A baby on a bed

Urological Care for Newborns

How to Prepare for the Circumcision of Your Newborn Baby

Polysporin and Tempra
  • Allow 2 hours (approx.) for the procedure
  • Buy and bring with you a tube of Polysporin ointment and a small bottle of Tempra for newborns
  • Bring at least 3 spare diapers
Plastibell device

What Technique Is Used for Newborn Circumcision?

The Plastibell™ technique has been around for several years. It is a clear plastic ring with a handle that detaches at the end of the procedure. This technique is safe because the glans is protected at all times during the intervention, unlike a Mogen clamp. There is little bleeding. The risk of infection or of the ring getting stuck is very low.


How Is the Procedure Carried Out?

First of all, one of the two parents may be present during the circumcision if he or she desires.


The procedure takes place in several steps. First, an anesthetic cream is applied to the penis for about 10 minutes. A penile bloc is then performed by the infiltration of a local anesthetic, based on the child’s weight, to the base of the penis 10 minutes before circumcision. The baby is placed on his back on a bed for the circumcision. After the foreskin incision and its retraction, the appropriate sized ring is introduced and placed on the head of the penis, with the help of the detachable handle. After this, the circumferential ligation of the foreskin is performed using a ligature around the groove of the ring. The excess skin is then trimmed. The ring should fall off on its own 7 to 10 days after the circumcision. The residual foreskin becomes white or sometimes black, like the umbilical cord after birth. If the ring does not fall off after 10 days, please schedule an appointment.


The baby is examined 10 minutes after the operation, at which point we check for bleeding in the diaper. An appointment is scheduled for two (2) months after the procedure.


Urologist Dr. Carlos Marois is at your service to answer any questions.


Postoperative Recommendations for Newborns

  • The head of the penis may seem red.
  • No bandage is required.
  • Do not worry if the child becomes irritable during the first 24 hours.
  • Tempra© (according to the recommended dosage according to the weight of the baby) every 6 hours if the child appears uncomfortable in the first days following the procedure.
  • Apply vaselin or greasy Polysporin© to the head and the ring to all diaper changes until the ring falls.
  • Put a gentle traction on the infant's skin of the penis to the pubic bone until the ring falls.
  • Gently mobilize the ring to the tip of the penis at all diaper changes until the ring falls.
  • Give the bath everyday as usual, without restriction after 24 hours.
Tempra

If the ring does not fall after 10 days, it is important to refer back to avoid a ring imprisonment. In such cases, it is sometimes necessary to cut the cord and simply remove the ring manually. It is sometimes necessary to make another local anesthetic. The residual swelling will recover in the following weeks.


After the fall of the ring, continue applying Polysporin® and putting tension on the skin of the penis to the pubic bone to fully release the head at all diaper changes for 1 month to avoid adhesions.

Copyright Dr Carlos Marois Urologue 2016 - Legal
Created by

Legal notice