A complete examination of the penis is required to determine if a baby boy or girl is ready for
circumcision. After the penis is cleaned and hair is not shaved, sterile clothing will be placed
over the baby’s body. The doctor will examine the penis and rule out any conditions that could
prevent circumcision. The procedure will then commence. The next steps include a sterile
dressing to cover the baby and an acetaminophen for pain management.
First, the foreskin is separated from the glans with a bipolar. The inner preputial membrane, or
smegma, is then cut and pushed down. The penis and foreskin are then secured. The first slit is
made on the upper side of the penis, and the second slit is made on the underside. The skin is
then pushed over the slit and the circumcision is complete.
For the first few days following the circumcision, the baby should be wearing a loose diaper. The
bandage should also be changed after each diaper change. The bandage should remain on for
no more than four to five working days. Every bowel movement should result in the parent
changing it. During this time, the penis may be slightly red and will need to be washed. The
doctor will provide instructions on how to take care of the penis. The doctor will prescribe
painkillers if there is concern about pain and instruct the parents how to care for it.
The procedure begins with the removal the penis’s foreskin. The foreskin begins to develop at
12 weeks old and matures into a bilaminar preparation by 18-20 week. An anatomical anomaly
in the penis can cause an incomplete foreskin. The prepuce is composed of an inner
mucocutaneous layer that adheres to an epithelial layer on the glans. The dartos muscle is the
outer layer of tissue. Circumcision removes these layers as well as the dartos muscular.
Although circumcision may reduce the risk of STDs in several cases, it is better to have it done
early on in the boy’s life. Children who receive circumcision as an infant have reduced risks of
contracting cervical cancer, while the female partners of circumcised men are less likely to
contract cervical cancer. The risks of not having a circumcision as an infant are negligible, but
parents should be aware the potential complications and risks.
Besides infection and bleeding, complications may arise during circumcision. Some men and
boys with bleeding disorders are unable to undergo circumcision. Others may experience
complications. Additionally, circumcision must only be performed by qualified health care
providers in a sterile setting. While bleeding and infections are the most common complications,
there are some cases that can be avoided. However, there are other risks associated with
circumcision, such as changes in sexual function.
Another risk of circumcision is meatal stenosis, which can develop after the procedure. FDA
approved the use recently of the sadocirculator. The blade is inserted in the boy’s urethra. It cuts
a thin piece of tissue on his head. The surgeon then inserts a second device, called the
sadocircular, into the boy’s penis to complete the circumcision.
For each of the four steps in circumcision, the heart rate and transcutaneous oxygen saturation
of the participants were recorded. Crying was recorded at each interval. Crying was defined to
be any level of crying during the interval. All three groups had a similar baseline heart beat at 5
minutes after circumcision. The study revealed that there are two distinct types of infants who
are sensitive. These two groups are most likely not to respond to the procedure in a different

way.
A local anaesthetic is used to the penis during the procedure. To relieve pressure, a small cut is
made in the foreskin. To help the penis retract, a healthcare professional might apply pressure
to its head. The penis can then be removed. The procedure usually takes between five to 10
minutes. The American Academy of Pediatrics and the American Urological Association have
published a policy statement on circumcision. Both recommend circumcision as a decision to the
parents. Discuss the risks and benefits of circumcision with your child’s physician.