Genital Surgery

Genital Surgery


Circumcision is the surgical removal of the skin covering the tip of the penis. This genital surgery is done when the foreskin is too tight to be pulled back (retracted) over the glans.

Circumcision might have various health benefits, including:

  • Easier hygiene.
  • Decreased risk of urinary tract infections.
  • Decreased risk of sexually transmitted infections.
  • Prevention of penile problems.
  • Decreased risk of penile cancer.

ZSR Circumcision

ZSR Circumcision is a revolutionary new technology for treating phimosis. It is a surgical stapler device for circumcision developed by ZSR Biomedical Technology company in China. Dr Sriharsha Ajjur has introduced ZSR Circumcision in Bangalore, India.

What is ZSR Circumcision?

ZSR Circumcision device is a latest ​surgical stapler​. It is developed by ZSR Biomedical located in China. This device cuts and staples the ​penile foreskin​.

It is a revolutionary development in the field of ​phimosis treatment​.mIn conventional circumcision, the surgeon has to first cut the skin with a knife and then stitch it.

In ZSR circumcision technology, the stitching and the cutting are done by the device. This makes the procedure rapid and painless. Because of the speed, there is very less bleeding and very less pain to the patient. No surgical stitches are used in ZSR. The device uses metal clips with silicon ring

Procedure (Technical Steps) of ZSR Circumcision

1. Anaesthesia – ZSR Circumcision is done under anaesthesia. This genital surgery is completely painless for the patient. Anaesthesia can be local (given only in penis) or regional (makes the lower half of the body numb) or general anaesthesia (puts patient to sleep). All medicines used are imported and branded.

2.ZSR Surgery Duration – The surgery duration is 30 minutes. The surgery is performed in daycare. The patient can go home same day.

3.ZSR Surgery stitches – No stitches are used

Recovery from ZSR Circumcision (What to expect)

  1. The patient requires 3 weeks to completely recover from ZSR Circumcision.
  2. After the genital surgery, the patient can go home the same day.
  3. Light rest is required for 24 hours.
  4. The bandage (dressing) is changed after 24 hours. This isusually done by me personally. But if the patient wishes to travel back to his place or country he can leave after surgery. The dressing change is simple and can be done at home.
  5. There is a minimal pain after ZSR Circumcision.
  6. There is no restriction on work. But the patients are advised to avoid heavy work, cycling and jogging.
  7. The patients are advised to avoid masturbation and sexualintercourse for 3 weeks after ZSR Circumcision.


An abnormally short or sensitive frenulum of the penis can make some types of sexual activity uncomfortable or even painful. When it is a naturally occurring event, a short frenulum can restrict normal retraction of the foreskin during erection (a condition known as frenulum breve). The goal of treatment is to allow normal retraction of the foreskin.

The procedure of this genital surgery usually involves the removal of the frenulum or the creation of an incision in the frenulum that is then stretched to lengthen it and stitched closed.

Penile Curvature

Some men have a penis that curves to the side, upward or downward when erect. This is common, and a bent penis in most men isn’t a problem. Generally, a bent penis is only a cause for concern if your erections are painful or if the curvature of your penis interferes with sex.

Genital surgery usually isn’t recommended until the curvature of your penis stops increasing. Surgical methods we use are

  • Suturing (plicating) the unaffected side.
  • Incision or excision and grafting.
  • Penile implants

Penile Augmentation

Rising popularity of reconstructive genital surgery induced that penile lengthening and widening gained tremendous interest in male population. Considerable improvement of penile aesthetic appearance and size is now possible, although this surgery remains a challenge .

Tissue engineering in penile surgery is a new approach to fabricate a new functional tissue from autologous cells.Autologous tissue engineering using expanded scrotal dartos cells with biodegradable scaffolds is a new and promising method for penile widening that generates progressive accumulation of stable collagen-rich, highly vascularized tissue matrix that closely resemble deep dartos fascia

Girth augmentation of the penis using flaps “Shaeer’s augmentation phalloplasty”: the superficial circumflex iliac flap.


Vaginoplasty (neovaginoplasty) is a reconstructive surgical procedure for creating a neovagina. Neovaginal reconstruction is indicated in the congenital absence of the vagina (Mayer-Rokitansky-Kuster-Hauser Syndrome), intersex conditions, conditions after pelvic exonerative procedures for tumors or trauma.

Vaginal absence has a devastating impact on a young woman’s life. Thus, in such cases, creation of a functioning neovagina is an imperative. Vaginal reconstruction is inevitable in the case of vaginal agenesis, disorders of sexual development, transsexualism, defects resulting from genital cancer surgeries, and trauma.

In patients with either insufficient vaginal cavity or previously failed surgery, sigmoid colon presents the material of choice for vaginal reconstruction. Use of a sigmoid colon loop seems a most favorable choice, due to anatomical proximity and easy mobilization of the vascular pedicle of this part of the bowel. In recent decades, due to progress in anesthesiology, antibiotics, and reduced risks associated with colorectal anastomosis, the sigmoid pedicled flap has become a first-line option in both children and adults.