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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
How Long Will It Take?
Will It Hurt?
- Changing the bandage and cleaning the area at every diaper change.
- Applying petroleum jelly or an antibiotic ointment to the area to 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
Family Doctor—American Academy of Family Physicians http://familydoctor.org
Nemour's Kid's Health http://kidshealth.org
About Kids Health—The Hospital for Sick Children http://www.aboutkidshealth.ca
Caring for Kids—Canadian Paediatric Society 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. Updated December 2010. Accessed August 21, 2014.
American Academy of Pediatrics Task Force on Circumcision. Circumcision policy statement. Pediatrics.2012;130(3):585-586.
Brady-Fryer B, Wiebe N, Lander JA. Pain relief for neonatal circumcision. Cochrane Database Syst Rev. 2004;18(4):CD004217.
Circumcision. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated May 9, 2013. Accessed August 21, 2014.
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: Kari Kassir, MD
- Review Date: 08/2014
- Update Date: 09/30/2013