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Child Circumcision

(Circumcision—Child)

Definition

Circumcision is the removal of the foreskin of the penis. The foreskin is a sheath of skin that covers the tip of the penis.

Circumcision

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Reasons for Procedure    TOP

Circumcision may be done for cultural or religious reasons. It is usually done during the first few days of life. Circumcision may be done on older boys as a treatment for medical problems. Problems may include foreskin that is too tight or foreskin that cannot retract.

Circumcision may be associated with a decreased risk of:

Talk to your doctor about the risk and benefits of circumcision for your child.

Possible Complications    TOP

Problems from the procedure are rare, but all procedures have some risk. Your child's doctor will review potential problems, like:

  • Infection
  • Bleeding
  • Reaction to anesthesia
  • Unsatisfactory cosmetic outcome—foreskin is cut too short or left too long
  • Foreskin does not heal properly
  • Decreased penile sensation
  • Damage to the tip of the penis

Factors that may increase the risk of complications include:

  • History of bleeding disorders in the family
  • Chronic illness

What to Expect    TOP

Prior to Procedure

Your child will have a physical exam. The penis will be examined for any abnormalities. Your child may also need blood and urine tests done.

Your child may not be able to eat or drink after midnight the night before the procedure. Ask your doctor when your child should stop eating and drinking.

Anesthesia

General anesthesia will be used. Your child will be asleep during the procedure.

Description of Procedure    TOP

The anesthesia will be given. After your child is asleep, the foreskin will be pulled away from the penis. The foreskin may have some areas attached to the head of the penis. These attachments will be cut. The excess foreskin will then be cut away. If needed, stitches may be placed to stop bleeding.

Petroleum jelly or an antibiotic ointment will be smeared on the penis. A bandage may be applied.

Immediately After Procedure    TOP

Your child will be monitored in a recovery room.

How Long Will It Take?    TOP

Less than 1 hour

How Much Will It Hurt?    TOP

Anesthesia prevents pain during surgery. Your child will be given medication to relieve pain or soreness during recovery.

Post-procedure Care    TOP

There may be swelling of the penis. A clear scab may also develop over the area. The penis should heal within 7-10 days of the circumcision.

At Home

It is important to keep your child’s penis clean while the circumcision heals. Follow these steps to promote good healing:

  • If there is a bandage, follow your doctor's instructions on when to remove it. In general, replace the dressing after your child uses the bathroom for the first 36-48 hours after surgery.
  • After the dressing has been removed, keep the penis clean with mild soap and water.
  • Supportive underwear may keep your child more comfortable.
  • If instructed, apply antibiotic ointment or petroleum jelly to the area

Your child may have some discomfort while urinating for the first few days. Use pain medication as prescribed.

Call Your Doctor    TOP

It is important to monitor your child's recovery. Alert your child's doctor to any problems. If any of the following occur, call your child's doctor:

  • The penis or the area of the incision appears red, swollen, or is hot to the touch
  • Incision or penis is oozing a yellowish discharge after 3-5 days—some discharge is normal in first few days
  • Fever
  • Pain is not controlled by the medication your child has been given
  • The head of the penis is blue or black

If you think you have an emergency, call for medical help right away.

RESOURCES:

Family Doctor—American Academy of Family Physicians
http://www.familydoctor.org
Healthy Children—American Academy of Pediatrics
http://www.healthychildren.org

CANADIAN RESOURCES:

About Kids Health—The Hospital for Sick Children
http://www.aboutkidshealth.ca
Caring for Kids—Canadian Paediatric Society
http://www.caringforkids.cps.ca

References:

Blank S, Brady M, et al. Circumcision policy statement. American Academy of Pediatrics. Pediatrics. 2012;130(3):585-586.
Caring for your son's penis. American Academy of Pediatrics Healthy Children website. Available at:
...(Click grey area to select URL)
Updated November 21, 2015. Accessed March 9, 2016.
Circumcision. Family Doctor—American Academy of Family Physicians website. Available at:
...(Click grey area to select URL)
Updated December 2010. Accessed March 9, 2016.
Circumcision. Healthy Children—American Academy of Pediatrics website. Available at:
...(Click grey area to select URL)
Updated November 21, 2015. Accessed March 9, 2016.
Circumcision. EBSCO DynaMed website. Available at:
...(Click grey area to select URL)
Updated May 15, 2015. Accessed March 9, 2016.
Last reviewed March 2017 by EBSCO Medical Review BoardKari Kassir, MD
Last Updated: 5/5/2014

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