Fill out the following form to register for a circumcision for a newborn. A member Dr Marois's team will get back to you to set up an appointment and answer your questions.
How to Prepare for the Circumcision of Your Newborn Baby
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 the safest because the glans is protected at all times during the intervention, unlike a Mogen clamp.
The glans preparation for the circumcision is the longest part of the procedure. It takes a few minutes and implies the preputial separation, the cleansing of secretions if any, and the release of the frenulum.
The ring positioning, ligation tying and preputial excision take less than a minute.
The low rate of complications depends on parents who follow postoperative recommendations. There is very little bleeding. The risk of infection or of ring retained is very rare. Considering the small risk of bleeding, you can leave the office shortly after the circumcision.
How Is the Procedure Carried Out?
First of all, at least one of the two parents must be present to sign the consent for the intervention. Also, either one or both of the parents can be present during the circumcision if desired.
The procedure takes place in several steps. First, an anesthetic cream is applied to the penis for about 10 minutes. Drops of a sucrose solution are given directly in the newborn’s mouth. This has a euphoric effect that improves anesthesia. 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.
Considering the small risk of bleeding, you can leave the office shortly after the circumcision. The baby is re-examined after the intervention, at which point we check for any sign of bleeding in the diaper and repeat the postoperative recommendations to the parents. An appointment is scheduled for two (2) months after the procedure.
Postoperative Recommendations for Newborns
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.
Private Urologist Dr. Carlos Marois is at your service to answer any questions.