Adult Circumcision & Frenuloplasty

Adult Circumcision

Adult circumcision is a surgical procedure to remove the foreskin from the penis. It is performed for medical, functional, or personal reasons — and when done by an experienced urological surgeon, it has excellent outcomes and a straightforward recovery.

Many men seek circumcision later in life — some have never been circumcised, others develop problems with the foreskin over time. Whatever your reason, Dr. Kashani provides a non-judgmental, professional consultation to discuss your options and expectations.

Adult circumcision is performed under local or general anesthesia as an outpatient procedure. The technique is more precise than neonatal circumcision, with careful attention to cosmetic outcome and preservation of sensation.

Adult circumcision is different from infant circumcision: The anatomy is more complex in adults and the procedure requires greater surgical precision. It should be performed by a urologist experienced in adult penile surgery — not a general practitioner.

Dr. Kashani adult circumcision consultation

Reasons for Adult Circumcision

There are several valid medical and personal reasons why adult men seek circumcision. Dr. Kashani evaluates each patient individually to ensure circumcision is the right solution for your specific situation.

Phimosis

Phimosis is a condition where the foreskin is too tight to retract over the head of the penis. It can cause pain during erections or sex, difficulty urinating, or recurrent infections. Circumcision is the definitive treatment. In mild cases, steroid creams or preputioplasty may be tried first.

Recurrent Infections

Recurrent balanitis (infection of the head of the penis) or posthitis (infection of the foreskin) can significantly impact quality of life. Circumcision eliminates the environment where bacteria and fungi thrive and is highly effective at preventing recurrences.

Cosmetic or Personal Preference

Some men choose circumcision for personal, cultural, religious, or aesthetic reasons. This is a completely valid reason to seek the procedure. Dr. Kashani approaches all requests without judgment and focuses on achieving the best possible cosmetic result.

Sexual Function or Discomfort

Some men experience pain, tearing, or discomfort of the foreskin during sexual activity due to tightness or scarring. Circumcision or targeted procedures like frenuloplasty can resolve these issues and significantly improve sexual comfort and function.

Frenuloplasty — An Alternative to Circumcision

For men whose primary problem is a tight or short frenulum — the band of tissue on the underside of the penis — frenuloplasty is a simpler, foreskin-preserving procedure that may be all that is needed.

The frenulum connects the foreskin to the glans (head) of the penis. When it is too short or tight — a condition called frenulum breve — it can cause pain during sex, tearing, or restrict foreskin movement. Frenuloplasty lengthens the frenulum with a small surgical cut, relieving the restriction without removing the foreskin entirely.

It is performed under local anesthesia in the office or as an outpatient procedure and has a quick recovery. Many men who think they need a full circumcision are actually better served by frenuloplasty alone.

At your consultation: Dr. Kashani will examine you and help determine whether full circumcision or frenuloplasty is the most appropriate procedure for your specific anatomy and goals.

What to Expect

1

Consultation

Dr. Kashani will take a full history, examine you, and discuss your goals and concerns. He will recommend the most appropriate procedure — circumcision, frenuloplasty, or in mild phimosis cases, a trial of steroid cream first — and set realistic expectations for the outcome.

2

The Procedure

Adult circumcision is performed under local or general anesthesia and takes approximately 30 to 45 minutes. Frenuloplasty can often be done under local anesthesia in the office in about 15 to 20 minutes. Both are outpatient procedures — you go home the same day.

3

Recovery

Most men can return to desk work within 3 to 5 days. Swelling and bruising are normal and resolve over 2 to 4 weeks. Sexual activity should be avoided for 4 to 6 weeks after circumcision to allow full healing. Dr. Kashani will provide detailed aftercare instructions and be available for any questions during recovery.

Frequently Asked Questions

Is adult circumcision more painful than infant circumcision?

Adult circumcision is performed under proper anesthesia, so the procedure itself is painless. Post-operative discomfort is manageable with over-the-counter pain medication. Recovery takes longer than in infants, but most men find it much more straightforward than they expected.

Will circumcision affect sexual sensation?

This is a common concern. The research on this topic is mixed — some studies show a minor reduction in certain types of sensitivity, while others show no significant difference or even improvement, particularly in men with phimosis where sensation was previously limited. Most men report satisfying sexual function after recovery.

How long until I can have sex after circumcision?

Most men can resume sexual activity approximately 4 to 6 weeks after circumcision, once healing is complete. Returning too soon risks wound complications, including reopening of the incision. Dr. Kashani will confirm healing at your follow-up visit before clearance is given.

Is circumcision covered by insurance?

Circumcision for medical reasons — such as phimosis, recurrent infections, or lichen sclerosus — is often covered by insurance. Cosmetic circumcision is typically not covered. Dr. Kashani's team can help verify your benefits and provide documentation to support insurance authorization when appropriate.

What is the difference between phimosis and frenulum breve?

Phimosis is tightness of the entire foreskin opening — the foreskin cannot retract. Frenulum breve is specifically tightness of the frenulum — the band of tissue on the underside of the penis. Both can cause pain and restrict movement, but they are distinct conditions requiring different procedures. Dr. Kashani will examine you carefully to determine exactly which issue you have and recommend the most appropriate solution.

Why Choose Dr. Kashani?

Adult circumcision requires a urologist with specific expertise in penile surgery. Dr. Kashani has extensive experience with adult circumcision, frenuloplasty, and the management of phimosis — with careful attention to both functional and cosmetic outcomes.

Fellowship-trained in male penile surgery
Performs both circumcision and frenuloplasty
Attention to cosmetic outcome and healing
Evaluates whether circumcision is truly needed
Private, discreet, judgment-free environment
Two convenient Long Island locations
Same-week appointments available