The Portland Hospital, 234 Great Portland Street, London, W1W 5QT
The Portland Hospital, 234 Great Portland Street, London, W1W 5QT
Circumcision is a procedure where the foreskin is removed exposing the head of the penis. Newborn circumcisions are mainly performed for cultural or religious reasons and it is a relatively rare procedure in the UK. If you’re considering having your son circumcised then it is important to discuss the procedure with an experienced doctor so that you can make the right choices about his care.
The foreskin is a thin layer of skin that covers the head of the penis. It is usually tightly attached in newborns, but it should become looser as boys grow up so that it will be able to retract away from the head or glans. Some parents feel that it is harder to keep an intact penis clean as it is necessary to wash under the foreskin once it has become loose. Certain kinds of infection are more common in boys who have not been circumcised, but serious health problems linked to the foreskin are very rare.
There is no medical indication for circumcision in the newborn period. All babies have a tight foreskin and attempts should not be made to retract it. The foreskin will naturally retract as your son gets older. Surgery is only required if this doesn’t happen by the age of about five or six.
However, some religions and cultures favour having newborn male children circumcised. For some religions it is an absolute imperative. For some cultures, it is considered to be more hygienic and likely to limit the spread of sexually transmitted diseases. Conditions such as balanitis (inflammation of the glans and foreskin) can also be prevented through circumcision, although good personal hygiene should also reduce the risk of these kinds of issues.
Male circumcision is a relatively minor procedure. It is very safe and it won’t usually have any long term effects on a man’s health or sexual relationships. It is illegal and wrong to perform any form of female "circumcision".
If you are considering newborn circumcision in London then it is vital to ensure that the procedure will be carried out safely. Circumcision in babies is generally very safe as long as it is performed by an experienced doctor using the correct procedures. Since there are no medical reasons to have your baby circumcised, this is a very personal decision. You will need to discuss the risks and benefits in detail with your doctor so that you can make the right decisions for your family.
Male circumcision is sometimes recommended at later ages to tackle issues such as phimosis or recurring infections of the foreskin. However, the procedure is different when it is performed at older ages and the risk of side effects will be higher. If you want to have your son circumcised for cultural reasons it is therefore best to arrange the procedure while he is still a baby.
Newborn circumcisions should be performed with the administration of local anaesthetic under strict aseptic conditions in a dedicated minor procedure room. We utilise the Plastibell® technique under local anaesthetic for babies under the age of 8 weeks old. It is essential that both parents consent to the procedure being carried out. During this procedure, a plastic ring is placed between the head of the penis and the foreskin and a string tied around it. Some excess skin may be clipped off if necessary. After a few days, the ring falls off leaving a circumcised penis.
The procedure takes about 15 minutes and you will be able to take your baby home immediately afterwards. He will be awake throughout the procedure, but he won’t be able to feel what is happening because of the local anaesthetic. The penis will be covered in gauze after the procedure to help keep it clean.
The plastic ring will remain in place for up to 10 to 12 days after the procedure. It will then drop off by itself, taking the foreskin with it. The Plastibell ® technique enables the foreskin to be removed without the need for any cuts or stitches so it is the preferred method for many doctors and parents in London. Different types of newborn circumcision procedure are used at different clinics in London so it is important to be aware of the method that will be used when you choose your doctor.
You will be able to take your baby home immediately afterwards. We prescribe some local anaesthetic gel to take home and apply regularly for the following 2 days. You might notice that your baby seems fussy or uncomfortable, but the gel should help to relieve any discomfort.
We usually ask that you keep the area as dry as possible for a couple of days and then bathe normally after that. It is essential to keep the foreskin area clean and dry in order to prevent issues such as infections that can otherwise occur after the procedure.
The Plastibell ® method that is used for newborn circumcision in London is very safe, but it is essential to follow your doctor’s instructions for post-operative care. You will be able to get in touch with the doctor if you have any concerns during the recovery period.
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