This numbs the area of the penis where the incision will be made. There are different types of anesthetic. Or he or she may inject small amounts of anesthetic around the penis. There are risks with any anesthetic, but these are considered safe. In addition to the anesthetic, your healthcare provider may give your baby a pacifier dipped in sugar water.
This can help soothe him while the procedure is happening. A circumcision can be done in several ways. The procedure usually takes about 15 minutes or less. The procedure goes like this:. The healthcare provider will gently loosen the foreskin from around the head of the penis, making a small slit in the foreskin. The healthcare provider may use one of the common methods to remove the foreskin.
These methods use devices that help protect the penis while removing the foreskin. The healthcare provider may attach a clamp over the head of the penis. Or the provider may place a plastic ring over the head of the penis. This makes it easier to cut the foreskin. The healthcare provider will use surgical tools to remove the foreskin.
This exposes the end of the penis. The healthcare provider may place some petroleum jelly or ointment on the head of the penis and cover it with a loose gauze dressing. This includes cleaning the area with plain water at least once a day. You will also need to clean it if the area is dirty after a bowel movement.
Then let the area dry, and put petroleum jelly on it. This keeps the gauze dressing from sticking. You may be asked to remove the dressing the next day. Or you may be asked to use a new dressing, and some petroleum jelly, each time you change diapers.
When the gauze dressing is no longer needed, you may be told to keep putting petroleum jelly on the end of the penis for a few more days. Babies may also feel better when swaddled. In newborns, circumcision can be performed in several ways.
The most common techniques protect the head of the penis with special devices while the foreskin is removed. Your doctor will determine which method is appropriate.
A special instrument called a probe is used to separate the foreskin from the head of the penis they are usually joined by a thin membrane. Next a bell-shaped device is fitted over the head of the penis and under the foreskin an incision may be made in the foreskin to allow this.
The foreskin is then pulled up and over the bell and a clamp is tightened around it to reduce blood flow to the area. A scalpel is used to cut and remove the foreskin. Again, the foreskin is separated from the head of the penis with a probe. The foreskin is then pulled out in front of the head and inserted through a metal clamp with a slot in it.
The clamp is held in place while the foreskin is cut with a scalpel and remains for a few minutes after this to make sure that bleeding has been controlled. This method is similar to the Gomco clamp technique. After separation with a probe, the plastic bell is placed under the foreskin and over the head of the penis. A piece of suture is tied directly around the foreskin, which cuts off the blood supply to the foreskin.
A scalpel may then be used to cut off the extra foreskin, but the plastic ring is left on. About 6 to 12 days later it falls off on its own. After a circumcision, doctors will apply petroleum ointment over the wound and wrap the baby's penis in gauze to keep the wound from sticking to his diaper unless the doctors have used the Plastibell method, which requires no dressing.
Your baby will usually be brought to you shortly after the procedure. There is very little bleeding after circumcision, no matter which technique is used.
Though you may see a little bit of blood oozing from the edge of the incision or on the diaper when you first take the dressing off, this will generally stop on its own. Your baby's penis may be sore for a few days after the procedure, so be gentle when bathing him.
Never use astringent and special bath products. Most doctors recommend keeping the area clean with warm water. If poop gets on the penis, soapy water can be used to gently wipe it away. If there is a dressing on the incision, apply a new one with petroleum jelly whenever you change a diaper for the first day or two. Even after the dressing is no longer needed, you should put a dab of petroleum jelly on the penis or on the front of the diaper for 3 to 5 days.
This can help avoid discomfort from rubbing and sticking to the diaper. It usually takes between 7 to 10 days for a circumcised penis to heal from the procedure. Until it does, the tip might be raw or yellowish. Call your doctor right away if you notice any of the following:. In the first year of life, a circumcised infant is less likely to get a urinary tract infection. It may be easier to keep a circumcised penis clean and uninfected, though boys who don't have circumcisions can be taught to properly clean beneath the foreskin once it becomes retractable usually by puberty.
The baby is comforted and may receive a local anesthetic numbing medication to reduce discomfort. The skin covering the tip of the penis is removed with a protective device, and then gauze with petroleum jelly or antibiotic ointment is applied. In older children and adults, the procedure is commonly performed under general anesthesia. Despite what many people may believe, this is not an extremely painful procedure. If local anesthesia is given, the child will feel pressure and movement but not pain.
The child may be briefly upset while he is being held in place. If the circumcision is performed under general anesthesia, he will not experience any pain during the procedure. Once the procedure is completed the child will not have pain with urination since the urethra urinary tube from the bladder through the penis is left untouched during circumcision. Our specialists in the Department of Surgery and the Department of Urology are highly skilled in performing circumcisions.
We also perform more than re-circumcision procedures a year, many of which we strongly believe could be prevented by having the initial circumcision performed correctly by an experienced team like ours. For Patients. Find A Doctor. What is circumcision? What are the potential benefits of circumcision? Other potential benefits include: near elimination of lifetime risk of penile cancer more than 90 percent reduction in the risk of urinary tract infections UTI during infancy reduced incidence of balanitis, an infection of the glands or head of the penis, and posthitis, an infection of the prepuce the skin covering the head of the penis elimination of phimosis inability to retract the foreskin Most researchers generally accept that circumcised men are less likely to acquire and transmit HIV and some sexually transmitted diseases.
However, if your child is not circumcised, he can do well by learning to fully pull back his foreskin around the time of toilet training and taking care to keep the entire penis clean with soap and water every day. Is it a common practice? Frequently asked questions How old should my child be for circumcision?
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