Circumcision adhesions are common in patients with prepuce and chronic infection and usually require inpatient general anesthesia for children younger than 8 years of age, while patients older than 8 years of age can be treated with outpatient local anesthesia. The procedure is similar to circumcision and requires an injection of anesthetic at the root of the penis. After about 3-5 minutes, the anesthesia takes effect, a hemostat is used to lift the foreskin’s tether and ventral side, find the adhesions, and try to bluntly separate the adhesions with iodine containing gauze or a hemostat. Usually patients with prepuce are easier to separate and can be separated by gentle loosening. However, for patients with chronic infection, the adhesions are tighter and need to be separated patiently, and the separation process may be combined with mucosal tearing and bleeding.