Male Genital Surgery in Nepal
Expert, confidential surgical care for male genital conditions. Dr Gorakh Nath Mishra — General Surgeon & Circumcision Specialist — provides minimally invasive procedures with quick recovery and excellent outcomes.
Conditions We Treat
Don't suffer in silence. These conditions are common, treatable, and our consultations are completely confidential.
Phimosis (Tight Foreskin)
Inability to retract the foreskin causing pain, hygiene issues, and difficulty during intercourse. Treated with steroid cream or surgical correction.
Frenulum Breve (Short Frenulum)
A short frenulum that causes pain or tearing during intercourse. Corrected with a simple frenuloplasty procedure.
Hydrocele (Scrotal Swelling)
Fluid accumulation around the testicle causing painless scrotal swelling. Treated with hydrocelectomy.
Varicocele
Enlarged veins in the scrotum that can cause pain and affect fertility. Treated with varicocelectomy.
Penile Infections & Lesions
Balanitis, posthitis, penile warts, and other infections treated with medical or surgical management.
Minor Genital Procedures
Removal of cysts, skin tags, benign lesions, and other minor surgical procedures under local anesthesia.
Procedures Offered
Circumcision
Surgical removal of the foreskin under local/general anesthesia. Indicated for phimosis, recurrent infections, or personal preference. Day procedure with quick recovery.
Frenuloplasty
Minor surgical lengthening of the frenulum to relieve pain and tearing during intercourse. Performed under local anesthesia with minimal downtime.
Hydrocele Surgery
Hydrocelectomy to drain and remove the fluid sac. Simple procedure with excellent outcomes and low recurrence rate.
Varicocele Treatment
Microsurgical or laparoscopic varicocelectomy to improve blood flow, relieve pain, and enhance fertility.
Minor Penile Procedures
Removal of cysts, warts, skin tags, and benign lesions under local anesthesia as a day procedure.
Medical Management
Non-surgical treatment with topical steroids, antibiotics, antifungals, and other medications for appropriate conditions.
Symptoms That Need Attention
Don't ignore warning signs. Click on any symptom to learn more about causes, treatment, and when to see a doctor.
Tight Foreskin Problem
Difficulty retracting foreskin, causing hygiene issues and pain
Pain During Intercourse
Discomfort or pain during sexual activity
Swelling in Scrotum
Enlargement or lump in the scrotal area
Difficulty Retracting Foreskin
Foreskin cannot be pulled back over the glans
Redness or Discharge
Unusual color, discharge, or irritation
Lumps or Growths
Any new bumps, cysts, or growths
Testicular Pain or Ache
Pain, discomfort, or ache in testicles
Skin Changes on Penis
Color changes, rashes, or lesions
If you experience any of these symptoms, don't delay. Early treatment prevents complications.
Book Confidential Consultation
Dr Gorakh Nath Mishra
MBBS, MS General Surgery | Circumcision & Male Genital Surgery Specialist
Dr Gorakh Nath Mishra is an experienced general surgeon specializing in male genital procedures. He has performed hundreds of circumcisions, frenuloplasties, and hydrocele surgeries with excellent outcomes. All consultations are handled with complete discretion.
View Full Profile →Frequently Asked Questions
What is phimosis and how is it treated?
Phimosis is a condition where the foreskin is too tight to retract over the head of the penis. Mild cases can be treated with steroid cream and stretching exercises over 6–8 weeks. Severe cases require circumcision or preputioplasty (foreskin-preserving surgery). Dr Gorakh Nath Mishra specializes in minimally invasive surgical correction with excellent cosmetic outcomes.
What are the warning signs of phimosis I should watch for?
Warning signs include: inability to retract foreskin, pain during erection or intercourse, recurrent infections under the foreskin (balanitis), white scar tissue on the foreskin tip, urinary difficulty or ballooning during urination, and bleeding or cracking of the foreskin. If you experience these symptoms, seek evaluation promptly to prevent complications.
What is frenuloplasty and who needs it?
Frenuloplasty is a minor surgical procedure to lengthen a short frenulum (frenulum breve) — the band of tissue connecting the foreskin to the underside of the penis. It's needed when the short frenulum causes pain during intercourse, recurrent tearing or bleeding, restricted foreskin movement, or sexual dysfunction. The 15-minute procedure preserves the foreskin and has quick recovery.
Is circumcision painful? What is recovery like?
Circumcision is performed under local or general anesthesia, so you feel no pain during the procedure. Post-operative discomfort is mild and managed with pain medication for 2–3 days. Recovery timeline: wound heals in 7–10 days, sexual activity can resume after 4–6 weeks. Most patients return to normal activities within 1–2 weeks. We provide detailed post-op care instructions.
