Circumcision 

• Circumcision is an operation to remove the foreskin and expose the glans 
• Medical indications for circumcision include
  • pathologic phimosis
  • recurrent UTIs
• Non-medically indicated circumcisions are performed by private practitioners. 
• Parents need to make an informed decision after carefully looking at all the facts about the benefits and risks for their child
• Circumcision should be done in a safe, child-friendly environment by properly trained and qualified staff who are available to manage any post-operative complications. The child should receive appropriate analgesia. 

Post-circumcision problems 

• It is common for the glans penis to be inflamed and crusted following circumcision.
  • This is due to the forcible separation of normal tissue layers
• Liberal application of Vaseline to the nappy or a panty liner for a few days helps
• Infection is uncommon, but can be serious
• Bleeding is uncommon but if significant:
  • Apply compression and obtain urgent surgical advice
  • Consider coagulopathy in significant bleeding after a circumcision 
• PlastiBell circumcision: any post-circumcision complications should be discussed with a urologist for management advice