How is the Adult Circumcision (Foreskin Removal) Procedure Done?

What is Male Circumcision?

Male circumcision is the removal of the foreskin from the penis.

Why Do Some Some Adults Undergo Circumcision?

Circumcision for adults is a medical treatment option for patients with recurrent foreskin infections, phimosis (tight foreskin opening), and for religious reasons. Some choose to do it for aesthetic reasons. 

How is Circumcision Done?

In our clinics, we perform circumcision using the Shang Ring Method. A numbing cream will be applied to the foreskin and left for at least 30 minutes.
Once the skin is numb, the Shang Ring will be applied. The size of the ring will be measured prior to the procedure.
The foreskin will be clamped in between the inner and outer ring.
The excess skin will then be removed by surgical scissors. The ring will be left in place for one to two weeks.
After surgery, the patient will be prescribed oral painkillers and antibiotics.

What do you need to beware of After the circumcision procedure?

With the Shang Ring method, there is a very low risk of bleeding and infection.
Usually, the patient may experience some pain or discomfort during nocturnal or morning erections.
You can apply a frozen bag of peas on the penis when an erection occurs and if it causes a lot of pain.
You are advised to avoid any activities that may cause pressure or friction at the wound site for 2 weeks like strenuous physical activities or sexual intercourse.
It is advisable to wear brief or underwear to hold the penis up.
Usually, after 4 to 6 weeks, you can start being sexually active.
Also, a medical certificate is usually given for 1 to 2 weeks to recover.
That is everything there is to Adult Circumcision.

Should you require further information about the circumcision for the adult, please visit drop us an email at  hello@dtapclinic.com.

Take Care!


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What Causes Male Pattern Hair Loss (Androgenic Alopecia)

What is Male Pattern Hair Loss (Androgenic Alopecia)?

It is a very common form of hair loss which can affect up to 50% of men by age 50. It is usually inherited (meaning that your father or mother is likely to have it as well). It can start as early as after puberty in some cases.

What are the causes of Male Pattern Hair Loss (Androgenic Alopecia)?

In most cases, it is due to the genes you inherited from either your father or mother or both. Typically, if you are affected by the condition, the hair follicles start to shrink with time under the influence of male hormones.

and then what happens?

As the condition progress, the hair thickness also starts to become thinner and over time, the hair is lost.
In most cases, it starts with the recession of the hairline around the temples and also around the forehead area. Then hair around the top of the head (the crown) also becomes less. In time, the areas of baldness will join together. However, hair at the back of the head is usually not affected in this condition.
See other types of Hair Loss Conditions

Is male pattern hair loss only a cosmetic concern?

No. There are studies that show a link between those affected by the condition to be at higher risk of cardiovascular disease (i.e. hypertension, heart attacks, strokes)
Also, it is associated with benign prostate hypertrophy (BPH) which is a non-cancerous enlargement of the prostate, which can cause symptoms like, an increase in frequency to pass urine, waking up multiple times at night to pass urine and as a result affect the quality of your sleep.
In addition, it has been found in studies that men who use anabolic steroids are also associated with increased risk of the condition. Similarly, persons on testosterone replacement therapy for hypogonadism are at increased risk of the condition as well.
Some studies also found that increased levels of DHEA (another sex hormone ) or low levels of SHBG (sex hormone binding globulin) which in turn means that there is more free man hormones that your body can use are also associated with the condition as well.
There are also studies to show that there is a link between the condition and prostate cancer. A large Australian study suggests that loss of hair at the top of the head at age 40 may be an early marker of prostate cancer.

What are the available treatments for Male Pattern Hair Loss (Androgenic Alopecia)?

