- 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
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