Tuesday, December 14, 2010

CIRCUMCISION - by LASER


My 1st Son had a circumcision by Laser method in December 2010 during school holiday. The school holiday was chosen because of its long holiday and sufficient time for the recuperation process.
“Some traditional circumcisions involve only a small cut to the foreskin or partial removal. They all removed sufficient foreskin that the glans remained fully exposed even on a non-erect penis” – taken from the internet.

Please click here for update on my 2nd son circumcision experience.

(Bersunat menggunakan kaedah LASER. Book dengan klinik seminggu sebelum tarikh sunat tu.
Kenapa aku memilih teknik laser sedangkan ada teknik yg lain dalam pasaran? Jawapannya, setelah aku meneliti baik buruk kaedah2 lain, ini adalah hasil edisi siasat aku :)

Cara Tok Mudim (Traditional Method)

There are several method practiced by our general practise clinic here. The traditional method performed by providers who may have special training but who are normally not health professionals. They are known as Tok Mudim.

Using basic tools – sharp knife and forceps.
Normally without anaesthesia.

aku la tok mudim...siap kau!!

The traditional method is every child’s nightmare. The process is less hygiene and took longer for the wound to heal. Average is 1 week.
There are possibilities that there will be continuous bleeding from the wound after the cut.

This method had no longer been practice in major city. However, certain village do perform the procedure.


(Gilo! dia kepit kulit anu, zasss! sekali...
susah nak cari pun tok mudim ni, lagipun dengar cerita, pendarahan selepas kena potong tu agak tinggi risikonya...so, tak payah le..)

Cara Pembedahan (Surgery Method)

It’s a more hygienic and proper tools are being used by professional doctors. However, the cost is high as the rate obtained from their website. The cost range from RM400-00 to RM700-00.


(Bukan bedah betul2. Cuma lebih sistematik sikit. Buat kat hospital, semua kelengkapan ada. Tapi mahal le, ada yg mencecah RM400-00 - RM700-00. Gilo!)
aku bedah kau!!!


Package yang di berikan oleh Pusrawi - macam tak logik je


Cara Clamp (Smart Clamp)

There are clinics that still practicing this method as it much easier compared to surgery or laser. It’s fast. However, do you know how is the process like?

The doctor will fit the smart clamp at the penis area whereby a certain amount of skin will get ‘clamp’. (the skin will be later on removed).
The smart clamp will be fastened for days (average 3 days)
During that time, you may need your child to behave in order to avoid any heavy impact which may cause injury
After 3 days (according to a friend) we need to return to the clinic for the smart clamp to be removed.
The process of ‘dismantling’ the smart clamp always ended up with the skin being glued at the smart clamp – for the child, it’s a torture! My friend’s son screamed like crazy during this process!!
The setback of using the smart clamp method are our child may get uncomfortable with that thing hanging, it may cause infection as a certain amount of urine may get stuck in the smart clamp tube – you may need to clean it.
I would not recommend this method as the process was too long and I don’t think you really want your child to suffer.


(Biasanya orang panggil 'smart clamp'. Cara ni memang kebanyakkannya di gunakan oleh klinik2. Senang, cepat. Tapi, tau tak prosesnya macam mana?
Pegi klinik, dia pasangkan benda tu, lepas 3 hari rasanya dia suruh datang balik, bukak smart clamp tu. Tak ke leceh, buat menyeksa budak je.
Keburukkannya kalau ada infection, nak kena jaga betul2 dlm tempoh clamp tu. kena selalu cuci, kena pulak kalau air kencing tu kat dlm saluran plastik smart clamp tu, dah ke dalam sangat mcm mana nak cuci. Ini akan menyebabkan infection.
Satu lagi, Melekat! Kulit yg terdedah ada potensi utk melekat dgn plastik smart clamp ni, pedih oooo...
Satu lagi, bila nak bukak balik, biasanya akan sakit sikit masa ni, so, mana mak bapak yg tak tahan nangis tu, bersabarlah.)
ni le alatnya...

Cara Sunat Ramai-Ramai (tak kira smart clamp ke, doktor datang ke) (Group Circumcision)

Either by Smart Clamp, Surgery or Laser (or traditional), the group circumcision is practised where children are gathered together just to enlightened their weakened spirit. Spraying of water as to take a shower before the cutting process is normal.
However, waiting for your turn took a very long process. If a person took about 10 minutes, it will make the 20th person another 3 hours.


