What do they circumcise

The procedure is almost always done when the baby boy is eight days old. In Islamic culture, the ritual circumcision is called khitan. In some parts of the Islamic world, the procedure is performed as part of a religious ceremony. In most Islamic countries, the khitan is performed in infancy, but it may be done when a boy enters puberty.

There are health-related reasons to circumcise newborn males. Circumcision is a decision best left to parents or to the child himself when he is older. Doctors can help parents better understand the benefits and risks. Some found no effect, while others found increased sensitivity. Circumcision is often done while newborns are still in the hospital. Different practitioners are trained to perform circumcision in newborns, including pediatricians and obstetricians.

For older children and adults, the procedure is usually performed in a hospital or surgery center on an outpatient basis. This means that you would go home on the same day. Proper consent is also needed. Circumcisions are often done by a pediatrician, obstetrician, family medicine doctor, surgeon, or urologist.

Circumcisions that are performed for religious reasons are sometimes done by others trained in the procedure. During the newborn circumcision, your son will lay on his back with his arms and legs secured. An anesthetic is given via injection or cream to numb the penis. There are several techniques for performing circumcision. The three major methods of circumcision are the Gomco clamp , the Plastibell device , and the Mogen clamp. The doctor will also ask about any family history of bleeding disorders like hemophilia or von Willebrand's disease.

Ask the doctor to explain anything you don't understand. When you feel comfortable with the information and your questions have been fully answered, you will be asked to sign an informed consent form, which states that you understand the procedure and its risks and give your permission for your child to have the circumcision. Circumcisions are often performed in the hospital's nursery treatment room. Some parents choose to be in the treatment room during the circumcision, while others prefer to wait for the baby to be returned to the nursery.

If you'd like to be in the room, let your doctor know. A baby is typically awake for circumcision. He is usually positioned in a molded plastic seat that helps hold him safely in place. The penis and surrounding skin are cleansed with antiseptic before the procedure begins. Several safe and effective pain-control methods can lessen a baby's pain during circumcision.

Ask your doctor about the type of pain control your baby will have ahead of time. A local anesthetic is used to numb the area of the penis where the incision will be made. Because of the numbing cream, your baby will feel very little as the needle goes through the skin. To further reduce stress and discomfort, the nurse may give your baby a "sucrose pacifier" a pacifier dipped in sugar water , which has been shown to reduce newborn distress. Sometimes acetaminophen is given to help with pain.

Babies may also feel better when swaddled. In newborns, circumcision can be performed in several ways. The most common techniques protect the head of the penis with special devices while the foreskin is removed. Your doctor will determine which method is appropriate. A special instrument called a probe is used to separate the foreskin from the head of the penis they are usually joined by a thin membrane.

Next a bell-shaped device is fitted over the head of the penis and under the foreskin an incision may be made in the foreskin to allow this.

The foreskin is then pulled up and over the bell and a clamp is tightened around it to reduce blood flow to the area. A scalpel is used to cut and remove the foreskin. Again, the foreskin is separated from the head of the penis with a probe. The foreskin is then pulled out in front of the head and inserted through a metal clamp with a slot in it. The clamp is held in place while the foreskin is cut with a scalpel and remains for a few minutes after this to make sure that bleeding has been controlled.

This method is similar to the Gomco clamp technique. After separation with a probe, the plastic bell is placed under the foreskin and over the head of the penis. A piece of suture is tied directly around the foreskin, which cuts off the blood supply to the foreskin. A scalpel may then be used to cut off the extra foreskin, but the plastic ring is left on.

About 6 to 12 days later it falls off on its own. After a circumcision, doctors will apply petroleum ointment over the wound and wrap the baby's penis in gauze to keep the wound from sticking to his diaper unless the doctors have used the Plastibell method, which requires no dressing.

A medical circumcision is a circumcision performed to treat a disease, such as pathological phimosis lichen sclerosis , recurrent balanitis or recurrent urinary tract infections. A request circumcision is a circumcision performed for non-medical reasons, such as parental preference, religious reasons or to potentially prevent disease at some future time.

Circumcision is mostly performed on babies for family, religious or cultural reasons. When considering circumcision for your baby, you need to be aware of the possible risks and benefits. You should also be aware that the rights of parents to give consent to a circumcision for their child are disputed. Some men resent that they were circumcised as children. They resent being deprived of the ability to make the decision for themselves as adults.

For more information, see Circumcision: A parents' guide to routine circumcision of male infants and boys. For more information see Guidelines for male circumcision in the Victorian public hospital system. If you are considering circumcision for yourself or your son, you need to discuss a range of issues with your doctor or surgeon including:.

Circumcision may be performed in the first few days after birth under local anaesthetic or after six months of age under general anaesthetic. Parents and their doctor should make sure that the person performing the circumcision is experienced and competent, uses appropriate anaesthetic and has the skills to deal with any potential complications.

There are different methods of circumcision. Either local or general anaesthesia should always be used. The plastibell procedure involves numbing the area with local anaesthetic creams or injection. A bell-shaped instrument is inserted under the foreskin to separate it from the penis. The foreskin is then removed using scissors or a scalpel. Alternatively, circumcision can be performed as a formal surgical procedure, using dissolving sutures or tissue glue.

Do not try to pull back the foreskin before it is ready, as this may damage the delicate tissues and cause scarring. Generally, the foreskin of a child is best left alone. Frequently, there are adhesions areas that are still connected between the glans of the penis and the inner layer of the foreskin.

Adhesions are normal and will separate over the first 15 years of life. After puberty, the foreskin should be easily retractable.