Overview of Circumcision
Circumcision is a surgical procedure that involves the removal of the foreskin from the penis, exposing the glans or tip.
While most performed on newborns, circumcision can also be done on older children and adults, although it is less common in these age groups.
The procedure is often chosen for
- Religious
- Cultural
- Medical
- Personal reasons
While circumcision offers benefits like reduced risks of certain infections and easier genital hygiene, it also carries potential risks such as pain.
Procedure Details
During circumcision, the foreskin is surgically removed.
The procedure is relatively quick for newborns, usually taking around 20 minutes, and does not require stitches.
Older children and adults may need dissolvable stitches or cauterization to stop bleeding and reduce scarring.
Three standard circumcision techniques are used:
- Gomco clamp
- Mogen clamp
- Plastibell device
The choice of technique depends on the doctor’s preference and the patient’s specific needs.
Pain is managed with local anaesthetics and, in some cases, pain relief medications.
Risks and Benefits
Circumcision is generally considered safe, with a high success rate and low complication rates (less than 3%).
The benefits of circumcision include a
- Reduced risk of foreskin-related issues
- Urinary tract infections
- Sexually transmitted infections
Additionally, evidence suggests that circumcision may lower the risk of penile cancer and decrease the likelihood of cervical cancer in sexual partners.
However, like any surgery, circumcision carries risks such as anesthesia-related complications,
- Bleeding
- Infection
- Meatal stenosis
Concerns about reduced sexual sensitivity are often mentioned, but there is no conclusive evidence to support this.
Recovery and Outlook
Newborns typically recover from circumcision within ten days, during which the penis may appear swollen or red, with a yellowish film on the tip as it heals.
For older children and adults, recovery may take two to three weeks and sometimes up to six weeks.
After the procedure, it’s essential to keep the area clean and dry, applying skincare ointments as doctor recommends.
This includes gentle cleaning with a washcloth and avoiding full baths for at least two days for infants.
Older children and adults should avoid activities that pressure the healing area, such as
- Straddling toys
- Strenuous physical activity
Considerations and Alternatives
Circumcision is a personal decision.
Parents or individuals considering circumcision should weigh the benefits and risks and address any concerns with their doctor.
For those who opt not to circumcise, keeping proper hygiene is essential to prevent infections and other complications.
The foreskin should not be forcibly retracted in young children; instead, it should be gently cleaned until it naturally becomes retractable as the child grows older.
Ensure the best care for your child—contact your doctor to discuss circumcision and proper hygiene practices.
