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A 41-year-old member asked:

how can circumcision be done?

2 doctor answers8 doctors weighed in
Dr. James Ferguson
Pediatrics 46 years experience
Depends on variables: For newborns the boy is positioned on a restraint.The area is anesthetized with a local and sanitized with an antiseptic.The foreskin is cut open along the top and a metal clamp is applied that protects the glans and defines the limit of the circular cut.The excess foreskin is cut and removed, the clamp is then removed and the site covered with vasaline and gauze.Other methods are also used.
Dr. George Klauber
Specializes in Pediatric Urology
Agree with Dr Ferguson about Gomco clamp technique for newborns. Personally prefer PlastiBell technique which starts out as above. However a PlastiBell device of appropriate size is placed over penile glans, foreskin is then pulled over "bell" part of device and then tied off with with string & skin beyond the tie is removed. The string compresses all blood vessels to & from the foreskin, thus bleeding is prevented. In my opinion this is safest method for infant circumcisions. Third technique is using Mogen clamp, used by Jewish Mohels & many others. Clamp is applied across foreskin which has first been freed from underlying glans and pulled beyond it. Foreskin beyond clamp then excised. Adult circumcisions are performed differently. 2 circumferential incisions made around penis, 1 on outer shat skin & 2nd close to groove under glans. Skin between is removed & skin edges sutured.
Jul 13, 2013
Dr. James Ferguson
Pediatrics 46 years experience
Provided original answer
I appreciate Dr.Klauber's perspective. I uses the PlastiBell for my years in the Navy (only equipment available) and found it adequate. However, the crusty dried serum that accumulates around the bell and string led to frequent phone calls and office visits by parents who thought it was infected. As long as the Gomco clamp has a proper silicone washer that allows a proper crush of the skin, I have no bleeding problems. After 200 PlastiBell and > 1K Gomco circs, I prefer the Gomco.I will never do a Mogan, I consider it scary.
Jul 13, 2013
Dr. George Klauber
Specializes in Pediatric Urology
Also appreciate Dr. Ferguson's comment. Most important point is that the operator knows what s/he is doing.
Nov 9, 2013
Dr. James Lin
A Verified Doctoranswered
A US doctor answeredLearn more
Here are ....: 1. see Doc, exam penis, counsel for indications, technical details, complications, realistic expectation, and sign OR consent; 2. return timely for circumcision done usually under local anesthesia as scheduled; 3. On the OR table, shave penis, scrotum, and suprapubic area next to penis at surgeon's preference; 4. perform circumcision just like doing a plastic surgery for penis ... 5. dress ... F/U

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A member asked:

Should we circumcise the baby?

3 doctor answers8 doctors weighed in
Dr. James Ferguson
Pediatrics 46 years experience
Personal choice: In the US circumcision is commonplace, 80-90 %, France 30%, Australia 30%, great Britain 10% (not covered by national health insurance). There is data suggesting increased life risks of UTI & STD if not & I remember it being the most requested elective surgery among young enlisted men during my Navy years. If it is done at all it is easiest and heals quickest in newborns.
A 21-year-old member asked:

For what reasons do you perform circumcisions?

3 doctor answers10 doctors weighed in
Dr. James Ferguson
Pediatrics 46 years experience
Because you ask: Circumcisions are a personal choice common to various religious or cultural practices. They are common to some parts of the world and not other. They are simple and heal rapidly in newborns but become problamatic as you get older. There are some supportive data on uti's & std's. In the end it is a matter of personal choice.
A 31-year-old member asked:

Can a circumcision be done wrong?

3 doctor answers9 doctors weighed in
Dr. Moez Khorsandi
Urology 27 years experience
Definitely: As with any surgical procedure, things can always go wrong such as bleeding, infection, scarring, etc. Even if the procedure is done perfectly, there are patient medical conditions that may not allow optimal wound healing such as the ones listed above.
A 38-year-old member asked:

What is the healthiest circumcision style?

1 doctor answer4 doctors weighed in
Dr. George Klauber
Specializes in Pediatric Urology
Sleeve resection: For adults, and plastibell circumcision in infants.
A 49-year-old member asked:

Hi doctors, was just wondering what is circumcision and why is it done?

1 doctor answer3 doctors weighed in
Dr. George Klauber
Specializes in Pediatric Urology
Removal of foreskin: Mostly done in infancy because parents think it will avoid infections. May need to be done if foreskin is tight (phimosis) and doesn't retract easily ; does not respond to steroid cream. Some boys want to look like the majority of other boys. It prevents penile cancer which is very rare ; more likely caused by poor hygiene. Also for religious reasons. Some think more attractive ;/or less smelly..
Dr. Bradford Romans
A Verified Doctor commented
A US doctor answered Learn more
Sometimes done for religious reasons
Jan 16, 2014

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