CIRCUMCISION | iecmg.com

Circumcision (male):

The American Academy of Pediatrics (AAP) Recommendations:

The American Academy of Pediatrics (AAP) says the benefits of circumcision outweigh the risks. However, the AAP doesn't recommend routine circumcision for all male newborns. The AAP leaves the circumcision decision up to parents — and supports use of anesthetics for infants who have the procedure.

Circumcision is the surgical removal of the foreskin (the skin covering the tip of the penis.)

Facts about Circumcision:

Circumcision is fairly common for newborn boys in certain parts of the world, including the United States. Circumcision after the newborn period is possible, but it's a more complex procedure.
Circumcision is a religious or cultural ritual for many families, it can also be a matter of family tradition, personal hygiene or preventive health care.
Sometimes there's a medical need for circumcision, such as when the foreskin is too tight to be pulled back (retracted) over the glans so called "phimosis".
Circumcision might not be an option if certain blood-clotting disorders are present. In addition, circumcision might not be appropriate for premature babies who still require medical care in the hospital nursery.
Circumcision doesn't affect fertility, nor is circumcision generally thought to enhance or detract from sexual pleasure for men or their partners.

Heath benefits:

Circumcision might have various health benefits, including:

Easier hygiene. Circumcision makes it simpler to wash the penis. Washing beneath the foreskin of an uncircumcised penis is generally easy, however.
Decreased risk of urinary tract infections. The overall risk of urinary tract infections in males is low, but these infections are more common in uncircumcised males. Severe infections early in life can lead to kidney problems later on.
Decreased risk of sexually transmitted infections. Circumcised men might have a lower risk of certain sexually transmitted infections, including HIV. Still, safe sexual practices remain essential.
Prevention of penile problems. Occasionally, the foreskin on an uncircumcised penis can be difficult or impossible to retract (phimosis). This can lead to inflammation of the foreskin or head of the penis.
Decreased risk of penile cancer. Although cancer of the penis is rare, it's less common in circumcised men. In addition, cervical cancer is less common in the female sexual partners of circumcised men.

Complications:

The most common complications associated with circumcision are

Bleeding and infection.
Pain, fussiness after procedure
Side effects related to anesthesia are possible as well.
Rarely, circumcision might result in foreskin problems. For example:The foreskin might be cut too short or too long,The foreskin might fail to heal properly The remaining foreskin might reattach to the end of the penis, requiring minor surgical repair

Procedure

Before circumcision, the doctor will explain the risks and benefits of the procedure. You'll need to provide written consent for the procedure.
Newborn circumcision is often done in the hospital nursery or in the pediatrician's office usually within one to 14 days after birth.
For newborn circumcision, your son will lie on his back with his arms and legs restrained. After the penis and surrounding area are cleansed, an anesthetic will be injected into the base of the penis or applied to the penis as a cream. A special clamp or plastic ring will be attached to the penis, and the foreskin will be removed. Afterward, the penis will be covered with an ointment, such as petroleum jelly, and wrapped loosely with gauze. The procedure generally takes about 10-20 minutes.

After the procedure

It usually takes about seven to 10 days for the penis to heal. The tip of the penis is likely to be sore at first, and the penis might look red, swollen or bruised. You might notice a yellow crust on the tip of the penis as well.
If your newborn is fussy as the anesthetic wears off, hold him gently — being careful to avoid putting pressure on the penis.
It's OK to wash the penis as it heals. For newborns, change the bandage with each diaper change, and apply a dab of petroleum jelly to the tip of the penis to keep it from sticking to the diaper. Change your baby's diaper often, and make sure the diaper is loosely fastened. If there's a plastic ring instead of a bandage, it will drop off on its own — usually within about a week. Once the penis heals, wash it with soap and water during normal bathing.

Problems after circumcision are uncommon. Contact the doctor if:

Additional Info for older infants/ boys:

Circumcision is similar for older boys and adults. However, the procedure might need to be done under general anesthesia with additional steps, such as suturing, to prevent excessive bleeding.
For additional info, you may visit www.gentlecircumcision.com .