Circumcision is a simple procedure to remove the foreskin that covers the head of the penis.
Steinberg Urology offers circumcision for infants, boys, teens and adult men.
Though traditionally associated with newborns, circumcision can be performed on boys and men of any age. Some choose circumcision based on religious or culture beliefs, for others there are health conditions or cosmetic reasons.
The Circumcision Procedure
Dr. Steinberg performs the procedure using a technique developed by Dr. Neil Pollock, using a Mogen clamp, instead of a Gomco clamp or Plastibell ring. Using this technique, the circumcision takes only 30-60 seconds for newborns (10 times faster than most hospital circumcisions) and usually less than 10 minutes for older boys or adults.
Circumcision is a personal decision but research shows there are health benefits to the procedure. Foreskin can trap bacteria and other infectious agents; its removal may improve genital hygiene and reduce risk of disease over the lifetime of the boy and his future sexual partners.
Circumcision at Any Age
Our clinic is focused on high-quality care to ensure that all our circumcision patients (and their parents) have a comfortable and positive experience.
Circumcision for Infants & Newborns
Typically, the decision to have a newborn circumcised is made before birth. Once your son is born, it’s recommended that you schedule the appointment as soon as it is convenient. Appointments are usually available within days of your call.
Parents are welcome to stay with their child during the procedure. It takes just minutes and many babies sleep right through it. The penis is numbed with a topical freezing cream and a long acting local anesthetic.
The room is warm with soothing music and a sugar pacifier, which has been shown to reduce pain perception, is available. The doctor will provide detailed instructions for your child’s aftercare and parents are always welcome to call with questions.
Complete healing typically occurs around four weeks but most newborns or children show signs of healing by 1 week.
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Circumcision for Boys and Teens
Circumcision for teens and younger boys is a routine procedure at our clinic, but we appreciate that it can cause some anxiety for the patient and their family. If you have questions, feel free to contact us.
Please talk to your son about the procedure ahead of time. It takes less than 10 minutes and he should be able to return to school in 2-3 days.
Circumcision for Adult Men
There are several reasons why men may choose an adult circumcision procedure. For some it’s a response to a medical condition, such as phimosis, For others, it may be a for cosmetic choice or other personal reasons.
The combination of local anesthetic, quick surgical technique, and use of skin glue instead of sutures improves cosmetic outcomes significantly.
The procedure itself will take about 5 minutes once the penis has been anesthetized. You may be kept for observation for an hour after surgery. Follow-up is required the next day and 3 days after the operation for dressing changes, etc.
Some men return to sedentary work as soon as 2 – 3 days after circumcision. You will need to wait longer before returning to physical work. The doctor will provide detailed instructions for after care in the post recovery period.
Health Benefits of Circumcision
Circumcision can have positive health outcomes through the various stages of life.
- Improved hygiene: The incidence of balanitis is twice as high as those who are uncircumcised.
- Reduced risk of urinary tract and bladder infections: Studies suggest an over 10-fold decrease in risk of urinary tract infection in circumcised infants.
- Reduced risk of phimosis: Circumcision eliminates the risk of phimosis, which affects 1 in 10 older boys and men.
- Reduced risk of penile cancer: Studies have shown an a significant reduction in the risk of invasive penile cancer. Invasive penile carcinoma is highly associated with a history of phimosis.
- Reduced risk of prostate cancer: Uncircumcised men have a higher incidence of prostate cancer.
- Reduced risk of HIV/AIDS: This is because the HIV virus enters through the inner lining of the foreskin which is thin and vulnerable.
- Reduced cervical cancer in women: The human papillomavirus can adhere to foreskin.
- Circumcision reduces risk of cervical cancer in a female partner by 5.6 times.
Risks of Circumcision
As with any medical procedure, circumcision carries some risks but serious complications are extremely rare.
- Bleeding: in 1 in 500 circumcision there may be some bleeding that is usually stopped with pressure or less commonly with stitches. If a bleeding disorder such as hemophilia, then our doctors will need advice from a pediatric hematologist prior to proceeding.
- Infection: there is always a possibility that there could be a generalized infection
requiring antibiotics after the surgery (1/4000).Serious infections are rare (1/5000).
- Concealed penis: when there is a good amount of fat around the penis (pubic fat), the penis may retract inward and increase the chances the penis gets partially buried and requiring medical intervention (1/800).
- Meatal stenosis: this is a narrowing of the urethra that may occur after the procedure requiring medical intervention (1/1000).
- Trauma: resulting in permanent damage to the head of the penis (never in our practice)
- Suboptimal cosmetic result (1/500)
The Penis Before & After Baby Circumcision
1. A profile of the uncircumcised penis with the foreskin covering the glans (head of the penis).
2. The same penis as in Figure 1 but drawn as if the foreskin was transparent. Here you can see the foreskin in relation to the inner side of the foreskin and the glans. Notice the adhesions along the inner side of the glans. These are present at birth in almost all babies and must be released before the actual circumcision.
3. The same penis following the circumcision. Notice that the cut edge of the skin retracts to just behind the back rim of the glans. This is the site of healing.
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