Adhesions are normal and will separate over the first 15 years of life. After puberty, the foreskin should be easily retractable. The oily glands beneath the foreskin produce a thick, white substance called smegma, which must be carefully and regularly washed away.
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Summary Read the full fact sheet. On this page. Parents deciding on circumcision Medical reasons for circumcision Reasons not to choose circumcision Circumcision of older boys and men Medical issues with circumcision Procedure for circumcision Immediately after a circumcision Complications after a circumcision Taking care of your child after circumcision Seek urgent medical attention Genital hygiene and the uncircumcised penis Where to get help.
Change diapers often so that urine and stool do not cause infection. Signs of infection include redness that does not go away, swelling, or fluid that looks cloudy and forms a crust. Call your health care professional right away if you notice any of these signs. If your baby boy is not circumcised, wash the outside of the penis with a mild soap and water. The foreskin may not be able to pull back completely until he is older.
This is normal. As your child gets older, teach your son how to wash his penis. When he is old enough, he should gently pull back the foreskin and clean the area with soap and water. The foreskin then should be pushed back into place. It is important to have all of the information about the possible benefits and risks of the procedure before making a decision.
You may think about future health benefits, religious or cultural beliefs, and personal preferences or social concerns. Remember, circumcision is elective—it is your choice whether to have it done. If you have any questions or concerns, talk with your ob-gyn or other health care professional during your pregnancy so you have enough time to make an informed decision. Circumcision: The surgical removal of a fold of skin called the foreskin that covers the glans head of the penis. Complications: Diseases or conditions that occur as a result of another disease or condition.
An example is pneumonia that occurs as a result of the flu. A complication also can occur as a result of a condition, such as pregnancy. An example of a pregnancy complication is preterm labor. Elective Procedure: A planned, nonemergency procedure that is chosen by a patient or health care professional.
The procedure is seen as positive for the patient but not absolutely necessary. Copyright by the American College of Obstetricians and Gynecologists. All rights reserved. Read copyright and permissions information. This information is designed as an educational aid for the public. It offers current information and opinions related to women's health.
It is not intended as a statement of the standard of care. It does not explain all of the proper treatments or methods of care. It is not a substitute for the advice of a physician. Various surgical techniques are used, but they follow the same steps: The penis and foreskin are cleaned.
A special clamp is attached to the penis and the foreskin is cut and removed. Reasons to delay circumcision include the following: The baby is born very early The baby has certain problems with his blood or a family history of bleeding disorders The baby has certain congenital abnormalities.
They may then apply pressure to the head of the penis while pushing the foreskin forward. In severe cases of paraphimosis, local anaesthetic gel can be applied to the penis and a small slit is made in the foreskin to help relieve the pressure. Balanitis and balanitis xerotica obliterans can sometimes be successfully treated using corticosteroid ointment, gel or cream , antibiotic creams or antifungal creams.
If you're considering circumcision for a medical reason, it's worth discussing alternative treatment options with your GP or specialist. There's evidence from several trials carried out in Africa that circumcised men have a lower risk of acquiring HIV from infected women. But it's unclear whether male circumcision can help prevent other sexually transmitted infections STIs. There have been several studies into male circumcision and the risk of other STIs, but the evidence to date has been inconclusive and conflicting.
Circumcision is usually carried out on a day patient basis. This means you'll be admitted to hospital on the same day you have surgery and won't have to stay overnight.
You'll be asked not to eat and drink for 6 hours before surgery if you're having a general anaesthetic. After you have been admitted to hospital, you'll be seen by the members of the medical team carrying out the procedure, including your surgeon and anaesthetist. This is a good opportunity to discuss any concerns you have and ask questions about anything you're not sure about. You'll be asked to sign a consent form to confirm you agree to the surgery. You'll usually either have a general anaesthetic, which means you'll be unconscious throughout the procedure, or a local anaesthetic injection, which will numb your penis and the surrounding area.
In some cases, a spinal anaesthetic, where you're unable to feel anything below your waist, will be used. Read more about the different types of anaesthesia. Circumcision is a relatively simple procedure. The foreskin is removed just behind the head of the penis using a scalpel or surgical scissors. Any bleeding can be stopped using heat cauterisation , and the remaining edges of skin will be stitched together using dissolvable stitches.
When you're discharged from hospital, you'll be given advice about your recovery at home, including when you can drive, return to work and have sex. It usually takes at least 10 days for your penis to heal after circumcision.
You'll probably be advised to take at least 1 week off work to recover. You don't need to tell the DVLA if you have had a routine circumcision and don't have any other medical conditions that affect your ability to drive.
But it's your responsibility to ensure you're fit to drive after having surgery. Your care team will give you a contact number to call in case you experience any problems or have any concerns.
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