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Full healing, exercise and sex come later."},"result_longevity":"Permanent removal of the foreskin.","revision_rate_pct":{"min":0.5,"max":2,"unit":"percent","qualifier":"Unplanned corrective surgery (e.g., skin bridges, redundant skin, scarring, meatal stenosis) within about 2 years of primary adult circumcision."},"scars":"A circumferential scar line at the corona or shaft, usually fine and inconspicuous once matured.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure."},"stages":[{"code":"circumcision","label":"Circumcision procedure","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial visit."}}],"qualifier":"Single-stage procedure; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Foreskin removed, wound healed, no corrective surgery","value":95,"unit":"percent","horizon":"3 months","population":"Adults undergoing sutured circumcision under local anesthesia","evidence_status":"limited"},"techniques":[{"name":"Sutured sleeve (conventional) resection under local anesthesia","suits_whom":"Most adults, including those with phimosis or scarring.","recovery":"Swelling settles over 1-2 weeks; healing about 4-6 weeks."},{"name":"Device-assisted (ring or clamp-type) circumcision","suits_whom":"Adults without significant anatomic abnormality or scarring.","recovery":"Often shorter procedure with fewer sutures; recovery broadly similar."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.75,"unit":"hours","qualifier":"About 15-45 minutes of operating time for one session, excluding anesthesia preparation and recovery."},"initial_assessment_documents":["Clear photos of the foreskin, retracted and relaxed","Urologist report or prior genital examination notes","Urine test or swab results, if infection suspected","Medication list including blood thinners","Diabetes and HbA1c result (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage outpatient surgery; stay about 5-10 days until predeparture wound check clears travel. Later reviews arranged at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm your surgeon explains the risks to you before the operation","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/circumcision","host":"nhs.uk","quote":"Your doctor will explain the risks to you before the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check whether the surgeon is fully trained in the specific procedure you want, because this can be hard to confirm","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"It can be difficult to find out if a surgeon is fully trained in the procedure you want.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that you will have two consultations with the treating surgeon before any 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