and needles) is less appealing.


Bleeding, infection, loss of glans penis sensitivity, and too little or too much tissue excision are all possible complications. Deaths are uncommon. Circumcision has an increased risk for complications after the newborn period, particularly bleeding and anaesthesia issues.

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What are the risk and complications of surgical circumcision?

Circumcision, like any other procedure, has its own set of risks and complications. Regardless of how low the risks are, it is critical that you are informed of and understand them before agreeing to the operation.

A small quantity of bleeding is to be expected. During the procedure, it is usually easy to keep under control. The amount of bleeding varies depending on the person and the technique.


It is more uncomfortable than painful. Nothing, however, is severe or unbearable. You will be given enough painkillers and anti-inflammatory medications after surgery to cover any potential pain and swelling.


Are there any alternate circumcision methods that might be used instead of the traditional ones?

Circumcision is a form of art that is only fully developed once the final outcome, or in this case, the operation site, has fully recovered. Despite being one of the simplest and most commonly performed procedures, even the most experienced surgeons find it challenging to get a consistent result. This is because in conventional circumcision, it’s nearly impossible to make a clean cut with exact suturing every time.

There have been a variety of devices proposed as alternatives to the commonly used procedures, which can be divided into disposable and non-disposable devices.


Plastibell, tara klamp, Ali’s klamp, Ismail klamp, circular stapler, smart clamp, Accu cric, Unicric, Sunathorne are examples of disposable devices.


Shang Ring is a WHO-approved disposable device for adult circumcision. Non-disposable devices, on the other hand, include Gomco and Mogen clamps.


Laser surgery is also one of the options available for circumcision procedure.A laser instrument is used to cut the skin during laser circumcision. Early healing and minimum blood loss are among the advantages. The cuts on the skin are more precise than traditional circumcision methods. Sutures dissolve on their own after a few days. The amount of dressing needed is minimal. The number of follow-ups required is kept to a bare minimum.


What are some of the benefits of circumcision devices?

Circumcision devices have been shown to be superior to traditional techniques on a number of levels, including shorter operation times, lower complication rates, faster recovery times, and better cosmetic results. Not to mention that they can be performed in a more pleasant setting than a hospital.

What are the steps involved in Stapler circumcision?

Circumcision staplers are disposable surgical equipment that have been used for the quick, safe, and effective removal of the foreskin (prepuce) since the early 2000s and have grown in popularity in recent years. These instruments cut as they close the wound with little metal clips in a precise manner.

The stapler is available in nine different sizes to give the finest possible results each and every time the process is carried out. The procedure is most typically performed with a second-generation ZSR device. To remove the foreskin, an anastomat or stapler circumcision equipment is placed over the penis.


Following the surgery, you will be left with a ring of little metal clips that will come off on their own after a few days. While the rings are in place, they may cause irritation or pain, which can be easily alleviated with pain relievers and anti-inflammatory medications.


According to studies, this technology surpasses traditional methods in a range of aspects, including operative time, blood loss, the percentage of complications such as wound infection and dehiscence, and a nearly guaranteed good cosmetic outcome.


When this method is used instead of conventional ways, the procedure operative time is reduced. Unlike other methods and devices, which can take up to two months to heal, this method just takes around two weeks. The pain experienced during the treatment and rehabilitation is far more manageable. Plus, the bleeding is also less.

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Can I still perform normal daily activities after circumcision?

You can walk normally immediately after the circumcision process. There’s no need to be admitted to the hospital for this procedure. However, you should wait 4 weeks following the operation to begin exercising.

Masturbation and sexual intercourse can only be resumed 4 weeks after the operation.