Circumcision is a surgical procedure to remove the skin covering the end of the penis called the foreskin
Circumcision is performed for religious, cultural, traditional, personal, and medical reasons.
Some of the medical reasons are Phimosis (inability to retract the skin (foreskin or prepuce) covering the head (glans) of the penis. UTI (urinary tract infection). STD (sexually transmitted disease). Balanitis (skin irritation on the head of the penis).
Circumcision Methods performed at Heaths Roads Medical Centre
The Plastibell – with this technique the baby goes home with a small plastic device tied on to his penis tip that allows the foreskin to desiccate (dry out and fall off) over subsequent days.
Freehand (conventional) circumcision is done by using a scalpel blade to cut the foreskin and repairs with dissolvable stitch. (this done in adults and older children)
The surgery involves a plastic ring called the Plastibell device. The Plastibell is placed between the foreskin and glans of the penis. The Plastibell is tied off and the excess skin is removed. This is performed under local anesthesia which involves giving local anesthetic injections at the base of the Penis. No stitching or dressing is necessary. After 3-7 days, the Plastibell becomes detached, leaving a clean healed cut at the tie-line.
Circumcision for Adults
Adult circumcision is also performed under local anesthetic the penis is numbed with an injection at the base with a mixture of two medications. You only feel the first needle prick and no discomfort after that. The foreskin is removed, and dissolvable stitches are taken which start falling off after 3 weeks
1.Is pre-exam required?
You require a consultation and examination before the procedure. The consultation can be combined with your circumcision appointment and takes about 15 minutes. It is compulsory you are aware of pre-operation instruction.
2. How much does a circumcision cost?
The price varies and depends on the child’s age. In addition, for adults, the price varies further based on whether it is a new or revised circumcision. Please contact our office on (03) 9748 9777 for more information.
3. What is the best age to get a child circumcised?
The earlier is the better but the optimum age is 2-3 weeks. The advantages of the procedure are easy to carry out using the Plastibell ring method and the recovery is quick.
4. Is the procedure painful?
Circumcision should be a pain frees procedure, as long as the local anesthetic has been administered correctly. For children, the age of 1-5 years old can be tricky to circumcise, as they are at the age where they are wary of strangers and will not let anyone go near them ( Please be advised crying infant or child does not necessarily mean that they are in pain).
5. Am I awake during the procedure?
The procedure is performed under local anesthesia. We can sedate adults and in some caseschildren during the procedure.
6. Is there an age limit?
No. Circumcision can be done at any age, from birth to the very old. For those under 18, we require a guardian’s consent.
7. How long is the recovery time?
In babies under 2 months, it should heal completely in about two weeks. In older children, it should heal in about 3 weeks. Full anatomical healing can take up to 6 weeks.
8. Are parents allowed to be present during the procedure?
We respect the parent’s wishes and it is up to them if they want to stay during the procedure in the operation room or remain in the waiting room.
Parents have a big role in comforting and feeding the baby during the procedure and after the procedure and are informed more about aftercare.
We highly recommend if especially mothers feel distressed during the procedure leave the operation room and trust their doctor who is performing the procedure.
9. Can I take my child home straight away?
You will be in the clinic for half an hour after the procedure for observation and after that you will go home.
10. Should I be aware of any risks associated with a circumcision?
Occasionally there will be a small amount of bleeding from the site many hours after procedure 1 in 3000. This is treated by applying pressure to the penis for about 5 minutes. Infection can also occur, however it is extremely rare 1 in 1000. It is evident by seeing excess redness and pus, accompanied by a foul smell. It can easily be treated usually with an antibiotic either topically or orally. If there is any serious bleeding once you have taken the child home – you need to contact us urgently so that it can be dealt with as soon as possible.
11. In case of an emergency who do we contact?
You contact the Medical Centre or mobile No (03) 9748 9777 provided to you in case of any concerns.
12. Is there routine follow-up checks?
Routine checks usually are not necessary for the newborn infant. For older children, it may be necessary depending on how the procedure has been performed. But if there is a concern our doctors are happy to see the patients for a review.
Complications and risk of circumcision
Serious complications of circumcision are very rare and easily manageable.
Bleeding or oozing –The expected blood loss during neonatal circumcision is just a few drops (easily handled with one 4 x 4 ” gauze pad), so bleeding that exceeds this expectation is a complication. Apply direct pressure to the site for 5 to 10 minutes and if it continued contact us.
Swelling and bruising-Considerable swelling and bruising is quite normal and takes up to 2 weeks to resolve.
Pain– As with any medical procedure, localized pain during and for a short time after the procedure will likely occur. A local anesthetic is mostly used and will be discussed during the consultation. Oral painkillers can be administered for comfort after the circumcision for 24 to 48 hours. The pain is significantly reduced when the procedure is completed at the youngest possible age.
Infection– This is very rare to happens then you may require antibiotics if it occurs.
Buried or Concealed Penis-This happens if you have a significant amount of pubic fate or a small penis. You can prevent this by applying a very thin layer of petroleum jelly to the entire tip of the penis twice a day for 2-3 weeks till the tip heals. the concealed penis is when the length of the penis shaft is no greater than its diameter of when the penis is retracted mostly due to a significant amount of pubic fat. This is normal but can cause re adhesion of the remaining of the foreskin back to the glans (tip of the penis)
This is not a serious complication and usually can resolve within a few months if your son has a similar penis please ask doctors about how to reduce the chance of having a concealed penis.
The Plastic Circumcision Device is effective in minimizing all of these problems. But has own very rare complication.
Retained ring of plasible: the plasible normally falls off on its own, occasionally the ring moves backward and gets retained. If the ring has not fallen off within two weeks (age depend) please make an appointment to see our doctors.
Advantages of Circumcision
Certain health benefits are thought to be associated with circumcision.
Phimosis A condition that happens when the foreskin cannot be easily pulled back over the head of the penis. Men with this condition frequently experience pain during sexual intercourse or masturbation
Paraphimosis Somewhat the opposite of phimosis, this is a condition where the foreskin becomes trapped after being pulled back and then swells behind the head of the penis.
Hygiene A circumcised penis is easier to keep clean for some men, thus preventing diseases such as balanitis.
Cancer Men with circumcision have a much lesser risk of penile cancer. Circumcision at infancy completely prevents penile cancer.
Studies have also shown that cervical cancer for females is significantly reduced when their male partner is circumcised.
HIV and other STDs Circumcised men have a 50% lower incidence of HIV than uncircumcised men. Men with circumcision are 10 times less likely to contract HIV from a female partner.
The incidences of most other STD’s are lower for men with a circumcised penis