Circumcision is the removal of the foreskin that covers the head of the penis. It might be done for religious reasons, family, or cultural preference.

Sometimes there are medical reasons why circumcision is advisable.

Most newborn circumcisions take place within the first 2 weeks after birth. This is the best time to perform a circumcision and carries minimal risks when done by circumcision specialists.

The Plastibell circumcision device is a clear, lightweight plastic in the shape of a bell with an attached handle (see photograph). It comes in various sizes to fit newborns, infants, and toddlers. The bell portion is designed to cover the glans while the foreskin is pulled over it and secured with a string (ligature). The ligature sits in a groove at the top of the bell so that when tied, the ligature will compress the excess foreskin, cutting off its circulation. The unwanted foreskin can now be removed by trimming around the bell which protects the glans from injury. This is done under local anesthesia so that the procedure and recovery time is virtually pain free.

The key is choosing the correct size device since too large a bell will cause excessive tension on the remaining foreskin and pull the bell over the glans onto the penile shaft. On the other hand, if the bell size chosen is too small, an inadequate amount of foreskin could be removed and/or excessive pressure on the glans could result in a visible deformity. An experienced circumcision specialist will choose the appropriate size plastibel device and perform the procedure in 10 minutes. Healing time is approximately 10-14 days.

While newborns are not likely to remember anything about circumcision, focusing on pain prevents babies from experiencing trauma. To reduce pain in newborns, practitioners at Gentle Circumcision give an anesthetic known as buffered lidocaine. This simply means using lidocaine with added saline to remove the uncomfortable “sting” of the lidocaine (similar to what one experiences before a dental procedure). As an option, ( with parents permission), newborns are provided a pacifier dipped in a concentration of sugar water, which research shows minimizes discomfort. We also offer a soothing, music environment, which research also has shown to relax babies. After the procedure, parents can give their babies acetaminophen (infant Tylenol) to alleviate any discomfort after circumcision. Combined, each of these techniques allows your newborn to experience a virtually pain-free recovery.

If you’re considering having your baby circumcised, schedule an appointment online today.

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