When you find out you’re expecting a boy, the topic of circumcision may cross your mind. Making the choice to circumcise your child is a significant decision that often involves cultural, religious, and personal considerations.
What is Circumcision?
Circumcision is a surgical procedure in which the foreskin, or the tissue covering the head of the penis (the glans), is removed. This procedure is typically performed within the first few weeks after the baby is born.
Making the Decision About Circumcision
The American Academy of Pediatrics (AAP) indicates that there is insufficient evidence to firmly recommend circumcision, nor to argue against it. While there are potential benefits and risks, circumcision is not deemed necessary for the health of your child.
Most families decide on circumcision based on religious beliefs, hygiene concerns, or cultural customs. It remains a common practice in the United States, Canada, and the Middle East. Interestingly, statistics show a decreasing rate of circumcision in the U.S., while it’s less prevalent in regions like Asia, South America, Central America, and much of Europe.
Before making a decision, it’s important to understand the procedure, its risks, and its benefits. No one should pressure you into making a choice regarding circumcision.
How is Circumcision Performed?
In a Hospital or Doctor’s Office: The procedure generally lasts between 5 to 20 minutes and is most often performed before the baby is discharged from the hospital. Your baby is placed in a padded restraint, and anesthesia is usually given. Various techniques exist, including the Plastibell method and the Gomco or Mogen clamps, which involve separating the foreskin from the glans before excising it.
At Home or by a Mohel: Often referred to as a “bris” or “holistic circumcision,” this method can take as little as 30 seconds. The foreskin is separated from the glans, and a single incision is made. Parents typically hold the baby during this procedure, and breastfeeding is encouraged immediately afterward. This is often done around the eighth day after birth when the infant’s blood clotting factors are at their peak.
When Should the Procedure be Done?
Most physicians recommend circumcision within a few days of birth. Some suggest waiting two to three weeks. For hospital births, circumcision is usually performed within 48 hours. For home births or births at birthing centers, it may take place up to two weeks later, either in a pediatrician’s office or with a mohel.
Managing Pain During the Procedure
The AAP advises using pain relief methods during circumcision. Local anesthetics like topical creams or nerve blocks can effectively minimize discomfort.
Benefits of Circumcision
While the AAP does not advocate for routine circumcision due to insufficient medical necessity, it does acknowledge certain potential benefits, which include:
- Reducing the risk of urinary tract infections in infants.
- Lowering the chances of penile cancer in adult men.
- Decreasing the risk of sexually transmitted diseases.
Risks of Circumcision
The risks associated with circumcision are minimal. However, as with any surgical procedure, careful consideration is warranted. The procedure should only be performed by qualified professionals on healthy infants, using techniques that minimize the risk of infection.
Complications can occur in about 0.1% to 35% of cases, typically involving infection or bleeding. Irritation from diapers can lead to discomfort, which may be alleviated with a simple application of petroleum jelly.
Severe complications can include:
- Meatal stenosis and meatitis (inflammation of the urethral opening), with occurrence rates reported as high as 8-21%.
- Penile injuries, such as partial amputation or urethral fistulas.
In rare instances, excessive foreskin removal can result in painful erections later in life. Some critics of circumcision argue that the potential risks outweigh the benefits. For more insights on this topic, check out this detailed article from Modern Family Blog.
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In summary, choosing whether or not to circumcise your child is a personal decision that should be made with careful consideration of the facts, potential benefits, and risks. Always consult with a healthcare provider for tailored advice.