Medical Circumcision
Professional Treatment for Phimosis, Lichen Sclerosus, Balanitis Xerotica Obliterans & Recurrent Balanitis
Medical Circumcision for Adults and Children (6+)Clinical Care for Foreskin Conditions with Dr Rahul Tipnis (GP)
Dr Rahul Tipnis (FRACGP) is a General Practitioner with surgical training in Mumbai, India and over 25 years of clinical experience in Australia. He provides professional assessment and surgical management for foreskin-related health conditions for patients from 6 years of age to the elderly.
Clinical Indications for Treatment
Our clinic offers comprehensive assessment and management for:
• Phimosis – tight foreskin causing hygiene issues or discomfort
• Lichen Sclerosus, Balanitis Xerotica Obliterans (BXO) – definitive treatment for chronic skin thickening, whitening and scarring
• Recurrent Balanitis / Balanoposthitis – when topical treatments are ineffective
• Paraphimosis – prompt evaluation of acute emergencies
Non-Surgical Alternatives: Surgical intervention is generally considered once conservative management, such as prescribed topical treatments or stretching exercises, has proven ineffective for long-term symptom relief.
Important AHPRA & Cosmetic Disclaimer: Dr Rahul Tipnis is a General Practitioner, not a plastic surgeon. We do not perform cosmetic circumcisions. Procedures are not offered for aesthetic preference. No specific cosmetic outcome or “look” is promised. The focus is on the resolution of clinical symptoms.
The Patient Journey & Recovery Timeline
1. Mandatory Consultation: Conducted in-clinic or via Telehealth for regional convenience.
2. Age-Appropriate Procedure: We utilise the Plastibell method (ages 6–14) or the ZSR Stapler technique (ages 14+ and adults).
3. Sedation Options: Available at Wyndham Clinic Private Hospital for children or anxious adults when clinically appropriate.
4. Recovery Timeline
Initial Activity: Most patients are able to return to light activity within an average window of 48–72 hours.
Healing Process: While individual healing rates vary, full surgical healing typically occurs over a period of 4–6 weeks.
Clinical Focus: Our procedures are designed to prioritize the resolution of symptoms and a streamlined post-operative experience.
5. Follow-up: Comprehensive post-procedure care is included for up to 3 months.
Our Surgical Techniques by Age Group
Age-Appropriate Methods for Optimal Recovery. We utilise specialised methods designed for a standardised surgical result and a streamlined recovery process for our patients
The Plastibell Method (Children Aged 6–14)
For children above the age of 6, we primarily utilise the Plastibell technique:
No Stitches: A specialised ring is used, which falls off naturally.
Simple Aftercare: Designed for ease of recovery and consistent, clean results.
The ZSR Stapler Technique (Aged 14+ and Adults)
For adolescents and adults, we offer the advanced ZSR Stapler method:
Minimally Invasive: Performed under local anaesthetic to manage discomfort.
Fast Recovery: Designed for excellent cosmetic outcomes and a clean, consistent surgical result.
Hospital-Based Sedation Options
While many procedures are performed in-clinic at Hoppers Crossing, we offer sedation for children (aged 6+) or anxious adults at Wyndham Clinic Private Hospital to ensure a supportive, low-stress environment.
Fees & Payment Options
Medicare Rebate Priority: Because these procedures are performed for documented clinical necessity, they attract Medicare rebates to assist with out-of-pocket costs.
Age Group Total Professional Fee Estimated Medicare Rebate*
6 – 8 Years $750 Up to $550
8 – 11 Years $900 Up to $750
11 – 14 Years $1100 Up to $900
14 – 18 Years $1300 Up to $1100
Adults (18+) $1500 Up to $1300
Inclusions:
· Mandatory clinical consultation (in-clinic or Telehealth for regional patients).
· Age-appropriate technique: Plastibell (ages 6–14) or ZSR Stapler (ages 14+).
· All routine post-operative follow-up is included for up to 3 months.
Price Transparency & Financial Flexibility: We are committed to price transparency. Medicare rebates may apply to your procedure; please ask our staff for a breakdown of total out-of-pocket costs during your consultation.
Accepted Payment Methods:
· EFTPOS and all major Credit Cards.
· Third-party payment plans: Afterpay and Zip Money are available for those who wish to use these services. Please note that the respective providers determine terms, conditions, and eligibility.
Medicare Rebates: Medicare rebates are available for circumcisions performed for documented clinical necessity (e.g., Phimosis, Balanitis, or Lichen Sclerosus) to assist with out-of-pocket costs.
Frequently Asked Questions
1. What clinical conditions may require a medical circumcision?
Medical circumcision may be indicated for clinical conditions such as persistent phimosis (inability to retract the foreskin), lichen sclerosus, Balanitis Xerotica Obliterans (BXO), recurrent balanitis (inflammation), and paraphimosis. Doctors generally recommend surgery when conservative options, such as topical treatments or stretching, have not provided a long-term resolution.
2. Is medical circumcision covered by Medicare?
Medicare rebates are generally available when the procedure is deemed medically necessary for documented conditions like phimosis or BXO. Please note that Medicare does not provide rebates for circumcisions performed solely for cultural, religious, or personal reasons.
3. What is the age range for the procedure at your clinic?
We provide medical circumcision for patients aged 6 years and over. We do not perform the procedure on infants or children under the age of 6.
4. How is pain managed during the procedure?
Patient comfort is our priority. The procedure is typically performed under local anesthesia. For younger patients or those with high anxiety, we can arrange for the procedure to be performed under sedation at Wyndham Clinic Private Hospital, following a clinical assessment.
5. What is the expected recovery timeline?
Recovery varies by individual, but most patients return to light activities within 48 to 72 hours. Complete healing of the surgical site typically takes 4 to 6 weeks. You will receive comprehensive aftercare instructions and access to post-operative support following your procedure.
6. Do I need a GP referral to book an appointment?
No, a formal referral is not required to book an initial consultation at our clinic. We offer both in-person and Telehealth consultations for patients across Australia, including regional areas.
Mandatory Risk Disclosure
Any surgical or invasive procedure carries risks including bleeding, infection, pain, swelling, scarring and variable cosmetic results. Individual healing varies. A formal consultation with Dr Rahul Tipnis is mandatory. We recommend obtaining a second opinion from a qualified health practitioner before proceeding. Full verbal and written information on risks and aftercare is provided during your appointment.
This website provides general information only. All procedures require individual clinical assessment by Dr Rahul Tipnis (GP). Full risks and aftercare details are discussed in consultation.
Dr Rahul Tipnis (GP) | FRACGP | AHPRA Registration: MED0001552566.
Registered Medical Practitioner in Australia.