What are the benefits and risks of adult circumcision?
Benefits include: improved hygiene, elimination of phimosis, reduced UTI risk, reduced STI transmission risk, prevention of penile cancer, and treatment of recurrent balanitis. Risks are minimal but include: bleeding, infection, adverse reaction to anesthesia, and cosmetic dissatisfaction. Dr Mishra uses advanced techniques to minimize risks and ensure optimal outcomes.
What is a hydrocele and does it need surgery?
A hydrocele is a collection of fluid around the testicle causing scrotal swelling. It's usually painless but can cause discomfort, heaviness, or embarrassment. Small hydroceles may be monitored. Surgery (hydrocelectomy) is recommended for: large or growing hydroceles, pain or discomfort, interference with daily activities, or cosmetic concerns. The simple procedure has excellent outcomes and low recurrence.
What is varicocele and can it affect fertility?
Varicocele is enlargement of veins within the scrotum (similar to varicose veins). It affects ~15% of men and is a leading cause of male infertility. Symptoms include: dull ache in scrotum, visible enlarged veins, testicular discomfort, and fertility issues. Treatment options include: observation for mild cases, embolization (non-surgical), and varicocelectomy (microsurgical). Treatment can improve sperm quality and fertility.
What penile infections do you treat?
We treat all penile infections including: balanitis (inflammation of glans), posthitis (foreskin inflammation), balanoposthitis (combined), fungal infections (candida), bacterial infections, sexually transmitted infections, and penile warts (HPV). Treatment depends on cause and may include: topical creams, oral antibiotics, antifungals, or minor procedures. Early treatment prevents complications.
Is the consultation confidential?
Yes, completely. All male genital consultations and procedures are handled with the utmost privacy and discretion. Your medical records, discussions, and treatments are strictly confidential. We understand the sensitive nature of these concerns and maintain professional confidentiality at all times. You can discuss your concerns openly without fear of judgment.
How do I book an appointment?
Call +977 9700682797, WhatsApp us, or click Book Appointment on our website. We offer discreet, private consultations with Dr Gorakh Nath Mishra. Same-day appointments may be available for urgent concerns. Our staff handles all inquiries professionally and confidentially. Evening and weekend slots are available for your convenience.
What should I expect during my first consultation?
Your first consultation includes: confidential discussion of your concerns and medical history, physical examination in a private setting, explanation of diagnosis and treatment options, discussion of procedure details if surgery is needed, cost estimates and scheduling, and opportunity to ask questions. The entire visit is handled with sensitivity and professionalism.
How much does circumcision or other procedures cost?
Costs vary based on the procedure, anesthesia type, and facility. Circumcision typically ranges from NPR 15,000–35,000. Frenuloplasty and minor procedures are less. We provide detailed cost estimates during consultation. Payment plans may be available. Our focus is on providing excellent care at reasonable costs with complete transparency.
What is the difference between circumcision and preputioplasty?
Circumcision removes the entire foreskin permanently. Preputioplasty is a foreskin-preserving alternative that makes a small incision to widen the opening, allowing normal retraction. Preputioplasty is suitable for mild to moderate phimosis, preserves sensation, has faster recovery, and maintains natural appearance. Circumcision is recommended for severe phimosis, recurrent infections, or patient preference.
Can I resume sexual activity after genital surgery?
Recovery time depends on the procedure: circumcision requires 4–6 weeks, frenuloplasty 3–4 weeks, hydrocelectomy 2–3 weeks, varicocelectomy 2–3 weeks. It's important to wait until complete healing to prevent complications. We provide specific post-operative instructions and schedule follow-up visits to monitor healing before clearing you for sexual activity.
Do you treat genital lumps, cysts, or skin tags?
Yes, we treat all benign genital lesions including: pearly penile papules, sebaceous cysts, skin tags, Fordyce spots, and other lumps or bumps. Most can be removed under local anesthesia as a day procedure. We also evaluate any concerning lesions to rule out malignancy. Cosmetic outcomes are excellent with minimal scarring.
What anesthesia is used for these procedures?
Most minor procedures use local anesthesia (numbing injection) — you're awake but pain-free. Circumcision may use local with sedation or general anesthesia (completely asleep) depending on patient preference and extent. Hydrocelectomy and varicocelectomy may use spinal or general anesthesia. We discuss the best option for your specific case during consultation.
Sister Clinic for STD/STI
For STD/STI testing and treatment, visit our sister clinic managed by Dr G.P. Yadav — STD & STI Specialist (NMC: 32649).
Visit STDNepal.com →Book a Confidential Consultation
Discreet, expert male genital care in Kathmandu.