Medical Treatment for Male Pattern Hair Loss (Andorgenic Alopecia)

1. Topical Solution for Hair Loss

This Hair loss treatment works by slowing the shrinkage of the hair follicles
The Advantage of using  Topical Solution for Hair Loss

  • Simple to use
  • Apply on hair daily up to twice a day

The Disadvantage of using  Topical Solution for Hair Loss

  • Takes up to 6 months to notice the effect
  • Need to use it on a permanent basis as hair loss resumes after stopping
2. Oral Medication for Hair Loss

This Hair loss Treatment works by blocking the conversion of male hormones to DHT which causes shrinkage of the hair follicles
The Advantage of using Oral Medication for Hair Loss

  • Unlike lotion which only slows the shrinkage of hair follicles, it has been suggested that medication is able to reverse the shrinkage of hair follicles

The Disadvantage of using  Oral Medication for Hair Loss

  • In about 1-2% of men who take the medication, they reported a decrease in sex drive or erectile dysfunction.
  • A decrease in PSA levels which may cause an underestimation of risk of prostate cancer
  • Takes up to 6 months to notice effects
  • Need to use it on a permanent basis as hair loss resumes after stopping
3.) Hair Transplant for Hair Loss

Strips of hair from the back of your head are removed and then individually transplanted to the area of hair loss.
The Advantage of Hair Transplant

  • Can notice effect around 3 months

The Disadvantage of Hair Transplant

  • Downtime (recovery time after hair transplant)
  • Can take up to few hours for the procedure depending on the area that needs to be transplanted
  • Expensive (Average cost > $15,000)
  • Failure of the hair grafts may occur
4.) Regenera Activa for Hair Loss


Similar to hair transplant, hair from the back of the head is removed and then using a specialised machine, hair follicular units are harvested and then injected into the area of hair loss.
The Advantage of Regenera Activa

  • It has been approved by FDA for medical treatment
  • Much smaller area of hair (3 x 2.5 mm) needed to be removed from the back of the head compared to hair transplant
  • Can notice effect around 3 months
  • Faster than hair transplant procedure (generally takes about 30 mins)
  • No downtime
  • Cheaper than hair transplant
  • Last for 18 months to 24 months depending on individuals

Learn more about Regenera Activa Hair Loss Treatment.
Regenera Activa Male Pattern Hair Loss is only available in the following 4 Branches:

  • Dr Tan & Partners @Novena   (+65 6397 2095)
  • Dr Tan & Partners @DUO Galleria (+65 6976 5023)
  • Dr Tan & Partners @Siglap (+65 6962 2144)
  • Dr Tan & Partners @Holland V (+65 6235 1339)

If you think you may have male pattern hair loss, please speak to any of our friendly doctors at any of our clinics to discuss further, or Drop us an email at hello@dtapclinic.com

Phimosis – Unusually Tight Foreskin (Video)

How Do I Know If I Have Phimosis (Tight Foreskin)?

Phimosis is a condition of unusually tight foreskin that cannot be drawn back from the head of the penis.
It is a constriction of the opening of the foreskin that – it can’t be drawn back over the tip of the penis.
A simple way to find out is just to try to pull your foreskin all the way back until you see the whole head of the penis.
If you cannot do this or if it hurts to do this, you likely suffer from phimosis (tight foreskin).

How Severe are My Phimosis (Tight Foreskin) Condition?

Score 1: Full retraction of the foreskin, tight behind the glans.
Score 2: Partial exposure of glans, prepuce (not congenital adhesions) limiting factor.
Score 3: Partial retraction, meatus just visible.
Score 4: Slight retraction, but some distance between tip and glans, i.e. neither meatus nor glans can be exposed. ☑
Score 5: Absolutely no retraction of the foreskin. ☑

What are the Risk Factors of Phimosis (Tight Foreskin)?

The tightness of the foreskin may interfere with the normal passage of urine.
In severe cases, this may cause retention of urine and urine infection. It also increases the risk of infections of the foreskin and head of the penis.
This problem is especially severe in people with Diabetes.
Also, it may cause pain during sex. If you have phimosis using a condom during sexual intercourse may make the penis more comfortable.

What are the Possible Treatments of Phimosis (Tight Foreskin)?

Your doctor may give you antibiotics if the swabs did showed signs of infection, or may give you a cream for application.
Sometimes, phimosis can be treated simply by stretching the foreskin. Sometimes, doctors will prescribe a cream to help the foreskin stretch.
If the problem is severe and stretching does not help or if the foreskin is badly scarred, the patient may need a circumcision.
Circumcision for adults is a medical treatment option for patients with recurrent foreskin infections, phimosis (tight foreskin opening), and for religious reasons.

If you think you may be suffering from phimosis, see our doctors for a consultation.

 


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