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  • ZSR in Hyderabad

    Everything You Need to Know About ZSR in Hyderabad

    ZSR or Zephyr Surgical Repair is a new, advanced technique for circumcision that uses a specialized surgical stapler to remove the excess foreskin. This technique is designed to be faster, less painful, and associated with fewer complications than traditional circumcision methods.

    The purpose of this blog is to provide information about ZSR circumcision. We will be discussing the procedure, treatment, risks, benefits, and recovery associated with this new technique and provide insights on the availability and best surgeons providing ZSR in Hyderabad. This blog is intended to help men make an informed decision about whether ZSR circumcision is right for them and to provide guidance for those who choose to proceed with the procedure.

    Description of the ZSR treatment in Hyderabad

    The ZSR procedure is performed by a trained surgeon, usually under local anesthesia. The surgeon uses a specialized surgical stapler to remove the excess foreskin while preserving the blood supply to the remaining tissue. ZSR treatment in Hyderabad is typically done as an outpatient procedure and takes around 30-45 minutes to complete. Below is the step-by-step procedure.


    • The patient is placed in a lithotomy position (lying on their back with legs raised and supported in stirrups) and the penis is cleaned and prepared for the procedure.
    • Local anesthesia is administered to the area around the penis to numb it, so the patient will not feel pain during the procedure.
    • The surgeon then uses a specialized surgical stapler to remove the excess foreskin. The stapler is designed to preserve the blood supply to the remaining tissue, which helps to minimize bleeding and promote healing.
    • Once the foreskin is removed, the surgeon checks for bleeding and applies any necessary dressings or bandages to the area.
    • The patient is then moved to a recovery area for observation and provided with post-operative care instructions and pain management options.

    The patient is discharged home the same day with follow-up appointments scheduled for the next days to check on the healing process and any complications

    ZSR circumcision is typically performed under local anesthesia, which numbs the area around the penis. This allows the patient to be awake during the procedure, but without feeling pain. General anesthesia is also an option for those who prefer to sleep through the procedure. The ZSR circumcision procedure typically takes around 30-45 minutes.

    ZSR Surgery in Hyderabad

    When is ZSR Surgery in Hyderabad needed?

    Most people choose to have their kids circumcised for either religious or personal reasons. Although circumcision is not a medical need, the advantages of circumcision for males exceed the associated health concerns. One of the oldest surgeries ever done by mankind was male circumcision (MC). Due to circumcision’s promise to reduce the risk of sexually transmitted illnesses such as human papilloma, genital ulcer disease, and human immunodeficiency virus (HIV) infection, it acquired widespread practice. It’s common knowledge that circumcision helps men maintain better penile cleanliness. The unnecessary foreskin is removed during male circumcision, revealing the glans. In most cases, male circumcision is performed because of:

    • Phimosis is characterized by a foreskin that is difficult to retract (draw back) from around the penis’s tip.
    • Paraphimosis is characterized by a foreskin that may be retracted, but not returned to its usual position. Depending on the severity, this might need immediate medical intervention.
    • An estimated 3-12% of men of reproductive age suffer from balanitis, or inflammation of the glans penis.
    • Fungal infections in the penile region may occur repeatedly, especially in the folds of skin just under the penile foreskin.
    • Urinary tract infection (UTI) — recurrent infection of the urinary tract caused by either an aberrant urinary tract or poor hygiene.
    • Circumcision may be recommended after trauma to the foreskin to avoid scarring and adhesion development, as in the case of Zipper injuries and foreskin tearing.In addition to preventing sexually transmitted diseases and penile cancer, ZSR Surgery in Hyderabad is also recommended for other reasons.

    History of ZSR circumcision

    Urologists often perform conventional circumcision as the first line of treatment for the aforementioned penile problems. As to the World Health Organization’s (WHO) guidelines, there are three distinct methods for performing a traditional circumcision. The dorsal slit, the forceps-guided technique, and the sleeve resection are the three most common. Men still often have unfavorable aesthetic outcomes after traditional circumcision, including bleeding, edema, a protracted healing period, and a lack of sensation in the circumcised area.

    A new operating procedure was required to address the pressing issue of HIV infection in Africa. This method needed to be safe, effective, rapid, and lastly simple to learn and implement, even for individuals with less surgical expertise.

