In addition to anesthesia, acetaminophen is sometimes given. This helps reduce discomfort during the procedure and for several hours afterward. Giving a pacifier dipped in sugar water and swaddling a baby also can help reduce stress and discomfort.
Following circumcision, it is important to keep the area as clean as possible. Gently clean with warm water — do not use diaper wipes. Soapy water can be used if needed. 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, 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 penis to heal. Initially the tip may appear slightly swollen and red and you may notice a small amount of blood on the diaper.
You also may notice a slight yellow discharge or crust after a couple of days. This is part of the normal healing process. If you notice any of the following problems, call your doctor right away:. As with a penis that's circumcised, an uncircumcised one should be kept clean. Parents deciding on circumcision When considering circumcision for your baby, you need to be aware of the possible risks and benefits. Medical reasons for circumcision Recent research suggests that circumcision may bring medical benefits such as: a 10 times lower risk of a baby getting a urinary tract infection UTI in his first year of life remembering that only one per cent of babies are at risk of a UTI, so 1, circumcisions are needed to prevent one UTI no risk of infants and children getting infections under the foreskin easier genital hygiene much lower risk of getting cancer of the penis although this is a very rare condition and good genital hygiene also seems to reduce the risk.
More than 10, circumcisions are needed to prevent one case of penile cancer a possibly lower risk of men getting sexually transmissible infections STIs than men who are not circumcised although these studies have not been scientifically confirmed and safe sex practices are far more effective in preventing these infections.
Reasons not to choose circumcision There are also good reasons why parents choose not to have their sons circumcised, such as: wanting to avoid surgery that is not essential and that carries some risk of complications, even though these are small concern that removing the foreskin may reduce the sensitivity of the tip of the penis and reduce sexual pleasure for both partners later in life wanting to avoid the pain of circumcision, which can occur at the time of the operation and for some time after.
Circumcision of older boys and men Some older boys and men need to have a circumcision due to medical problems such as: scarring of the foreskin that stops it from retracting phimosis recurring inflammation or infections of the penis balanitis or lichen sclerosis a foreskin that is too tight and causes pain or spraying when urinating recurrent urinary tract infections.
Medical issues with circumcision If you are considering circumcision for yourself or your son, you need to discuss a range of issues with your doctor or surgeon including: medical history any possible bad reactions or side effects from the anaesthetic. Procedure for circumcision There are different methods of circumcision.
Taking care of your child after circumcision Be guided by your doctor, but general suggestions include: giving your child lots of cuddles and comfort applying a little petroleum jelly or ointment on a light gauze dressing to the wound applying fresh petroleum jelly and a new gauze dressing at each nappy change.
This reduces the risk of urine irritating the wound a daily bath to keep the area as clean as possible. Circumcision of infant males , Royal Australasian College of Physicians. Circumcision: A parents' guide to routine circumcision of male infants and boys , , Royal Australian College of Physicians. Guidelines for male circumcision in the Victorian public hospital system — information for health professionals , , Department of Health and Human Services.
Circumcision , , familydoctor. Circumcision , , healthychildren. Give feedback about this page. Was this page helpful? Yes No. Circumcision is the surgical removal of the foreskin, a flap of skin that covers the tip of the penis.
Much of the new scientific research, since the previous AAP policy of , has taken place in Africa, where the prevalence of sexually transmitted infections, HIV in particular, is high and increasing. Declining rates of U. Why did the AAP think it was necessary to update its circumcision policy? Newer evidence has accumulated that had not been previously considered by the AAP in its review of benefits and costs of circumcision, including that of its benefit in decreasing HIV and STD transmission.
The new policy is based on a thorough review of the available scientific evidence, which shows clearer health benefits than had previously been understood. The most significant changes since the last recommendation in are new studies demonstrating a protective effect of circumcision against acquiring several sexually transmitted diseases, including HIV, genital herpes, human papillomavirus the virus that causes genital warts, cancer of the penis and cancer of the cervix and syphilis.
The new AAP policy states that the strength of the data is sufficient enough that the Academy advocates the procedure be covered by insurance, also not discussed in the prior statement.
The scientific evidence indicates that the health benefits of newborn male circumcision outweigh the risks, it adds. Each one works by cutting off circulation to the foreskin to prevent bleeding when the doctor cuts the foreskin. The procedure takes about 15 to 30 minutes. After the procedure, your baby may be fussy. The doctor or nurse will provide instructions for how to decrease any discomfort.
You can wash the penis and change the dressings with each diaper change. Keep the diaper slightly loose to help the tip of the penis heal. Your doctor will give you specific instructions on how to care for your incision and lessen your pain. In general, you should return to work and daily activities when you feel comfortable.
Avoid strenuous exercise, such as jogging or weight lifting, for the first four weeks of your recovery or until your doctor gives their approval. Walking is the best way to exercise during your recovery. Try to walk a little more than you usually do each day. You should also typically avoid sexual activity for six weeks after the procedure. Follow the instructions from your doctor about sexual activity.
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