Circumcision

Circumcision of a male is the surgical procedure where the foreskin of the penis is removed.

Why is newborn male circumcision done?

As a newborn it is done for religious reasons and social reasons.

The most popular social reason is for conformity of the penis appearance with dad and other male family members, etc.

Occasionally it needs to be done later in life for medical reasons.

Popularity declining

In Australia the popularity has declined, because it is generally considered by doctors that routine circumcision of the newborn male can be advocated for medical reasons. It used to considered medically important but it is now realised that is not the case. Very few doctors advocate routine newborn male circumcisions.

Will your son agree with your decision?

The main consideration in deciding whether or not your son should be circumcised is – will your son agree with your decision? You are signing the operation consent on his behalf, yet you have no knowledge whether in the future, when he is older, he will agree with your decision.

As now in Australia now the large majority of males born  are not circumcised, it is likely he will be one of very few or maybe the only boy in his school class circumcised. Peer group pressure is very strong and there is the chance he could be picked on at school as his penis looks different. It is likely he will consider it more relevant to look like his peers than his father or grandfather. I have seen this issue cause considerable tension in the relationship between a son and his parents, with the son saying to his parents they had no right to make this decision for him.

When his father was born the incidence of male newborn circumcision was greater and chances are when his grandfather was born male newborn circumcision was routine. But now the pendulum has swung the other way and male newborn circumcision is not popular in Australia. While there are arguments that it is important to look like his father and grandfather, a circumcised penis looks neater, it’s easier to keep the penis clean, etc. once the foreskin is removed it can’t be replaced if your son does not want to be circumcised and you have no insight into whether your son will agree with your decision.

I suspect because it is generally considered to be unnecessary cosmetic surgery that most obstetricians today don’t do circumcisions. My recollection is in the past most obstetricians did to newborn circumcisions.

Surgical risk

As an operation it does carry surgical risk, including haemorrhage, infection, damage to the penis and poor healing that can affect the penis’s appearance and performance.

Plastibell circumcision technique

The operation is done without a general anaesthetic. Local anaesthetic and concentrated glucose on baby’s dummy will minimise discomfort.

I use the Plastibell technique which I believe is the safest surgical technique option. The procedure is summarised in the diagrams below:plastibell-circ-technique

Will you circumcise my son if I request it?

I do offer this service to my patients. I am personally available to circumcise your baby son if it is your request. I will only circumcise male newborn of my patients and not male newborn of women who attended another obstetrician for pregnancy care or went through the public system.

I will circumcise your newborn son if you request it, your baby has no medical or anatomical contraindications to the operation, the procedure is organised to be done within the first four weeks of life and your baby weighs less than 4.0Kg on the day of surgery.

The best time to inquire about circumcision is the day after your delivery. I will then discuss the matter in detail with you. You will need to sign the hospital consent form for your son as it is an operation.

Extra information

There is information about arranging circumcision of your son, the procedure and aftercare on website in article in Pregnancy Care section titled Male circumcision. I recommend you  also read this article.

 

Posted by Dr Gary Sykes on -

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