    A more recent technique, the Chinese Shang Ring MC, has appeared. Clips of metal and rings of silicone make up this apparatus. There is no need for surgical sutures. Quick, safe, and successful adult MC might be conducted by persons with less surgical competence with the use of this uniquely developed equipment — the Chinese Shang Ring — but not without its own set of challenges. As an alternate device approach, stapler circumcision was pioneered by the Chinese firm ZSR Biomedicals and is currently used all over the world. As an alternative to conventional sutures, the ZSR Circumcision method employs a surgical stapler to cut and seal the cut skin margins. The standard method of circumcision involves the physician making a slit in the skin and then closing it with stitches. The ZSR gadget performs the incision as well as the stapling portion of the circumcision procedure.

    The stapler for circumcision is disposable. To execute a circumcision, a sterile, hand-held, manually operated surgical tool that is packed with non-bioabsorbable skin staples are required. The foreskin is slashed and a circular row (or rows) of staples are applied close to the incision. The stapler part is normally made up of a dome that is put beneath the foreskin over the glans penis and a circular cutting stapler mechanism that is connected to the exterior of the foreskin through a manual lever.

    Comparison to Traditional Circumcision Techniques:

    ZSR Surgery in Hyderabad is a newer, minimally invasive technique that is faster, less painful, and has fewer complications compared to traditional circumcision methods such as the Gomco clamp or the Mogen clamp. It is associated with less blood loss and a shorter recovery time. Below are some of its benefits over Traditional Circumcision Techniques.

    • Faster and less painful compared to traditional methods.
    • Associated with less blood loss and a shorter recovery time.
    • Associated with fewer complications such as pain, bleeding, infection, and scarring.
    • Considered to have a more precise and accurate removal of the foreskin.
    • Associated with improved aesthetic results and less damage to the remaining penile tissue.
    • Less invasive and does not require sutures and therefore eliminates the need for suture removal, which is a significant benefit for patients.

    Post-operative care instructions:

    After the ZSR treatment in Hyderabad, the patient will be provided with post-operative care instructions. These may include information on how to care for the surgical site, how to manage pain, and how to avoid complications. Patients are typically instructed to keep the area clean and dry, and to avoid strenuous activities for a certain period. They may also be given antibiotics to prevent infection. some of the instructions are listed below

    • Keep the area clean and dry for at least 24 hours after the procedure.
    • Apply petroleum jelly or antibiotic ointment to the area as directed by your surgeon.
    • Keep the area covered with a clean, dry bandage for the first 24 hours.
    • Take any prescribed pain medication as directed.
    • Avoid sexual activity or any strenuous physical activity for at least a week.
    • Avoid any heavy lifting or straining for the first week.
    • Notify your surgeon if you have any signs of infection such as redness, swelling, or fever.
    • Follow up with your surgeon as directed for wound check and suture removal.
    • Keep an eye out for any abnormal bleeding, excessive swelling or other signs of complications.
    • Wear loose-fitting clothing and avoid any pressure on the area for the first few days.

    Pain management options:

    Pain management options will be provided to the patient to help manage pain and discomfort. These may include :

    • Over-the-counter pain medication: Ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) can help to reduce pain and inflammation.
    • Prescription pain medication: Your surgeon may prescribe a stronger pain medication to help manage pain during the recovery period.
    • Ice packs: Applying ice packs to the area can help to reduce swelling and pain.
    • Topical creams or ointments: Some topical creams or ointments, such as lidocaine, may be applied to the area to help numb the skin and reduce pain.
    • Rest and elevation: Resting and elevating the affected area can help to reduce swelling and pain.
    • Stool softeners: Your surgeon may prescribe stool softeners to prevent constipation, which can exacerbate pain after surgery.

    Follow-up appointments:

    It’s important to follow up with your surgeon after a ZSR (zipper stitch removal) procedure. The specific follow-up schedule may vary depending on the individual case, but some common follow-up appointments include:

    • Suture removal: Your surgeon will typically remove the stitches within 7 to 14 days after the procedure.
    • Wound check: Your surgeon will check the wound for healing and any signs of infection or complications.
    • Follow-up visit: You may need to return to the surgeon’s office for a follow-up visit to check your healing progress and make sure that there are no complications.
    • Post-operative instructions review: Your surgeon will review the post-operative instructions with you and provide you with any additional information you need.

    It’s important to keep all the follow-up appointments and be prepared to inform your surgeon about any symptoms or issues you have experienced since the surgery. If you have any concerns, contact your surgeon immediately.

    Healing process and timeline

    The healing process and timeline after a ZSR (zipper stitch removal) procedure can vary depending on the individual case and the patient’s overall health. However, some general information about the healing process is as follows:

    Initial healing: During the first 24 to 48 hours after the procedure, the area may be swollen and tender. It’s important to keep the area clean and dry, and to apply any prescribed ointments or creams as directed.

