Helping your older child through the circumcision process.
Serving Southern California / San Francisco / Phoenix / Las Vegas
Circumcision is a procedure parents can choose for their baby during the first weeks of life, but older children can also benefit from circumcision. Dr. Jerome Pittman and his medical team at Gentle Circumcision in Culver City, California, specialize in performing circumcisions for older children. Our combined 40+ yrs experience along with a proven pain management program makes us one of
the few medical facilities able to perform circumcision for kids using local anesthesia.
Circumcision for Kids
Q & A
What is circumcision for Kids?
Circumcision for kids is a specialty at Gentle Circumcision. The most popular time for circumcision is the first few weeks of life. However, not all babies undergo circumcision at that time for various reasons. Dr. Pittman has exceptional skills in performing circumcisions on kids of all ages. He carries out circumcision for kids in one of two ways: 1) Placement of a Plastibel circumcision device or 2) a modified hand technique
The Plastibel technique is the method used in newborn circumcision but can also be used for older babies and toddlers. If your child is small enough, Dr. Pittman can use a Plastibel device that comes in sizes to fit ages from newborn to toddler. To carry out the circumcision, the doctor places the proper size plastibel over the head (glans) to protect it while circumcising. Next, the excess foreskin is pulled over the outside of the plastibel. A surgical ligature (string) ties off the unwanted portion of the foreskin, which the doctor removes. The plastibel device is removed in 7 days.
The Plastibel procedure takes 30 minutes. In older children, healing takes up to three weeks.
Modified Hand Technique
A hand technique is the most common method of circumcision in kids, especially older children. Local anesthesia is the preferred method for pain management at Gentle Circumcision.
The procedure begins similar to that done in a newborn:
- administer local anesthesia
- choose the proper Plastibell size
- place a plastibel device and secure with a surgical ligature ( string)
- remove excess foreskin
- remove the plastibel device
- cauterize all bleeding points
- connect cut skin edges with absorbable stitches
Your son’s circumcision area is entirely numb before and during the procedure, similar to what you would experience in the dental office.
The stitches dissolve into the skin, so they donʼt need removing.
This modified hand technique takes around 45 minutes, and the healing time is about three weeks. Your child can usually return to school within 3 days.
How is pain managed when circumcising kids?
For toddlers and children, a pre-circumcision loading dose of extra-strength acetaminophen is given the night before, and then again, the morning of the procedure. Alternating between acetaminophen and ibuprofen is continued for 48 hours after circumcision.
HOW IT WORKS
Call our office to make your appointment, or simply schedule online. You have a choice to setup a consultation alone, or schedule a same-day consultation and procedure.
Next, come to the office for your complimentary consultation. At this appointment, you will have a chance to get answers to all questions you have about circumcision.
On the day of your procedure, be sure to arrive a little early. Administering local anesthesia and completing the circumcision will take 45 minutes.
Virtually Painless Recovery
We have perfected our pain management strategies to allow your child the most comfortable recovery possible. He will be able to return to school in 3 days.
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Gentle Circumcision has achieved a virtually painless circumcision and recovery for over 6000 older baby circumcisions. All performed using local anesthesia.