CIRCUMCISION IN VIENNA

Circumcision in men is the complete or partial surgical removal of the foreskin of the penis for medical, aesthetic or religious reasons.

Circumcision
in men is the complete or
Partial surgical removal
of the penile foreskin for medical reasons,
aesthetic or religious reasons.

The most important facts about circumcision

Consultation with Dr. Roland Resch

Dr. Roland Resch is available for a consultation by appointment.

Dr. Roland Resch

Experienced specialist in the field of circumcision

Circumcision in men is the complete or partial surgical removal of the foreskin of the penis.

It is estimated that around 33% of the world’s male population is circumcised. Partly for religious or cultural reasons, partly out of medical necessity. This procedure is relatively minor, but requires a lot of experience and knowledge in order to avoid complications.

I would be happy to advise you on this in a personal meeting.

Yours, Dr. Roland Resch

Male circumcision for medical, aesthetic or religious reasons

In addition to medical reasons, circumcisions are also performed for aesthetic, religious, hygienic and cultural reasons.

Medical reasons for circumcision

Zu enge Vorhaut (Phimose):

If the foreskin is too tight and difficult to pull back over the glans. Too tight foreskin may be congenital or due to infection. This leads to pain during sexual intercourse or makes it completely impossible and can lead to repeated inflammation and pain. Too tight foreskin complicates or prevents a corresponding intimate hygiene. In some cases it may be sufficient to cut one or two cuts in this case to give more space to the foreskin, but in most cases complete circumcision is required.

Other complications due to too tight foreskin (paraphimosis):

If your foreskin is too tight and you still pull it back over the glans, it can be - especially in erection - that the foreskin can not be pushed back over the glans again. This condition may be a medical emergency. It is a painful condition that, if left untreated, can lead to serious complications, including the death of parts of the penis. If this condition occurs repeatedly, circumcision is inevitable.

General inflammation:

General inflammation of the penis or glans penis and the portion of the foreskin directly touching the glans caused by bacterial or fungal inflammation (repeated balanitis). This is usually accompanied by pain during sexual intercourse.

Shortened foreskin frenulum:

In some men, not foreskin narrowing is the problem, but shortening of the frenulum. The frenulum is a short piece of condensed skin at the base of the penis, from the penile shaft pointing to the glans of the penis. If it is to short it leads to pain when erected, especially during intercourse. Sometimes the intercourse is not possible due to pain. Tearing of the frenulum may occur during sexual intercourse or masturbation, which can lead to quite severe bleeding. If it is only the frenulum, that is too short, a so called frenulutomy may be sufficient and the foreskin can stay in place.

Eichelvergrößerung, Peniskopfverdickung

Circumcision-combination with other interventions

In adults, a combination with penis enlargement is possible.
Penis girth enhancement cannot be performed at the same time.

Auszeichnung 2021: Dr. Roland Resch zählt nach Patientenbewertungen zu den besten Plastischen Chirurgen in Österreich
Auszeichnung 2020: Dr. Roland Resch zählt nach Patientenbewertungen zu den besten Plastischen Chirurgen in Österreich
Auszeichnung 2019: Dr. Roland Resch zählt nach Patientenbewertungen zu den besten Plastischen Chirurgen in Österreich
Auszeichnung 2018: Dr. Roland Resch zählt nach Patientenbewertungen zu den besten Plastischen Chirurgen in Österreich
Auszeichnung 2017: Dr. Roland Resch zählt nach Patientenbewertungen zu den besten Plastischen Chirurgen in Österreich
Auszeichnung 2016: Dr. Roland Resch zählt nach Patientenbewertungen zu den besten Plastischen Chirurgen in Österreich
Auszeichnung 2016: Dr. Roland Resch zählt nach Patientenbewertungen zu den besten Plastischen Chirurgen in Österreich
Auszeichnung 2021: Dr. Roland Resch zählt nach Patientenbewertungen zu den besten Plastischen Chirurgen in Österreich
Auszeichnung 2020: Dr. Roland Resch zählt nach Patientenbewertungen zu den besten Plastischen Chirurgen in Österreich
Auszeichnung 2019: Dr. Roland Resch zählt nach Patientenbewertungen zu den besten Plastischen Chirurgen in Österreich
Auszeichnung 2018: Dr. Roland Resch zählt nach Patientenbewertungen zu den besten Plastischen Chirurgen in Österreich
Auszeichnung 2017: Dr. Roland Resch zählt nach Patientenbewertungen zu den besten Plastischen Chirurgen in Österreich
Auszeichnung 2016: Dr. Roland Resch zählt nach Patientenbewertungen zu den besten Plastischen Chirurgen in Österreich
Auszeichnung 2016: Dr. Roland Resch zählt nach Patientenbewertungen zu den besten Plastischen Chirurgen in Österreich

Circumcision - What you should know!