    • Suture removal: The stitches are usually removed 7 to 14 days after the procedure.
    • Reduced swelling: The swelling should start to reduce within the first few days after the procedure.
    • Reduced pain: The pain should start to reduce within the first few days after the procedure. Your surgeon may prescribe pain medication to help manage pain during this time.
    • Wound healing: The wound should start to heal within the first week after the procedure. It’s important to keep the area clean and dry, and to avoid any activities that may cause the wound to open or become infected.
    • Return to normal activities: Most people can return to normal activities within a week after the procedure, but it’s important to avoid any heavy lifting or strenuous physical activity for at least a week.

    Potential Complications:

    • Hemorrhage
    • Infection
    • Poor healing of the wound
    • Adverse reaction to anesthesia
    • Injury to the urethra or other structures
    • Pain, discomfort, or dissatisfaction with the cosmetic results
    • Scarring
    • Irritation
    • Loss of sensation
    • Erectile dysfunction

    Factors that may increase risk:

    • Health conditions such as diabetes, heart disease, or a bleeding disorder
    • Obesity
    • Smoking
    • Advanced age
    • Taking blood thinners

    How to minimize risks:

    • Choosing a qualified and experienced surgeon
    • Following post-operative care instructions carefully
    • Keeping the surgical site clean and dry
    • Avoiding strenuous activities during the healing process
    • Reporting any concerns or complications to the surgeon promptly
    • Following up with the surgeon for scheduled appointments
    • Maintaining a healthy lifestyle and avoiding smoking
    • Discussing any underlying health conditions with the surgeon before the procedure.


    • Less invasive, faster and less painful compared to traditional methods
    • Associated with less blood loss and a shorter recovery time
    • Associated with fewer complications such as pain, bleeding, infection, and scarring
    • More precise and accurate removal of the foreskin
    • Improved aesthetic results and less damage to the remaining penile tissue
    • Does not require sutures and therefore eliminates the need for suture removal

    Potential health benefits:

    • Reduced risk of urinary tract infections
    • Reduced risk of penile cancer
    • Reduced risk of sexually transmitted infections
    • Improved hygiene
    • Reduced risk of phimosis and paraphimosis

    Expectations for Recovery Time:

    The recovery time can vary depending on the individual, but most patients can return to normal activities within a few days. There may be some swelling and discomfort for the first few days, but this should subside relatively quickly. The surgical site should be fully healed within 7-10 days. In some cases, it may take up to 4-6 weeks for the final healing to take place, and the results of the procedure are usually visible after that time.

    When to resume normal activities:

    The patient can typically return to normal activities within a few days but should avoid strenuous activities for a certain period as advised by the surgeon. The patient should also avoid sexual intercourse for at least 4-6 weeks after the procedure.

    Long-term outcomes:

    The long-term outcomes of ZSR Surgery in Hyderabad are generally positive. The procedure results in improved appearance and function of the penis, reduced risk of certain medical conditions, and improved self-esteem and confidence. However, it’s important to consult with a qualified and experienced surgeon to understand the long-term outcomes and potential risks of the procedure based on individual cases.

    Akruti Institute of Plastic and Cosmetic Surgery is a reputable medical facility in Hyderabad, India that offers ZSR (Zephyr Surgical Repair) circumcision. There are several reasons why you should consider visiting Akruti for your ZSR procedure:


    • Experienced Surgeons: The surgeons at Akruti are highly trained and experienced in performing ZSR circumcisions, ensuring that you receive the highest quality of care.
    • state-of-the-art Facility: Akruti is equipped with the latest technology and facilities, which ensures that the procedure is performed safely and efficiently.
    • Comprehensive Care: Akruti provides comprehensive care for patients, including pre-operative and post-operative care, as well as follow-up appointments to ensure proper healing.
    • Personalized Approach: The surgeons at Akruti take a personalized approach for each patient to provide the best possible results

    Final words

    ZSR is the best and only way to fix problems with the foreskin, such as tightness, swelling, and infections that keep coming back. It is a completely safe, painless, and bloodless process that doesn’t need to be done in a hospital. It has been found that ZSR in Hyderabad is related to fewer problems than traditional or Shang Ring circumcision, particularly about severe oedema and wound dehiscence. These benefits of stapler circumcision may be attributable to the fact that the procedure requires less time in the operating room, and does less damage to the tissue. When compared to other ways of circumcision, it results in a shorter amount of time spent in surgery, less amount of blood loss, and fewer issues after the procedure. If you are looking for this procedure then you must consult the well-experienced surgeons of some reputed hospitals like Akruti Institute of Plastic and Cosmetic Surgery

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