This information is to assist parents who are considering routine circumcision procedure undertaken on their healthy male infants.
Circumcision of males has been undertaken for cultural, social and religious reasons for many thousands of years. There are several methods of performing circumcisions but we prefer the Plastibell method after one week of age rather than the Gomco method, which can lead to more bleeding and requires regular dressings etc.
We use the Plastibell method on infants from 1 week up to 3 months of age. If circumcision is needed after this age, then the babies may have to wait until one year of age or so to have it performed by surgeons elsewhere. Plastibell technique surgery is simple surgical procedure where the foreskin over glans of the penis is cut off after the Plastibell is inserted and tied. This procedure leads to minimal bleeding and doesn’t need any dressings after the surgery.
Before making any decision to go ahead with this procedure, please read this information pack and see your doctor to make sure whether your child can be circumcised or not.
Please note that this procedure will NOT be performed if a child suffers from any of the following:
- Hypospadias (abnormal opening of the urinary passage) or any other congenital abnormalities.
- Chordee (tightening and downwards bending of the penis)
- Buried Penis
- Sick and Unstable infants
- Family History of any bleeding disorders
- If your child has any underlying health problems like diabetes, cardia problems, or bleeding tendency, please let your doctor know before surgery.
Complications of Circumcision
Like any other surgical procedure, this procedure also poses some risks. Complications following neonatal circumcision are not very common but have been reported in some cases.
The possible complications that may arise because of the procedure are
- Bleeding – is the most common complication which may happen in few babies
- Infection of the wound – like any other wound in the body
- Inadvertent excessive or inadequate removal of foreskin
- Scarring or adhesions formation, may be excessive in a few cases
- Ulceration – ulceration over the head of the penis
- Meatal Stenosis – narrowing at the end of the urinary passage opening
- Inadvertent injury to the Urethra or the glans – urethra is the small urinary tube inside the penis
- Local Anaesthetic complications
- Psychological trauma (tight foreskin)
- Secondary Phimosos (tight foreskin)
- Secondary Chordee (downward bending of the Penis)
Some health benefits of Circumcision
There have been increasing claims of health benefits from routine circumcision of males, which is said to be a minor procedure.
- Circumcised males have lower incidence of urinary tract infections
- It is claimed that circumcised males have a less chance of cancer of the Penis in later life
- Some studies have shown that when the male partner is circumcised, there is potentially a reduced chance of cancer of the cervix in females. This claim remains inconclusive.
- Circumcised males may have a reduced risk of acquisition of sexually transmitted diseases ( STI and HIV), but this claim also remains inconclusive.
Post Circumcision care
1. No dressings are to be used over the penis or around the area.
2. Use clean clothes or loose nappies especially on the day of the procedure.
Purpose: to Reduce the risk of infection caught by skin.
3. All babies should pass urine within the first 24 hours after the operation
PLEASE report to your doctor should this fail to occur.
4. Please take good care of the wound like any other wound. You may bathe the baby the next day. Topical antibiotic cream such as Bacitracin may be used – it is more as a lubricant to keep the penis from sticking to the nappy.
5. Following Circumcision a few infants may feel some discomfort. Pain Control is usually unnecessary but Panadol/ Paracetamol may be helpful as per your doctors instructions.
6. Potential Complications which need URGENT REVIEW by your doctor:
- Plastibell ring should separate after 5 to 10 days. If still present after that time, please return back to your doctor for review.
- There could be bleeding and infection of the wound.
- There could be early separation, or slippage of the Plastibell ring, if the ring slips behind
- the glans: it could result in damage to the surrounding area (venous congestion and necrosis) and will require URGENT ATTENTION by your doctor.
7. Follow up appointments are very important and you MUST bring the child back for a check up the next day after this procedure, as your doctor needs to assess the progress. It is also advisable to bring the child back to the clinic for review when the Plastibell ring falls off on it’s own, in 5 to 10 days time, or as advised by your doctor and/ or when ever considered necessary by you.
We hope that you will find this information useful in making your decision. If you decide to go ahead with this procedure, the please ring Sunrise Medical Centre on 9432 0055 to make an appointment with Dr Naeem Chaudhry.
On the day of surgery, you will need to bring the attached consent form signed by both parents and also a fee is payable on the day of the procedure. (Cash/ EFT available)
Please feel free to ask any questions to clarify any queries/ issues you may have before the procedure is undertaken.