(Ni paling meriah sekarang kalau buat time cuti sekolah. Biasa buat kat kampung2 je, sekarang , kat bandar pun dah ada. Mandikan budak2 tu dgn air lepas tu baru bersunat. Kalau ramai2 ni, takde la budak takut ye......tapi.....
Kalau dah sorang tu cakap sakit (dia nak kena sorang je jadi punca cakap sakit tu), berterabur la semua jadi takut, ada yang lari pun, menangis meraung taknak sunat toksah cakap la. Kelakar tengok kerenah masing2.
Satu lagi, nak menunggu giliran tu, aduh azab gila, buatnya kalau ada 20 ke 30 orang, setiap sorang 20 minit, berejam la kena tunggu. Masa tu, anak dah risau gila dah. Kalau mak bapak dia tak boleh sabar beratur beli nasi lemak, so,janganlah.)
yahoo...mandi dulu!!


Cara Laser (Laser Method)

The excessive foreskin will be cut using a device like this :





A battery operated device has a small electric current produced at the end with a push of a button.

The electric current produce by the device will be used as an incision and at the same time burn the wound without bleeding (minimal bleeding in some cases) but not to worry, it’s clean and fast. You may encounter a mild smell of burning skin during this process which is normal.

The setback of using this method is the aftermath, once the anaesthetic had worn out, the child would begin to feel the pain which would become so intense within the minutes. As such, taking the painkiller given by the clinic would ease the pain. 

 The pain will eventually subside within few hours after the circumcision until there is no need for the painkiller medication anymore. Please allow the wound to heal by itself for a day (24 hours or more) for best result.

The above story was based on experience and as a guidance to all the parents out there (different child may focus different experience or effect).

(Kulit lebihan akan di potong menggunakan satu alat. Mcm torch light kecik tu. Alat ni rechargeable. Takde rupa laser pun, cuma dia hasilkan arus letrik kot kat hujung dia (laser la tu) utk memotong kulit lebihan tu tanpa ada pendarahan. Maksudnya, bila laser tu potong, dia keringkan sekali darah tu. Maksudnya lagi, luka tak banyak, dan cepat sembuh la.

Keburukan guna alat ni, kalau tanya aku ada satu je. Bila ubat bius tu abis, anak akan rasa sakit, sampai menangis la anak aku tak boleh tidur. Tapi kejap je, rasanya dalam sejam dua je. Doktor bagi ubat tahan sakit sekali. So, Nasihat aku, lepas je sunat laser ni, jangan nak singgah giant ke, guardian ke, pusat pakaian hari-hari ke. Terus je balik rumah, bagi ubat tahan sakit tu, 4 gelen terus. Insyaallah, tak sakit la budak tu.
Satu lagi nasihat, buat pagi2, suruh doktor tu bangun cepat2. Bila dah selesai tu,takde la budak tu suffer sangat bila tidur malam. Anak aku takde apa2 pun tidur malam tu. Ok je.
Satu lagi, bila dia buang air kecil, tolong basuhkan, cuci sikit, lap2 sikit, takut ada infection. Jauhkan dari makan telur, doktor tu kata.  )

I am Dr Sahril - I will 'Sunat' you!!!
Alhamdulillah, anak aku sunat pagi, petang tu dah ok dah. Esoknya, dah berani lari2 sikit.


Ni le klinik tu, terletak di Balakong, Tmn Impian Ehsan
Tel : 03-89626775.



Apa motif aku tangkap gambar ni pun aku tak tau


Bahasa yang agak straight forward di gunakan, bagi mereka yang tak paham-paham...


Muka kesian sebelum masuk bilik


Ni la rate harga dia...

dah masuk bilik bedah dah...jeng, jeng...

Selepas, ubat bius belum hilang lagi...

99 comments:

  1. kenapa x letak gambar selepas ubat bius habis..nak gak tgk reaksi muka dia..

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  2. Apa2pun tq 4 d info..mmng brguna coz my son sibuk sgt nak bersunat guna kaedah ni..

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  3. memang bagus jugak cara ni, cuma anak tu jgn banyak bergerak le. Kalau tergedik2 tu yg doktor silap tu laser tu..
    Darah pun tak banyak so, takde la pengsan bagi mereka yg takut tengok darah tu...he, he..

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  4. murahnyeee..saya sunat laser kat anak no 2 saya (masa tu dia 7 bulan) kena rm1k! satu ribu wooo..kat kpj kajang..nanges! ..anak ke 3, masa dia umur 4 hari di hospital annur, bangi..rm300..tp sunat biasa je..tp yg baby tu senang la..sbb dia baring je..minum, tido..minum, tido..so takde nanges..thanks for sharing :)

    ReplyDelete
    Replies
    1. terima kasih kembali. Yelah, tempat lain kalau kita tak tahu, mahal harganya...

