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Reasons for Procedure
- Reaction to drugs used for anesthesia
- You may not be happy with the appearance of penis after circumcision
- Decreased penile sensation
- Damage to the tip of the penis
- Bleeding disorders
- Family history of bleeding disorders
- Birth mothers taking blood thinners during pregnancy
- Penile deformities whose foreskin may be needed to repair the deformity
- Infections or serious jaundice at the time of the circumcision
What to Expect
Prior to Procedure
- The doctor will carefully examine your baby. This is to make sure your baby is in good health. The penis will be examined for any abnormalities.
- Blood and/or urine tests may be done.
- Your baby may be given a pacifier to suck on. The pacifier will have some sugar water on it. This has been shown to decrease pain in infants.
- Cream—A cream may be applied to the penis. This cream will help to numb the area. It is often done about 60-90 minutes before the circumcision.
- Nerve block—This is a medication injected near the penis. The medication will block the nerve that runs to the penis. This will make the entire penis numb. It may be used in a hospital setting.
Description of the Procedure
- A simple scalpel may be used.
- Special devices may be used. These devices make sure there is an even cut. The device also clamps the blood vessels. Examples of this device include the Gomco clamp, Plastibell device, or Mogen clamp.
How Long Will It Take?
Will It Hurt?
- Change the bandage and clean the area at every diaper change.
- Apply petroleum jelly or an antibiotic ointment to the area. This will help keep the diaper or bandage from sticking to the penis.
Call Your Doctor
- You find a bloodstain larger than the size of a quarter on the baby's diaper
- The Plastibell device has not fallen off within 10 days
- The penis or the area of the incision appears red, swollen, hot to the touch, or is oozing a yellowish discharge
- The baby develops a fever or appears to be in pain
- The baby does not have a wet diaper within 6–8 hours of the procedure
- The head of the penis appears blue or black
Familydoctor.org—The Academy of Family Physicians http://familydoctor.org/
Kids Health http://kidshealth.org/
Caring for Kids http://www.caringforkids.cps.ca/
American Academy of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/pregnancy-newborns/caring-for-newborns/infant-care/circumcision.html. Accessed July 25, 2012.
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.
Circumcision. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php. Updated October 2012. Accessed July 25, 2012.
Leef KH. Evidence-based review of oral sucrose administration to decrease the pain response in newborn infants. Neonatal Network. 2006; 25(4):275-284.
- Reviewer: Michael Woods
- Review Date: 09/2012 -
- Update Date: 00/92/2012 -