We have endeavored to present circumcision from all angles in the descriptions. Below you will find the most frequently asked questions about circumcision and their answers. However, every operation also requires a personal consultation. I look forward to getting to know you personally and advising you!

Yours, Dr. Roland Resch

What are the medical reasons for circumcision?

There are three reasons for a medically indicated circumcision:
1. a foreskin that is too tight, known as phimosis. This means that the foreskin cannot or can barely be put over the glans. This exists naturally or can also be caused by an infection. This leads to pain during sexual intercourse or makes intercourse impossible and also prevents the necessary cleansing during intimate hygiene.
2. paraphimosis is the second medical reason for a necessary circumcision. If the foreskin is too tight and is still pulled over the glans, especially during sexual intercourse, and no longer retracts, serious inflammation can occur which must be treated by a specialist as soon as possible. Paraphimosis is accompanied by severe pain and, if left untreated, leads to further complications including the death of parts of the penis. If this condition occurs repeatedly, circumcision is inevitable.
3. General inflammation of the penis or glans penis and the portion of the foreskin directly touching the glans caused by bacterial or fungal inflammation (repeated balanitis). This is usually accompanied by pain during sexual intercourse. Balanitis is an inflammation of the glans, foreskin and/or penis.

Why do men or parents have their children circumcised for non-medical reasons?

Men’s aesthetic demands on their bodies are becoming ever greater. Some men are bothered by the foreskin in their aesthetic perception and therefore choose to undergo circumcision.
In some religions or cultures, circumcision is deeply rooted – these religious or cultural backgrounds are decisive for why men or parents have their offspring circumcised. In addition, circumcision makes the glans less sensitive and it takes longer to reach orgasm during sexual intercourse. This allows men to stay active longer during sexual intercourse.

What advantages does circumcision bring with it?

It is assumed that circumcision reduces the risk of some diseases. These include:

  • Risk of urinary tract infections: According to a study in Australia, circumcised men are ten times less likely to get urinary tract infections than uncircumcised men. However, this is not a medical reason to make a circumcision.
  • Risk of penile cancer: This is a very rare type of cancer, and circumcision is thought to reduce the risk of penile cancer.
  • Risk of transmission of the human papilloma virus (HPV): Most cases of cervical cancer in women are due to transmission of the human papilloma virus (HPV) by men. In circumcised men, the risk of virus transmission is significantly lower. In populations where circumcision is performed on all men, the number of women with cervical cancer is significantly lower.
  • Risk of penile inflammation and skin irritation: The risk of circumcised men suffering from penile inflammation or skin irritation is significantly lower. Inflammations of the penis are much less common in circumcised men than uncircumcised. Uncircumcised men retracting the foreskin for personal hygiene are less prone to inflammation. Acute or recurrent inflammation of the foreskin must be promptly medically treated and can be positively influenced by circumcision.
  • Risk of transmitted infections through sexual intercourse: Uncircumcised men have a slightly increased risk of contracting infections that are transmitted through sexual intercourse. Circumcision slightly reduces the risk of transmission of infection but does not completely protect against. Circumcision cannot replace safer sex. But neither circumcised nor uncircumcised men are immune to infection. Therefore, circumcision is in no way a substitute for adequate protection, especially during spontaneous sex.
  • Risk of premature ejaculation: According to reports from circumcised men, the unpleasant risk of premature ejaculation no longer exists after circumcision. The reason for this is that the irritability of the glans is somewhat reduced after circumcision and the time until ejaculation is longer. This also means an extension of the possible activity time during sexual intercourse.

Is circumcision performed on an outpatient or inpatient basis in hospital?

The circumcision is performed on an outpatient basis and you will be discharged home on the same day.

What type of anesthesia is used for a circumcision?

For circumcision, a local anesthetic or twilight sleep is used.

