Circumcision is an operation to remove the foreskin and expose the glans
Medical indications for circumcision include
pathologic phimosis
recurrent UTIs
Non-medically indicated circumcisions are performed by private practitioners.
Parents need to make an informed decision after carefully looking at all the facts about the benefits and risks for their child
Circumcision should be done in a safe, child-friendly environment by properly trained and qualified staff who are available to manage any post-operative complications. The child should receive appropriate analgesia.
Post-circumcision problems
It is common for the glans penis to be inflamed and crusted following circumcision.
This is due to the forcible separation of normal tissue layers
Liberal application of Vaseline to the nappy or a panty liner for a few days helps
Infection is uncommon, but can be serious
Bleeding is uncommon but if significant:
Apply compression and obtain urgent surgical advice
Consider coagulopathy in significant bleeding after a circumcision
PlastiBell circumcision: any post-circumcision complications should be discussed with a urologist for management advice