Circumcision is the procedure to remove the foreskin, which is the flap of skin naturally covering the tip of the penis. Most circumcisions are carried out for family, cultural or religious reasons. Sometimes circumcision needs to be performed for medical reasons. Whatever the reason, parents should consider both the possible risks and benefits of this operation.
There are many different methods that Doctors use but the end result is usually the same i.e. to remove the foreskin so that the tip of the penis does not have any skin covering. Dr Khatree is experienced in both the Gomco and Plastibell methods
Circumcision can be performed at any age but Dr. Khatree prefers to do them on new born babies. The ideal time is when they are a few weeks old – anytime between 2 weeks and 12 weeks. Dr. Khatree does not do it on boys more than 12 months old.
As with any surgical procedure, circumcision carries some risk. Complications are uncommon, but may include pain, local infection and bleeding.
Dr. Khatree performs the procedure on baby boys for religious and cultural reasons that do not have any medical issues. If you think that your baby may have a problem, then it maybe advisable to consult a paediatric surgeon.
When you arrive, you will be asked to fill in a form with some details and sign a consent form. The procedure is then explained to the parents and the baby taken into the procedure room. Parents or relatives are not permitted in the procedure room.
The procedure commences with cleaning of the area with an antiseptic solution and a local anaesthetic given.The Plastibell which is a small plastic ring is inserted inside the foreskin, over the tip of the penis. A ligature is tied on the outside of the foreskin, so that the foreskin is compressed between the ring on the inside and the ligature outside. The excess foreskin is then cut off and proper haemostasis is ensured. The nappy is put on and the baby can be taken home immediately.
Parents are advised to use nappies like normal and that wet-wipes can be used to clean the baby’s bottom. Bathing may commence from the next day.
Betadine ointment should be applied at least 3-4 times per day to help prevent infection. Most babies do not require any pain relief but if necessary Infant Panadol may be given. The ring comes off on its own anytime between 3 to 7 days after the procedure.
The baby should be brought back for a review about 2-3 weeks after the procedure. It is normal to see some blood spots on the nappy on the first day. Some redness and swelling may also be present just before the rings fall off.
Dr Khatree should be contacted if you are concerned about unusual bleeding or swelling or if the ring has not fallen off by the 8th day.