What happens during circumcision?

Circumcision means the surgical removal of the foreskin. This can be a complete or partial removal.

What types of circumcision are there?

A distinction is made between complete and partial circumcision.

  1. A complete circumcision involves the complete removal of the skin covering the glans in a non-erect state. The inner foreskin leaf is also removed. The edges of the wound are then treated with cosmetic sutures. This method is also used, for example, for foreskin constriction.
  2. Partial circumcision: In some cases, only a partial circumcision is performed, which leaves parts of the skin that continue to cover the glans when the penis is not erect.

What do I have to consider after a circumcision?

You will be able to return home shortly after the procedure. No overnight stay is required. Any pain that may occur can be kept well under control with pain medication. If hematomas or swelling occur, do not worry, they will subside after a while. To prevent irritation or inflammation of the surgical area, please wear additional appropriate clothing. Full baths should be avoided for several weeks. In general, rest and restfulness also promote the healing process and recovery for this procedure.

What are the risks of circumcision?

Circumcision also involves certain risks, although these are classified as low. Your health and safety are our top priority, which is why we ensure that all precautionary measures are meticulously observed during every single procedure. We work with state-of-the-art equipment and my many years of experience also help to minimize the risk. In addition, the experience as a surgeon in this area and a conscientious preparation by the patient or, in the case of a child by the parents, helps to further reduce the risk. The probability of complications of circumcision is 1-4% (very low).

Rarely occurring complications are

  • Local infections
  • Bleeding
  • Too little or too much circumcision can cause problems or abnormal scarring

General surgical risks:

  • Allergic reactions: Please let us know during the consultation if you have any existing allergies to medication or or bandages. In this case, we will take appropriate measures.
  • Risk of anesthesia: the risk of anesthesia is generally considered to be very low nowadays. If you know that you are allergic to medication, please let us know in good time before the operation. Our anesthetist will be happy to assist you for a consultation prior to the operation.

When can I do sports again, visit the sauna or enjoy a full bath?

Please refrain from sport and full baths for at least six weeks. After that, you can start with light, athletic activity. Please refrain from going to the sauna for around three months.

How much does a circumcision cost?

The costs for a circumcision (cirmcumcision) are: € 2.190,-

Prices valid from 01.01.2024

Guide to circumcision - The path to your new self

It is very important to me to support you in your decision by providing you with comprehensive information. In addition, a trusting relationship with your doctor is necessary.

Our procedure for operations

  • Arrange a consultation appointment

    Simply arrange an appointment via "Book consultation" or by phone on +43 1 417 05 05. We are happy to be there for you personally.

  • Talk to Dr. Roland Resch

    A first consultation where you will be thoroughly informed by me about the procedure you are planning, and where you can ask any questions. After that, we will provide you with all the documents to take home.

  • Consideration

    Take your time to consider. Additionally, the legislator prescribes a contemplation period of 14 days.

  • 2nd Consultation

    In a second meeting, we will once again explain all aspects of the procedure, and I'll be happy to answer any questions you may have.

  • Operation

    If you decide to proceed with the procedure, we will find a suitable date for the operation that works for you.

TERMIN VEREINBAREN
Dr. Roland Resch steht Ihnen nach Terminvereinbarung sehr gerne für ein persönliches Beratungsgespräch zur Verfügung!

3 steps to a circumcision

  • Anesthesia in a circumcision

    The surgical removal of the foreskin is done in local anesthesia or twilight sleep, performed by our experienced anesthetist.

  • Method and Execution of Circumcision

    Circumcision involves the surgical removal of the foreskin. There is complete or partial circumcision Complete circumcision: this part of the skin in the area of the glans, which covers the glans in the non-erected state, is completely removed. The corresponding inner foreskin sheet is removed. The wound edges are sutured. This is the most common procedure for circumcision and also for the treatment of phimosis. Partial Circumcision: Sometimes the circumcision is done only partially. This preserves those parts of the foreskin that cover the glans when the penis is not erected.

  • Aftercare and Recovery

    You are allowed to go home after the procedure on the same day. Pain that occurs after surgery is well controlled by appropriate medication. Swelling and bruising are common and will fade over time. Wear loose clothing so as not to irritate the surgical area and thus expose you to the risk of inflammation. Please renounce for several weeks on full baths. Treat yourself to rest after the procedure!