On The Day

Newborns & Babies

0-2 years

On the day

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On the day, we will first explain the procedure and discuss any potential complications. Then, we will go through the details of the immediate aftercare and provide contact details should you have any further questions once you get home. You will have our support through every step of the process.

We will require consent for all procedures. To gain consent for a procedure to be carried out on one’s son, it is necessary that both parents are present on the day and are in complete agreement with regards to going ahead. Both must sign the consent form. If one or both parents are not able to be present, a signed consent letter will be required alongside proof of signature. Single mothers must demonstrate full custody and parental rights if they are the sole consenters. In the case of single fathers, we will require some form of documentation to confirm that the mother has given consent or that court approval has been granted.

The circumcision process consists of two steps. Initially, babies and infants are given a local anaesthetic block that will numb the entire penis to ensure a painless procedure. Unlike a general anaesthetic, the medication will not put the child to sleep. Administration of the local anaesthetic can be painful. It involves three small injections at the base of the penis. This will sting a little and it is normal for babies and infants to cry at this point. The injections are very quick and should take no longer than 30 to 45 seconds. The local anaesthetic used is a mixture of lignocaine (short-acting) and chirocaine (long-acting) which takes effect within about 5 to 6 minutes and lasts for at least 1 hour.

This will easily cover the duration of the circumcision and part of your journey back home. Prior to commencing the procedure, we will check and demonstrate to the parents that the anaesthetic is working and the entire penis is completely numb.

For babies and infants, we normally opt for the ‘Plastibell’ technique.

  • After establishing that the local anaesthetic is working and that the child is not feeling any pain we proceed to stretch the foreskin and reveal the head of the penis.
  • We then clear any adhesions and usually separate what is known as the frenulum from the base of the penis’ head. There can be some minor bleeding at this point. We will usually use a cauterisation technique to stop any bleeding and proceed to size the ring.
  • The Plastibell ring comes in a variety of sizes. After selecting the appropriate size, the ring is passed over the head of the penis.
  • The retracted foreskin is pulled back over the ring.
  • A tight suture is tied against the ring trapping the foreskin.
  • Over the course of the next 7 to 8 days, the thread will cut through the foreskin.
  • Subsequently, the foreskin and ring will drop off revealing a fully circumcised penis. The process is akin to the umbilical cord falling off soon after birth.

Once we have completed the circumcision we will ask you to remain in the clinic for a further 15 to 20 minutes so that we can check to ensure there is no bleeding and that the baby is settled. We will also answer any final questions and concerns you may have. You will be given access to our 24/7 aftercare service, allowing you to return home with your minds at ease.

Although the ‘Plastibell’ ring is considered the gold standard there are times when it may not be appropriate. In certain circumstances, we may choose to use the ‘Circumplast’ ring instead. This is normally when there are concerns over the possibility of a ‘buried’ penis. A buried penis defines the situation where a large amount of pelvic fat sits just behind the base of the penis and gives the illusion of the penis being shorter in length than it actually is. The result is that it is partially or completely hidden below the surface of the skin.

In much rarer situations, both Plastibell and Circumplast methods may be unsuitable. This is usually because the penis is extremely well developed and much larger than can be accommodated by the Plastibell or Circumplast rings. In this case, a traditional cut and stitch technique is required.

Although the ‘Plastibell’ ring is considered the gold standard there are times when it may not be appropriate. In certain circumstances, we may choose to use the ‘Circumplast’ ring instead. This is normally when there are concerns over the possibility of a ‘buried’ penis. A buried penis defines the situation where a large amount of pelvic fat sits just behind the base of the penis and gives the illusion of the penis being shorter in length than it actually is. The result is that it is partially or completely hidden below the surface of the skin.

In much rarer situations, both Plastibell and Circumplast methods may be unsuitable. This is usually because the penis is extremely well developed and much larger than can be accommodated by the Plastibell or Circumplast rings. In this case, a traditional cut and stitch technique is required.

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