One-stop local anaesthetic circumcision clinic: An evaluation of utility, efficiency and safety of the service
Sagara R. K. Maduwe Gedara, Amaya S. Jayamanne, Nicholas Munro, Mathialagan Murugesan, Elizabeth BrightObjective:
To evaluate the safety, clinical outcomes, operational efficiency and patient satisfaction associated with a one-stop local anaesthetic circumcision service delivered in a community-based National Health Service-commissioned surgical centre.
Patients and methods:
Retrospective case note review of all patients attending the adult one-stop circumcision clinic between January 2024 and August 2025, to assess the number of patients proceeding with same-day circumcision, 30-day complication rate, efficiency of the service and patient satisfaction.
Results:
In total, 274 patients attended the clinic, of which 219 (79.9%) proceeded to same-day local anaesthetic circumcision or a preputial/penile procedure. Median wait time from referral to procedure was 113 days, and median on-day hospital stay was 105 min. A 30-day complication rate was low (3.6%) and predominantly minor, with no procedure-related mortality. In total, 90% of patients reported satisfaction with the service. The one-stop model saved an estimated 60 min and 48 km (30 miles) of travel per patient, equating to over 13,000 km of avoided travel across the cohort and an estimated reduction of 1.9–3.3 tonnes of CO 2 emissions.
Conclusion:
The one-stop local anaesthetic circumcision model is safe, efficient, associated with high patient satisfaction and low complication rates. It significantly reduces waiting times, hospital stay duration and patient travel burden, while aligning with National Health Service sustainability goals.