Why is root cuff circumcision called “invisible circumcision”? Why do we call root cuff circumcision an invisible procedure? There are two main meanings here: the first is that our notch is located at the root of the penis and when the procedure is completed, the patient’s hair grows back during the recovery process. This wound is hidden internally and is invisible. The second equates to the fact that our incision is at the back, so the anterior foreskin, also this part of the glans including the coronal groove will be very natural, making it invisible to others that the patient has been circumcised. Based on these two points, we call this type of surgery invisible circumcision. Why does the root cuff “invisible” circumcision take an hour? Some of you have asked why root cuff circumcision takes so long, often over an hour. First of all, I would like to say that this surgery is not a general urological surgery, it is a plastic surgery. As a plastic surgery procedure in addition to achieving a therapeutic result, you also need to make the whole procedure look good and beautiful. The reason why this surgery takes a long time is that during the procedure, the first step is to perform a precise measurement to make the foreskin length more appropriate and proper after the surgery. The second step, when we peel the skin, we need to use a very delicate technique, we just remove the long skin or redundant skin on the surface of the penis without destroying the other structures, so this takes a long time. In the third step, since as a plastic surgery, our sutures are very thin, we have more sutures in order to make the wound heal better, so it will take longer. How is the root cuff “invisible” circumcision done? Some of you have asked how root cuff circumcision is done. Here I have two diagrams for you to see. The first diagram is the state without the surgery, here is the front foreskin, this is the part we want to remove. We measure the length of the skin to be removed by pre-operative measurement and draw it with a ruler, the position inside the curve is the part we need to remove. Then, after the delicate operation, we remove this part of the skin, pull the foreskin in front to the back, and do the suture here, which is what we call the cuff-like root circumcision. Why is the penis not easily edematous after root cuff “invisible” circumcision? Some of you are curious as to why there is no edema after a root cuff circumcision. This is because only a thin layer of skin is removed during the surgery, and a portion of the subcutaneous tissue, including the lymphatic vessels, is not damaged in any way. Therefore, after such a procedure, it is very difficult to develop edema in the local wound, which is very helpful for the patient’s recovery. Who is suitable for root cuff “invisible” circumcision? There are also concerns about what kind of patients are suitable for this procedure. First of all, root cuff circumcision has a very wide range of applications. Generally speaking, people with long foreskin can adopt it, but it is not recommended for children under 10 years old because the penis is still developing at this time, and it is not easy to judge the length of circumcision during the operation, so it is recommended to perform it after 14 years old. It is also not suitable for patients with circumcision and patients with narrow rings at the foreskin. Because this surgery cannot solve the stenosis and scarring at the front of the penis, it needs to be solved by traditional surgery. What are the advantages of root cuff circumcision compared to traditional circumcision? Some of you also want to know what are the advantages of root cuff circumcision compared to traditional surgical methods? The advantages are mainly the following four points: First, aesthetic and natural. As a plastic surgery procedure, it includes an incision that appears more beautiful and natural, in addition to achieving surgical results. Since our incision is located at the root of the penis, the incision is relatively hidden and generally speaking, it is not easy to see the incision after the surgery. In addition, because we do not make an incision in the coronal sulcus, the overall penis looks more natural after the surgery. Other than a professional doctor, no one can tell that you have been circumcised. Second, quick recovery. Because we use this technique of water cushion excision, the patient can resume normal school life within two hours after the surgery. In other words, if you come for surgery in the morning and go back to work and school in the afternoon, there is no impact. Thirdly, there is no edema. This is due to the fact that in addition to removing the skin, we also remove the subcutaneous tissues, resulting in blocked lymphatic flow. Our root circumcision only removes the overgrown skin, while leaving the subcutaneous tissue and lymphatic vessels intact, so edema rarely occurs after this procedure. Fourth, the risk of surgical infection is low because our incision is located at the root of the penis, and compared to traditional surgery, it is not eroded or affected by urine, so post-operative infection and urine contamination of the wound is very rare. How long does it take to remove the stitches and how soon can I have sex after the cuffed “invisible” circumcision at the root of the penis? There are also friends who are concerned about how long it takes to remove the stitches after circumcision of the root of the penis. How long will it take to resume normal school life? How long can I have sex? First of all, this surgery is a minimally invasive surgery and a cosmetic surgery, and the post-operative recovery is very fast. Generally speaking, we use absorbable sutures during the surgery. The advantage of absorbable sutures is that the patient does not need to remove the sutures after the surgery. However, for some people with scarring, we recommend to choose removable sutures, and generally speaking, it is better to remove the sutures around 7 days after surgery. Sexual life is generally recommended one month after the surgery, so that the wound is fully grown and no problems will occur. As to how long it takes to resume normal school life, this is a minimally invasive surgery that can be done under local anesthesia. The surgery is usually done in the morning and you can go about your normal work in the afternoon without any special care.