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Newborn Circumcision
What is it? Overview Usage Side Effects and Warnings
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Newborn Circumcision Overview

Written by FoundHealth.

Definition

Circumcision is the removal of the foreskin of the penis. The foreskin is a flap of skin that covers the tip of the penis.

Circumcision
Circumcision
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What to Expect

Prior to Procedure

  • The doctor will carefully examine the baby. This is to ensure that the baby is in good health and that the penis appears normal.
  • Blood and/or urine tests may be done.
  • Your baby may be given a pacifier dipped in sugar water to suck on. This has been associated with decreased pain.
  • An anesthetic cream may be applied to the penis 60-90 minutes before the procedure. This will help to numb the area.
  • Injected anesthetic may also be used.

Anesthesia

Research shows that the best method of anesthesia is a nerve block. This is an injection of anesthetic into an area around the penis where the nerves run to the penis. This causes the penis to become numb.

Description of the Procedure

The baby will be carefully restrained on an infant board or by a chosen individual. The anesthesia will be injected.

The doctor will pull the foreskin away from the body of the penis. Any areas where tissue still adheres to the penis will be swept away. The excess, unwanted foreskin will then be cut away. Rarely, stitches may be used to sew the remaining bit of foreskin into place. Petroleum jelly or antibiotic ointment will be smeared on the penis. A bandage may be applied.

The foreskin can be removed a number of ways. Some use a simple scalpel to remove foreskin. Others may use one of several devices to ensure an even circumcision and clamp blood vessels. These devices include the Gomco clamp, Plastibell device, or Mogen clamp. The Plastibell device is left in place instead of a bandage. It falls off on its own within 5-8 days.

How Long Will It Take?

About 15–30 minutes

Will It Hurt?

With appropriate anesthesia, the baby should feel only minimal pain.

Post-procedure Care

After the procedure, be sure to follow your doctor's instructions , which may include:

  • Change the bandage, and clean the circumcised area at every diaper change.
  • Apply petroleum jelly or an antibiotic ointment to prevent the diaper or bandage from sticking to the penis.

There may be significant swelling of the penis and/or a clear scab over the area of circumcision. The penis should be healing well within 7-10 days of the circumcision. If a Plastibell device was left in place, it should fall off on its own within 10 days.

References

RESOURCES:

Familydoctor.org—The Academy of Family Physicians
http://familydoctor.org/

Kids Health
http://kidshealth.org/

CANADIAN RESOURCES:

AboutKidsHealth
http://www.aboutkidshealth.ca/

Caring for Kids
http://www.caringforkids.cps.ca/

References:

American Academy of Family Physicians website. Available at: http://www.aafp.org/online/en/home.html . Accessed July 16, 2008.

American Academy of Pediatrics (AAP) Task Force on Circumcision. Circumcision policy statement. Pediatrics.1999;103:686-93.

Brady-Fryer B, Wiebe N, Lander JA. Pain relief for neonatal circumcision. The Cochrane Database of Systematic Review. 2004;3.

Lander J, Brady-Ryer B, Metcalfe JB, Nazarali S, Muttitt S. Comparison of ring block, dorsal penile nerve block, and topical anesthesia for neonatal circumcision: a randomized controlled trial. JAMA. 1997 Dec 24-31;278(24):2157-62.

Leef KH. Evidence-based review of oral sucrose administration to decrease the pain response in newborn infants. Neonatal Network. 2006; 25(4):275-284.

Sorrells ML, Snyder JL, Reiss MD, et al. Fine-touch pressure thresholds in the adult penis. BJU Int. 2007 Apr;99(4):864-9.

 
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1 Comment

Posted 8 years ago

The stats cited by the CDC were mainly derived from males in Africa, where standards of cleanliness are lower and other disease vectors abound. There are sound reasons to remain uncircumsiced, as nature intended. Also, a baby can not give informed consent. It is child abuse!

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