Advice

circumcision-advice

Circumcision Advice

We would advise you to make thorough enquiries about circumcision prior to booking an appointment.

Many patients or parents have essential reasons for wanting a circumcision performed such as a religious requirement or health reasons and therefore just try and find the nearest or cheapest doctor available. A circumcision is not a minor procedure and should not be regarded as such.  If performed in the wrong hands, the complications and consequences can be disastrous and permanent.
We hope that this site will provide adequate information in assisting you with deciding whether a circumcision is the right procedure for you or your son.

We are also quite happy to guide you along the process and answer any questions you may have at any time regarding circumcisions.

If you choose to have a circumcisions performed for yourself or your child, then please read further below at some simple pre-procedure and after-procedure care advice.

Pre-procedure care and checklist

    • Make sure you have found a suitable doctor and clinic and the reasons for the circumcision are clear
    • When booking an appointment, please ensure that all relevant or adverse medical history about the patient is presented
    • In children, we would recommend that the child have a bath just prior to coming into the clinic or home visit and a nappy change. Please bring extra nappies if required and an extra clothing just in-case of soiling.
    • In adults and teenagers, a shower/bath and cleansing with the foreskin retracted is advised as this reduces the smegma at the time of operation and keeps the infection rates lower. It is also advisable to trim or shave the pubic hair to prevent it getting caught in the dressings.
    • Please have the following present at the clinic
      –    GP details
      –    Parents or Legal Guardians only can sign the consent form
      –    Payment in cash or online receipt of proof of payment

      After procedure care – Children

        • Your baby may feel some discomfort for the first day only; if he is very distressed, give Paracetamol syrup 5ml every 4 to 6 hours (available from chemist) Note: if under 3 months of age, give 2.5 mls.
        • Nappies should be worn as normal and do not use any special creams
        • Allow your child to soak in a bath of warm water twice daily. Add 2 tablespoons of salt to the water and a capful of Dettol – stir to disperse. Let the baby sit in the bath for 10 to 15 minutes each time.
        • The skin around the plastic rim will gradually go yellow and then black. This is normal so do not worry.
        • The plastic bell will fall off between 5 to 8 days, leaving a clean, healed circumcision.
        • If severe bleeding occurs, so that the nappy becomes soaked, please phone us immediately. If there is any difficulty contacting us, please take the baby to the nearest Accident and Emergency Department. THIS IS RARE, BUT WOULD GENERALLY OCCUR WITHIN THE FIRST 6 To 10 HOURS AFTER THE OPERATION.
        • Occasionally after 3 to 4 days, the circumcision area may become infected with redness, swelling, and yellow pus discharge. Try using Savlon Spray powder (available from the chemist). If no improvement then please contact us or your own GP for advice and treatment. More complete instructions are given to you at the clinic after the procedure.

          More complete instructions are given to you at the clinic after the procedure.

          After procedure care – Adults

            • Your may feel some discomfort for the first few weeks and if this is the case, we would advise you to take some Paracetamol (OTC) 1g up to 4 times a day. You may also wish to take some nurofen or ibuprofen 400mg with food up to a maximum of three times a day (with or after meals).
            • Loose fitting underwear is advised.
            • The dressing should be left on for at least 48 hours. After this time, no further dressing is required and you can shower and clean as normal. It is advised to keep the area dry.
            • The circumcision is complete when you leave the clinic and there is no ring left on it such as in a child. You will have some dissolving sutures left on which should fall off by themselves in 10 to 14 days.
            • If severe bleeding occurs, so that your underwear or the dressing becomes soaked, please phone us immediately. If there is any difficulty contacting us, please go to the nearest Accident and Emergency Department. Some bleeding or oozing is acceptable, however severe bleeding is rare and would occur within the first 12 hours after the operation.
            • Occasionally after 3 to 4 days, the circumcision area may become infected with redness, swelling, and yellow pus discharge. Try using Savlon Spray powder (available from the chemist). If there is no improvement then please contact us or your own GP for advice and treatment with antibiotics.
            • You should be able to return to normal sexual activity after 6 weeks after your procedure. Prior to this, the healing is not complete and sex will be both painful and you risk breakdown of the wound.

              More complete instructions are given to you at the clinic after the procedure.