Circumcision is a surgery to remove the skin covering the end of the penis. This is called the foreskin. This surgery is most often done 1 or 2 days after a baby boy’s birth. Circumcision can also be done on older boys. This can be more complex. An older boy may need medicine (general anesthesia) to put him to sleep during the procedure.
In some cultures, circumcision is a religious practice or a tradition. It is most common in Jewish and Islamic faiths. In the U.S., newborn circumcision is not required. It is an elective procedure. This means you can choose to have your child circumcised or not. Circumcision is often done 1 to 2 days after birth. It is helpful to decide before your baby is born.
It is important to learn about the benefits and risks of circumcision. According to the American Academy of Pediatrics (AAP):
The AAP has found that the health benefits of circumcision are greater than the risks. But the AAP also found that these benefits are not great enough to advise that all newborn baby boys be circumcised. Parents must decide what is best for their baby.
Circumcision has some risks. But the rate of problems is low. The most common risks are bleeding and infection.
The skin of the penis is also very sensitive after a circumcision. The area can get irritated from contact with the baby’s diaper or with the ammonia in urine. This can be treated by putting petroleum jelly on the penis for a few days.
There may be other risks. This depends on your baby’s health. Talk about any concerns you have with the healthcare provider before the surgery.
Make sure the healthcare provider fully explains the procedure. Ask if anesthetic is used for a circumcision. The AAP advises anesthetic. This helps reduce a baby’s pain during the procedure.
If your baby is born early or has other health problems, he may not be circumcised until he is ready to leave the hospital. If your baby has a physical problem with his penis, he may not be circumcised. This is because the foreskin is used in a future surgery on the penis.
The procedure is usually done by an obstetrician or pediatrician in the hospital. When it is done for religious reasons, other people may do the surgery after the baby comes home from the hospital.
Circumcision is done only on healthy babies. The procedure is painful. So the AAP recommends using a local anesthetic. This numbs the area of the penis where the incision will be made. There are different types of anesthetic. A healthcare provider may put a numbing cream on your child’s penis. Or he or she may inject small amounts of anesthetic around the penis. There are risks with any anesthetic, but these are considered safe. In addition to the anesthetic, your healthcare provider may give your baby a pacifier dipped in sugar water. This can help soothe him while the procedure is happening.
A circumcision can be done in several ways. The procedure usually takes about 15 minutes or less. The procedure goes like this:
After the circumcision, you will need to care for your baby’s penis until it heals. This includes cleaning the area with plain water at least once a day. You will also need to clean it if the area is dirty after a bowel movement. Then let the area dry, and put petroleum jelly on it. This keeps the gauze dressing from sticking.
You may be asked to remove the dressing the next day. Or you may be asked to use a new dressing, and some petroleum jelly, each time you change diapers. When the gauze dressing is no longer needed, you may be told to keep putting petroleum jelly on the end of the penis for a few more days. This helps prevent the penis from sticking to the diaper.
Some swelling on the penis is normal. It is also normal for the penis to develop a crust. This will go away after a few days. A small amount of bleeding is not unusual. But if you see a blood stain on your baby’s diaper that is bigger than a quarter, call the healthcare provider right away. If the penis keeps bleeding, apply firm pressure with a washcloth for several minutes. Then look to see if the bleeding has stopped. If the bleeding continues, bring your child to the emergency room.
If a plastic ring was used, it should fall off within 10 to 12 days. Tell your healthcare provider if this doesn’t happen.
A baby’s penis usually fully heals from a circumcision in 7 to 10 days.
Call your child’s healthcare provider if your baby has any of the following:
Always use a digital thermometer to check your child’s temperature. Never use a mercury thermometer.
For infants and toddlers, be sure to use a rectal thermometer correctly. A rectal thermometer may accidentally poke a hole in (perforate) the rectum. It may also pass on germs from the stool. Always follow the product maker’s directions for proper use. If you don’t feel comfortable taking a rectal temperature, use another method. When you talk to your child’s healthcare provider, tell him or her which method you used to take your child’s temperature.
Here are guidelines for fever temperature. Ear temperatures aren’t accurate before 6 months of age. Don’t take an oral temperature until your child is at least 4 years old.
Infant under 3 months old:
Child age 3 to 36 months:
Child of any age:
Before you agree to the test or the procedure for your child make sure you know:
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