What Does a Male Child Circumcision Involve?

What is involved in a child circumcision?

Assessment of Baby or Boy

Each child is assessed and a consultation is necessary before the operation. If there is a problem or contra-indication for circumcision a Specialist Paediatric Urologist referral is advised.

Indication

Parents may wish to have their boy circumcised for religious, social or cultural reasons. Sometimes circumcision is recommended for medical reasons such as Balanitis Xerotica obliterans (BXO) foreskin.

Procedure

We perform circumcision on male children using a local anaesthetic which provides safe and effective pain-relief. We employ the Circumplast or Plastibell technique (a ring method). A plastic ring is tied around the end of the penis at the foreskin. Top of foreskin is removed. The ring stays on the end of the penis and prevents bleeding after the surgery. The surgery takes approximately 10-15 minutes.

Infant or Boy Circumcision

We normally use the Circumplast circumcision device of Australian origin, which has the special advantage that the ring cannot migrate proximally. Such migration has, over many years, been reported as a potential problem with the nominally similar Plastibell device in cases where that design has been used for tight styles of circumcision.

The Circumplast device also protects the glans (tip of penis) and leaves less inner skin, which gives a neater look of tight circumcision.

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The Importance of Experience in Adult Circumcision

How an Experienced Doctor Makes all the Difference

img_30_03The Thornhill Circumcision Centre are experts in different methods of circumcision such as sleeve, sutureless (Glue), free hand, forceps guided method, stitches, dorsal slit, revision, redo circumcision, preputioplasty and frenuloplasty (release/division of a short tight frenulum which causes the head of the penis to tilt down during erections also called “frenulum breve.”). The surgeon can discuss the characteristics of high and low cut, tight and loose cut types of circumcision.

Procedure

A local anaesthetic is injected into the base of the penis and all around the shaft of the penis with a single injection, but 2-3 jabs. This provides safe and effective pain-relief during the operation. This is used as the sole form of anaesthesia around the wound and the patient is not put to sleep during the procedure.

This minimises post-operative pain as well for 1 hour. The entire foreskin is removed using an incision just behind the head of the penis. This leaves the head of the penis completely exposed permanently.

Alternative to Circumcision

There are alternatives to full circumcision, such as excision of frenulum, V-Y plasty operation called preputioplasty, frenuloplasty, partial circumcision or medical treatments.

These are personal preferences and can be discussed further with our specialist surgeon.

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