Circumcision is a religious or cultural ritual for many Jewish and Islamic families, as well as certain aboriginal tribes in Africa and Australia. Circumcision can also be a matter of family tradition, personal hygiene or preventive health care. Sometimes there’s a medical need for this procedure, such as when the foreskin is too tight to be pulled back (retracted) over the glans. In other cases, particularly in certain parts of Africa, circumcision is recommended for older boys or men to reduce the risk of certain sexually transmitted infections.

The American Academy of Pediatrics (AAP) says the benefits of this surgery outweigh the risks. However, the AAP doesn’t recommend routine circumcision for all male newborns. The AAP leaves the decision up to parents — and supports use of anesthetics for infants who have the procedure. Circumcision doesn’t affect fertility, nor is generally thought to enhance or detract from sexual pleasure for men or their partners.




A repeat circumcision may be necessary if there is circumferential scaring of excessive residual skin or incomplete removal of the preputial skin during the initial surgery. Dr. Elist performs the procedure and repeat procedure in the OR under general anesthesia or in the office with local anesthesia. Both options have the same great result and the pain with local anesthesia is minimal to not present.




If you are looking forward to undergo a penile enlargement procedure with the Subcutaneous Soft Silicone Implant (ELIST Implant) to achieve a simultaneous increase in penis length and girth, going through circumcision is a must. First, the skin at the base of the penis is cleansed with alcohol and allowed to dry. Dr. Elist uses an index finger to palpate the lateral side of the penis to determine the position of the root of the penis. With a tuberculin syringe and needle, the anesthetic is injected parallel to the root of the penis. While the penis is stabilized by gentle downward or ventral traction, the needle is inserted at the base of the penis and inserted beneath the skin surface. The anesthetic is injected and the needle withdrawn. An incision is made around the base of the foreskin, the foreskin is pulled back, and it is cut away from the penis. Stitches are usually used to close the skin edges.


It makes it simpler to wash the penis. Washing beneath the foreskin of an uncircumcised penis is generally easy, however.

Decreased risk of urinary tract infections. The overall risk of urinary tract infections in males is low, but these infections are more common in uncircumcised males. Severe infections early in life can lead to kidney problems later on.

Decreased risk of sexually transmitted infections. Circumcised men might have a lower risk of certain sexually transmitted infections, including HIV. Still, safe sexual practices remain essential.

Prevention of penile problems. Occasionally, the foreskin on an uncircumcised penis can be difficult or impossible to retract (phimosis). This can lead to inflammation of the foreskin or head of the penis.

Decreased risk of penile cancer. Although cancer of the penis is rare, it’s less common in circumcised men. In addition, cervical cancer is less common in the female sexual partners of circumcised men.