Original sentence: If anyone else is present, other than the biological parents and the Beth din, it is considered "in front of the community" and invalid,.Unlike the traditional Jewish method, when circumcision is performed by a urologist or other surgeon the foreskin is removed by constriction, either with the use of clamps or a synthetic ring
Edited sentence: It is important to notice, however, that circumcisions performed on adults even with a clamp almost always cause blood spilling and therefore meet this Halakhic requirement.Unlike the traditional Jewish method, some urologists or surgeons remove the foreskin through constriction, either with the use of clamps or a synthetic ring