Info

PROCEDURE INFORMATION

Circumcision

Male circumcision is a surgical procedure to remove foreskin away from the p of the penis. The circumcision policy statement issued by the Royal Australasian College of Physicians (RACP) in October 2010 states: The most recent policy update from 2010 states that the ‘RACP does not recommend routine neonatal circumcision for boys in Australia’. But the RACP makes it clear that different parents might weigh up the risks and benefits differently and might choose to circumcise their son.

Choosing circumcision by parents or men

There are many reasons why someone will choose to be circumcised which are Cultural, Medical, Religious or personal choice.

Medical

Balantits, Phimosis and Paraphimosis are medical reasons for circumcision in children and adults.

  • Balanitis is the inflammation of foreskin and head of penis.
  • Phimosis is stricture of foreskin where it cannot be retracted over the head of penis. This can cause in sexual intercourse and is one of the most common reasons for circumcision in adults.
  • Paraphimosis is rare and applied to a condition where foreskin stuck behind the head of the penis and cannot be pulled over the head. It is very painful and needs medical help. This might require circumcision.

DURING THE PROCEDURE

Circumcision method

Baby Circumcision:

Plastibell method is widely used for baby boy circumcision. In this method a plastic device known as a Plastibell is used. The Plastibell is a small plastic ring that sits over the glans of the penis. There different sizes available to match the size of the glans. Aer retracng foreskin using artery forceps the bell is placed over the head of the penis. Here the doctor es a string around the rim while the foreskin is sing over it. This cuts the circulation of foreskin and this part of foreskin will eventually fall off together with with the rim of the Plastibell. The handle of the Plastibell is taken off after securing the bell on the glans.

Adult Circumcision:

For adults the method is different. It is a surgical method and called “Sleeve resecon” requires absorbable sutures. This is the most appropriate method and gives an excellent cosmetic outcome. It minimises the risk of removing too much or too little skin because incisions on external and inner (mucosal) layers of the foreskin are marked. There are other methods (not performed by Dr Alinia) that are easier to perform but have more risks and complications.

AFTER THE PROCEDURE

Circumcision Post Care & Questions

Post circumcision care

You should not bath your child for the first 24 hours following the procedure. If your baby becomes soiled, you can clean them with warm water then reapply an antibiotic cream and nappy. After 24hrs you can bathe the baby as per usual.

For babies an antibiotic cream is applied daily till the ring comes off. After the ring fall off vaseline could be applied to lubricate circumcision wound for 4-6 weeks. The remainder of foreskin should be pulled back once a day in this period This will prevent any adhesion of circumcision wound to the head of the penis. Your baby needs a review after the bell falls off or if it has not fallen off 2 week after the procedure.

Adult circumcision has a different care. They apply anbiotic cream for one week then apply vaseline for 3-4 weeks to make sure the wound and stitches are lubricated. Stitches dissolve in 2-3 weeks. Sexual intercourse should be avoided for 6 weeks.

Complications of circumcision

Infection is the most common complication of circumcision followed by a less common another complication which is bleeding. Other complications are pain, swelling, haematoma and bruising. The more serious but rare complications are excessive or insufficient removal of skin, injury to penis and urethra. Changing in sexual pleasure and function remains controversial as some report better and some less sexual satisfaction.

Does circumcision reduce feeling of pleasure in sex?

There is no scientific evidence to support this claim, although there have been a few studies of the role of the foreskin in male sexual pleasure. Available evidence for Australia comes from a study of the sexual practices and experiences of Australian men. That study found no significant differences between circumcised and uncircumcised men in terms of masturbation or sexual practices at last sexual encounter. It also reported no significant differences in reported sexual pleasure or time to reach orgasm between the two groups, but the study did not examine penile sensivity directly.