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  5. murahnyeee..saya sunat laser kat anak no 2 saya (masa tu dia 7 bulan) kena rm1k! satu ribu wooo..kat kpj kajang..nanges! ..anak ke 3, masa dia umur 4 hari di hospital annur, bangi..rm300..tp sunat biasa je..tp yg baby tu senang la..sbb dia baring je..minum, tido..minum, tido..so takde nanges..thanks for sharing :)

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    Replies
    1. my son is special needs kid..so i need bius GA utk dia..kat kpj kajang confirm ke..i need buat utk dia sebab next year he will be 13..

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  6. ha, ha..no sweat! Memang murah selepas survey harga2 di pasaran tempatan dan juga luar negara. Lagipun, dekat je dengan rumah...
    terima kasih kerana membaca...

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  7. kat klinik ni buat bius GA masa sunat guna laser tsk sbb ank sy special needs child 12yrs..pls let me know ..dah bertahun cari..dh tny almost hospital private di kwsn K.L..tqvm

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  8. nak kena call clinic tu untuk keterangan lanjut. No. telefon dia ada tertera kat situ.
    harap di permudahkan proses sunat anak encik/cik.

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  9. Hi Ijam,
    Thanks for the post! May I know which part of Balakong this klinik located? Cos not really familiar with the place.

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  10. Mines shopping fair, towards jusco balakong (Cheras selatan)- make a u turn to Tmn Impian Ehsan.

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  11. thanks for sharing i will go to !

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  12. Hello,

    I'm planning to do so but just worries, what could the side effects be? Please advice, doctor

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    1. The laser? just to bear with your child's moaning after the anaesthetic had worn out. Few hours only.
      Complications: None. He will be back in action in no time.
      By the way, i'm not a doctor :p

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  13. after laser die jahit tak?curious nak tanya coz ada yg kate kene jahit ada yg kate tak n sapu krim je.seriau anak lelaki nak sunat ,umor baru 5 thn.rase mcm nak delay n tunggu die besar sket..

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    Replies
    1. Jahit sebab nak lekat, kalau tak nanti kulit akan longgar

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  14. Sorry to ask but I'm an adult and I would to get it done ask I know the importance of it. However, I'm from seremban. And I really don't know if there are similar clinics over here in

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    1. Dear anonymous, most of malay clinic in klang valley has this kind of service, and I'm sure there is one in Seremban too. However, you may need to ask the method they are using. Try to choose the laser method.

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  15. Hi doc...for my age of mid fifties do u think the laser will help me...
    im very scare of pain....pls advise..

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    1. Dear Gig, circumcison is not limited to islam/muslim only as the benefit had developed in a variation of races in Malaysia (and other countries too). The methods shown above (please skip the first one as it is too painful)are the common way of doing it and all using anaesthesia-which to assist to relief pain during the cutting/incision process temporarily. The pain will emerge few hours later - which the pain killer is the remedy.
      Hope this help. By the way, I'm not a doctor.

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  16. any sunat laser service around ampang area or kl? prefer private hospital. how much the cost for laser? how long does it get fully recover? any food are not allow to take within the recovery time?

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    1. Dear Anonymous,
      Only selected clinic may perform the circumcision. You may need to ask around. I'm that informative enough to that extent. If you prefer private hospital, the cost would be exorbitant (as per my report). The full recovery period may varies depends on the wound, however, the fastest is 2 days. You can eat anything, there is no barrier (according to the doctor), provided that you have no other existing illness i.e diabetes, etc (you may need to consult the doctor on that). Thanks

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  17. Alhamdulillah, thanks for sharing. Saya pun dah call Klinik dan buat appointment utk anak saya cuti sekolah nanti. Jazakallah khairan.

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  18. so in your clinic, are you going to use this small laser kit looks like torch light?

    what's your business hours like?

    Saturday do you open for business ?

    at the same time do you perform the circumcision surgery?

    Do I need to make an appointment in advance?

    In advance of how many days? Is there any hidden charges for this surgery?

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    Replies
    1. Dear Anonymous, first of all I'm not a doctor. You may call the clinic's number stated above for further information. Hope this help. THanks.

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  19. TQ for sharing... I also have made appointment for my son the day after 2moro... alhamdullillah

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    Replies
    1. zee : yay! It's my pleasure to help

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  20. the doctor is male or female?

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  21. Went there with my son just before Ramadhan. The doctor is experienced, competent and good (to my standard). My son healed less than 5 days. AlhamduLILLAH.

