Circumcision
This is an elective procedure not covered by OHIP.
How do I prepare my baby boy for his circumcision?
On the day of the procedure, try to stick to your normal routine and dress your son in a warm and comfortable 2-piece outfit.
Feed your son before his procedure either before leaving your home or when you arrive at New Creation MediCosmetic Centre.
Please arrive 15 minutes before your scheduled appointment with the following items:
- Vaseline (or non-petroleum equivalent)
- Infant Tylenol or Tempra
- Polysporin ointment (Black label is best)
- Two muslin cloths or baby blankets
- Diapers and baby wipes
- Pacifier (if your son takes one)
What are some medical reasons to choose circumcision?
There are very well documented health advantages associated with performing a newborn circumcision, which continue to benefit men throughout life.
Some of these benefits include:
- Reduces the risk of urinary tract infections
- Reduces the risk of penile and prostate cancer
- Reduces the risk of cervical cancer in their partners
- Decreases the risk of contracting or spreading sexually transmitted infections, including HIV, hepatitis, HPV
- Improves ease of genital hygiene
- Eliminates risk of needing a circumcision later in life
Circumcision post-op instructions
Following your son’s procedure, it is not unusual for him to be upset for the first 1-2 hours afterwards as the freezing wears off. To minimize his discomfort, please follow these recommendations:
1) keep your baby’s legs tightly swaddled to minimize movement, especially for the first 1-2 nights
2) try to soothe your son with milk/formula, but do not be alarmed if he is not interested in feeding immediately
3) Baby Tylenol (80mg/1ml)can be used at milliliter every 4-6 hrs as needed
His penis and exposed head (or glans) will be red, swollen and tender for about 1 week following the procedure. The swelling and redness will get worse over the first 48 hours, and then typically starts to settle until bell falls off. During the healing phase there are two important things to remember;
1) Keep it clean (water and baby shampoo)
- Clean with soap and water 2-3 times each day (bath time and whenever the penis is dirty/soiled).
- The penis MUST get wet to be cleaned properly but SHOULD NOT be let to soak under water until the bell comes off.
- Apply Polysporin to the bell and tip of penis every time it’s cleaned.
- Baby wipes or a warm face cloth are okay to use around the area.
- Once the bell falls off, give the area a good soak every night for 5-7 days.
2) Vaseline (or non-petroleum options)
- While the bell is in place, apply a small amount of Vaseline to the inside front of his diaper.
- After the bell falls off, apply Vaseline to the entire head of the penis for 2 weeks with every diaper change.
What to look for after my son's circumcision
1) Bleeding
- Spotting on the diaper is expected for 1-2 days, and may return if/when the scab falls off
- If the diaper is full of blood/clots, or the penis is actively dripping then he must be assessed urgently in my office or the emergency department
2) Infection
- Redness and swelling are expected after a circumcision and will slowly improve during the first week.
- Polysporin ointment can be used to help prevent infections
- If your son develops a fever he should be assessed urgently
3) Bell slips back on penis
- Rarely, the Plastibell can slip backwards and get stuck behind to the head of the penis
- If this occurs, contact the office immediately so we can plan to remove it urgently
4) Bell stays on too long
- The bell typically falls off between 4-10 days after his procedure
- If the bell is still on at the 10-day mark, contact the office to have bell removed
- 14 days is the MAXIMUM amount of time and then the bell MUST be removed
IF YOU HAVE ANY CONCERNS AT ANY TIME PLEASE CONTACT OUR OFFICE DIRECTLY. IF OUR OFFICE IS CLOSED AND WE CANNOT BE REACHED, PLEASE ASK THE ANSWERING SERVICE TO CONNECT YOU TO THE DOCTOR ON CALL. OFTEN THE DOCTOR ON CALL CAN REACH ME DIRECTLY. FINALLY PLEASE DO NOT HESITATE TO GO DIRECTLY TO THE EMERGENCY DEPARTMENT IF YOU ARE CONCERNED.
Other minor surgical office procedures are too numerous to list.
Please call the office to ask.
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