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When is a circumcision necessary?

In a circumcision, the foreskin of the penis is surgically removed. This often happens in men who have a too tight foreskin (phimosis). This can cause them pain during an erection or during intercourse. Sometimes a skin disease can also be the cause of a too tight foreskin, for example lichen sclerosus. The dermatologist can assess whether a skin condition is present and treat it if necessary or determine that a circumcision is necessary. A circumcision can also be performed because of other disturbing skin abnormalities, or for hygienic or cosmetic reasons.
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What is important to know before treatment?

At least 3 days before the procedure, you are requested to shave the scrotum, pubic area and penis (preferably with clippers or cut them well). The morning before the procedure you will be asked to wash the genital area well and to clean the skin under the foreskin as clean as possible with a washcloth. It is also important to arrange transport, it is not recommended to drive home after the procedure. You don’t have to be sober. If you use blood-thinning medication, it is important to discuss with your prescribing doctor whether these can be temporarily discontinued, in order to minimize the risk of bleeding. Please let us know if you are allergic to certain medicines or bandages.


In the Roosevelt clinic, the circumcision is always performed under local (local) anaesthetic. The advantage of this is that you can go home immediately afterwards and you will not suffer from the side effects / risks of general anesthesia. You will be given a few injections at the base of the penis to numb the foreskin. Then the penis is disinfected and the area is covered with a sterile cloth. During the procedure, the foreskin is removed. Any adhesions between the foreskin and the glans can also be removed. Then sutures are placed that dissolve on their own. The procedure takes about 45-60 minutes.

After the treatment

After the treatment, the penis will be bandaged with ointment and gauze. At home you can rub the penis yourself with a fatty (antibacterial) ointment (for example with vaseline or betadine ointment). We recommend washing the penis with soap-free water to avoid irritation. The penis may be sensitive and slightly swollen for the first few days. In case of pain, you can take 1000mg paracetamol up to four times a day, but this is usually not necessary. If complications arise, they are related to the wound. This concerns after-bleeding, blood accumulation (hematoma) or inflammation around the sutures. If you suspect this is the case, please contact the clinic.
The stitches usually dissolve on their own after 14-21 days and do not need to be removed. The advice is not to do sports, swim/sauna or heavy exercise for two weeks. It is good to wear supportive underpants (not boxer shorts). It is wise not to have sex for 6 weeks after the procedure, until the penis has completely healed.

In the Roosevelt clinic, circumcisions are only performed on adolescent and adult males. If there is a medical necessity (underlying skin condition), the circumcision will be reimbursed by your health insurer, if you have a referral from your GP. If the foreskin is removed for cosmetic or religious reasons, the costs are for your own account. An overview of our treatments and rates can be found in our price list.

Dutch genital expert center
Experienced medical specialists
Quality and hospitality

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