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    1. thanks for sharing,harga tu tahun 2010 kan,saya baru call kat klinik kat puchong,kaedah ni,dah $150

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    2. dah naik dah? aduhai....tapi takpe la, sekali je kot

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  22. As salam...

    I nak khatan kan anak cuti skolah ni & searching for a clinic that do laser tapi area Rawang (my place) mcm xde je...nak pegi area balakong mcm jauh...anyone tau kat mne yg terdekat dgn i? Ada lagi satu Poliklinik Mymedik tapi kat Puchong jugak..my nephew buat kat KPJ rm700++ mak aih bercintaaa....
    But anyway, thanx for the info bro...very very very useful...~

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    Replies
    1. cik adila hani, dekat rawang I pun tak berapa pasti klinik mana, mungkin cik boleh search kat google then call diorang satu-satu tanya. Terima kasih kembali

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    2. cik cuba ke puncak alam KLINIK IKWAN RM100 aje booking dulu

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  23. From pekan balakong i do i get there please

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    Replies
    1. go to taman impian ehsan look for giant, the clinic is near to giant. Hope that helps

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  24. boleh tanya ? kalau nak buat laser mau booking appointment ?

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    Replies
    1. you boleh book appointment dengan klinik, nombor telefon dia ada di dalam gambar di atas. Terima kasih

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  25. Thanks a lot! Your humorous sharing make me feel better while worrying searching for circumcision information. I will try to tahan the 2 hours pain by that laser technic! I really appreciate your sharing. Straight forward and easy to understand!

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    Replies
    1. Well good luck to you. Glad I can help

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  26. Visited the clinic. My first impression was the doctor was not professional and arrogant. I asked how many days I need to rest and the doctor told me I could go straight back to work. The maximum rest days is 3 days. Now the fee is RM300 for adult. The doctor is an old pakcik.

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    Replies
    1. Sorry to hear that, human attitude is constantly changing depending on various factor. Hoping for your speedy recovery my friend.

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  27. Hello can I know if your son has been recovering well?How long does it take? No big problems such as blood leaking or stitch loosening during recovery? I am 20 years old thinking of doing adult circumcision. I wonder if there will be any risk to do it as I think adult circumcision will have more risk? In my opinion(no offense) I just think that the price is very cheap for it... I just wonder if it will worth it or bring the negative effect(in the case it is not done properly)...

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    1. My first child only took 3 days to fully recover. The 2nd child however, took about a week due to minor complication of the bandage and bleeding.
      To my opinion, for adult, it is more easy for the whole process with very less complication as it only involve an outer skin. You just need to adapt to the new experience once the process is completed. I'm sure all will be fine.

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  28. Thanks for sharing Ijam!

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    1. You are welcome. Glad to serve the community

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  29. Thanks for sharing, i went to this clinic yesterday.
    Doctor is experienced, fast and nice. Recommended !

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    Replies
    1. Yay!! another satisfied reader. You are welcome

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  30. Will the scars look very obvious or looks like wart after circumcision?

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    Replies
    1. I could say its a transformation and it entirely depends on the person who observing it. However, you may google image how may it will look like after the surgery. Thanks

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  31. This comment has been removed by the author.

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    1. You're welcome.
      I would say most probably yes.

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  32. This clinic is very good.

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  33. can I get full address for this clinic? isn't near at ktm serdang station? A millions thanks

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    Replies
    1. Dear Mr/Ms Anonymous, I think based on google map, the address will be Jalan PDR 5, Taman Impian Ehsan 43000 Balakong, Selangor. 7 km away from KTM Serdang. Thanks

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  34. How much will it cost for adult circumcision (age aroud 17-19) in KPJ? Semua KPJ charge harga sama atau berlainan?

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    1. I'm not informative enough to provide you with accurate cost as it depending on current market rate, nevertheless, you may google it accordingly. Hope this help

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  35. Thanks ijam for recommeding this clinic. im adult and had done my circ by doc sahril. All i could say is the doctor is very experience , humour and nice, the op was very successful and i felt no pain at all after the anaethestic wore off, i took off the bandage during day2 cos it got wet during shower , what amazed me is i hardly see any bleed and swollen on
    my thang as i expected, just a little swelling down the frenulum.
    In summary, i paid rm300 for adult(laser method)in total including some medication with satisfied outcome. Why pay thousands to private hospital for the same op.
    Dr. Sahril is doing hundreds of circ per year as he told me, i strongly recommend for those who want to circ and still has no clue where to get it done..For adult, dont be shy to discuss with doc about your problem and how and what style u want to be cut to get your preferable outcome Many thanks to Ijam again and wish i recovering well soon

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  36. Yay!! glad you made it. I personally had a chat with the doctor years ago, one of the most interesting part was that a teacher printed out this blog entry and showed it to the students as a reference. ha, ha.... a little bit of proud moment there.
    Hope you are recovering well.

