Please click here to view the full Circumcision Commissioning Statement.
NHS Vale of York CCG does NOT routinely commission male circumcision for cultural or religious reasons; the procedure will only be considered where medically necessary.
NHS Vale of York CCG routinely commission circumcision IF there is evidence of one of the following clinical indications:
- Lichen sclerosus (chronic inflammation leading to a rigid fibrous foreskin) in males aged 9 years and over
- Potentially malignant lesions of the prepuce or those causing diagnostic uncertainty
- Congenital abnormalities with functional impairment
- Distal scarring of the preputial orifice (a short course of topical corticosteroids might help with mild scarring
- Painful erections secondary to a tight foreskin
- Recurrent bouts of infection (balanitis/balanoposthitis
- Redundant prepuce, phimosis (inability to retract the foreskin due to a narrow prepucial ring) sufficient to cause ballooning of the foreskin on micturition; and paraphimosis (inability to pull forward a retracted foreskin)
- Traumatic injury eg zipper damage
- Congenital urological abnormalities when skin is required for grafting
Otherwise, funding will ONLY be considered where criteria are met. In children ensure physiological phimosis has been excluded and consider a trial of topical steroids for up to 3 months.
The clinician needs to submit an application to the CCG’s Individual Funding Request Panel (IFR), using the referral form to provide evidence of any of the following clinical indications :
- Interference with normal sexual activity in adult males
- Dermatological disorders unresponsive to treatment
Patient information leaflet Circumcision
To submit an application to the CCG's Individual Funding Request Panel, please click here for further information.
|Policy date: November 2016||Next Review date: November 2018|
|©NHS Vale of York Clinical Commissioning Group|