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  37. Hi, May I know Klinik Sahril operate time? Weekend ada buka? Normally, how long will full recovery? Thanks a lot.

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    Replies
    1. I think the clinic opens daily from 10am to 8pm. closed on sunday.You may need to contact them to reconfirm. Thanks

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  38. May i know , how can i book the operation? What is the full address ?

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  39. Ok i got it from the top already, anyway, i will go to that place and see how's everything else, i do this for the sake of my own good and it's already done by a lot of people especially in the us or uk.

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  40. I got it already from the top, thanks. I hope i can meet the doctor personally and take few days rest .

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    Replies
    1. Mr Tan, glad you have the info. Hope everything goes well. Thank you.

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  41. Thanks for the recommendation IJAM.. i jz get it done today by Dr Sahril.. it was painful for the few hours after it done.. but now its ok already...

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    1. Congratulations ! Hoping for speedy recovery and whole lot new experience.

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  42. This comment has been removed by the author.

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  43. Hi, I've circumcised 7 months ago, but I dislike the outcome because I requested for tight circumcision, but the outcome is still very loose... Can I request for second time circumcision?

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    Replies
    1. Me too... have you done second time? Do recommend me if you have done

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  44. I am so sorry of your predicament, but I am not the best person to answer this. I would suggest you liaise with any general practice clinic. Hope that help.

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  45. Replies
    1. I might say the cost is RM150-00 to RM200-00 for child. You may need to confirm with the respective clinic for assurance. Hope that helps

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  46. Thanks for the recommendation IJAM. I had mine circumcised by Dr. Sahril last year end of December as I will be converting to Islam as a Chinese. Dr. Sahril was extremely helpful and humorous before, during, and after the surgery. Initially, I messed up the appointment date as I was 1 day earlier but Dr. Sahril agreed to circumcised me (Thumbs up). It has been almost 2 and a half month now and I am very happy with the result.

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  47. Thank to the post so that i have gone through the circumcision. The method is really recommended as the recovery is speedy compared to other method. I think the method involves less complexity so that less injury to the tissue is much reduced during the surgery. tisfied with the outcome. Now to day7 after the surgery , stitches almost are all gone and most importantly it looks great. Totally feel grateful to have the surgery when i compare my day7 recovery with another traditional method searched online. Nevertheless, the expense is reasonably at rm350 Circumcision has its pros and cons. However,if you have made your mind, this clinic is not a bad choice.

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  48. Just wondering. Would I be able to drive immediately after the operation?

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    Replies
    1. I will strongly not recommend for you to drive as it will not be comfortable and you may hurt yourself.

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  49. Thanks for the quick reply Ijam. By any chance do you have an idea how long a grown man needs to fully heal and approximately how long before he can return to work?

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    Replies
    1. On a perfect condition I would say 3 days with limited movements - for sedentary working environment. Depending on ones recovery period and the job's nature

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  50. Man I'm so scared of getting the procedure done. Butterflies raising hell in my stomach. Heart thumping uncontrollably.

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    Replies
    1. Sit back and relax. Nothing to worry

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  51. Appreciate this blog. I will be going to this clinic tomorrow. Hope everything goes well. But I am really nervous to be honest. Will share my experience. Thanks to IJAM.

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    Replies
    1. Glad most readers benefit from the experience. Yes, everything gonna be fine.

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  52. I agreed.
    My son recovered in two days only.
    Amazing

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  53. how much to the laser?im 19yearold

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    Replies
    1. Dear max cheong, the cost for an adult is estimated at rm200 above. You may need to call the clinic to confirm the price. Thanks

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    2. Dear max cheong, the cost for an adult is estimated at rm200 above. You may need to call the clinic to confirm the price. Thanks

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  54. Thanks a lot man .. Thanks for taking time to write this, I'm 24 from New Delhi, in Malaysia for employment and was looking for this.
    I wanted to have the surgery near my house in petaling jaya but I read the comments and seems most of the people are satisfied with doctor. I will book the appointment with him very soon.
    Thanks for the help. God bless you.

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    Replies
    1. Dear Anonymous, thank you, I'm glad that many benefitted from the brief explanation.

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