Male circumcision is a
surgery to remove the foreskin, a fold of skin that covers and protects the
rounded tip of the penis. The foreskin provides sensation and lubrication for
the penis. After the foreskin is removed, it can't be put back on again. See a picture of the
penis before and after circumcision.
If circumcision is done, it's usually done soon
after birth. In Canada, over the last several decades the percentage of baby boys who are circumcised has decreased. The circumcision rate varies from province to province. Worldwide, the rate of circumcision is much lower. Circumcision has both risks and benefits. The decision about whether to have a baby circumcised is often based on the personal preference of the parents.
Some older boys and men need circumcision to treat problems with the foreskin of the penis (such as
paraphimosis) or for swelling of the tip of the penis
This topic focuses on the circumcision of newborns.
It's up to you whether you have your baby circumcised or keep your son's penis natural. The Canadian Paediatric Society (CPS) does not recommend circumcision as a routine procedure for newborn males. When making this policy, the CPS looked at the possible benefits, risks, and costs of the procedure.1
When you make this
decision, it may help you to think about your personal and cultural
preferences. For example, you may want to consider your religious and family
traditions while you weigh the pros and cons of the surgery.
Circumcision is not just done in newborns. Keep in mind that your son can decide on his own later in life if he wants a circumcised penis.
Problems from circumcision are not common. If they occur, they are
usually minor. The most common circumcision problems are:
More serious problems are rare. They include damage to the
opening of the urethra, heavy bleeding that requires stitches, severe
infection, and scarring.
Circumcisions usually are done by a
family medicine doctor,
urologist. Circumcisions that are performed for
religious reasons are sometimes done by others trained in the procedure. For your baby's safety, it is best that the person doing the surgery is well trained, uses sterile techniques, and knows how to manage your baby's pain during and after the surgery.
Learning about circumcision:
How it is done:
Care after circumcision:
Health Tools help you make wise health decisions or take action to improve your health.
Circumcision is usually done by a doctor at a clinic,
in the hospital, or at an outpatient surgery centre. During the
circumcision, the groin, penis, and scrotum may appear
reddish brown because of the liquid used to clean the skin before surgery. The
shaft of the penis where the skin was removed will look raw and slightly
Your baby will stay in the hospital or clinic for 2 to 4 hours
after the procedure. His penis will be checked for bleeding, and the
circumcision area may be covered with petroleum jelly and gauze.
You will likely take your baby home
the same day he is circumcised. Some swelling around the penis is normal in the
first few days after the surgery. Some slight bleeding may occur. If this
happens, apply direct but gentle pressure to the area with a clean cloth or
bandage for about 5 to 10 minutes.
After surgery, your baby will
feel some pain. He may be fussy and have trouble sleeping.
If gauze was
used, it will probably come off when your baby urinates. Follow your doctor's directions about whether to put clean gauze on your baby's penis or to leave gauze off. If you need to remove gauze from the penis, use warm water to soak the gauze and gently loosen it.
yellow film will form over the circumcision site after surgery. This is part of
the normal healing process and should go away in a few days. Although the penis
is beginning to heal, it may look worse a few days after circumcision. The
penis should look like it's getting better about a week after surgery.
Here are some things you can do
to help your baby feel more comfortable:
Ask your doctor about giving your baby
acetaminophen (such as Tylenol) for pain. Call your
doctor anytime your baby seems to be in a lot of pain.
Your son's penis will be
checked during routine checkups. But it is important to call your
doctor if your baby has problems after
Call your doctor right away if after circumcision:
Plastibell device was used for the circumcision, call
your doctor if the ring has not fallen off after 10 to 12 days.
Doctors who usually perform
circumcisions on infants include:
A urologist or surgeon normally will do circumcisions on
older infants, children, and adults.
Some parents may make the decision about circumcision based on
religious and family traditions, personal preferences, or the social norms
of their communities. Often these cultural reasons affect the decision more than the medical risks and benefits of circumcision.
The Canadian Paediatric Society (CPS) does not recommend circumcision as a routine procedure for newborn males. When making this policy, the CPS looked at the possible benefits, risks, and costs of the procedure.1
Health benefits of circumcision include being less likely to get urinary tract infections (UTIs) or sexually transmitted infections (STIs). For example, in a
baby's first year of life,
UTIs happen less often in
circumcised boys than in boys who are not circumcised. But UTIs are not common.
There may be reasons later in life when your son may need a
circumcision. A boy or man may have problems retracting the foreskin or may
have swelling of the foreskin that requires circumcision.
All surgical procedures have risks. Problems
circumcision are not common. Minor problems are
short-term and may include:
Long-term problems can include:
Major problems are very rare but can include:
As a parent, you will decide whether you want to keep
your son's penis natural or want him to be
circumcised. This decision often is a personal one based on your own values and religious or cultural beliefs.
good idea to think about your decision before your baby is born. If you wait,
the excitement and fatigue of the delivery can affect your ability to carefully
consider the benefits and risks of each choice.
Circumcision is not just done in newborns. Keep in mind that your son can
decide on his own later in life if he wants a circumcised penis.
Some studies have shown that circumcised men are a little
less likely than men who have not been circumcised to get or spread a
sexually transmitted infection (STI), including
Any man, especially if he has
high-risk sex, can get STIs, including HIV. The best way to
prevent STIs is to teach people about risk factors and the importance of
avoiding high-risk sex.
Keeping your son's penis clean may
help prevent infection and other problems. It's important to keep your son's
penis clean whether he has been circumcised or not. When
cleaning a natural (uncircumcised) penis, be careful
not to force the foreskin to retract.
If you decide that you would like to
have your baby circumcised, talk with your doctor about concerns you may
have about pain and your preferences for
anesthesia. Ask your doctor about giving your baby
acetaminophen (such as Tylenol) for pain relief after
Your doctor may not do circumcision if your baby has a medical
condition that makes him more likely to have problems from the surgery, such
Fetus and Newborn Committee, Canadian Paediatric
Society (1996; reaffirmed 2002). Neonatal circumcision revisited.
Canadian Medical Association Journal, 154(6):
Other Works Consulted
American Urological Association (2007, reaffirmed 2012). Circumcision. Available online: http://www.auanet.org/about/policy-statements/circumcision.cfm.
Centers for Disease Control and Prevention (2013). HIV/AIDS: Male circumcision. Available online: http://www.cdc.gov/hiv/prevention/research/malecircumcision/index.html.
Steadman B, Ellsworth P (2006). To circ or not to
circ: Indications, risks, and alternatives to circumcision in the pediatric
population with phimosis. Urologic Nursing, 26(3):
Task Force on Circumcision, American Academy of Pediatrics (2012). Technical report: Male circumcision. Pediatrics, 130(3): e756–e785.
Towers HM (2006). Circumcision. In FD Burg et al.,
eds. Current Pediatric Therapy, 18th ed., pp. 313–315.
Philadelphia: Saunders Elsevier.
Wiysonge CS, et al. (2011). Male circumcision for prevention of homosexual acquisition of HIV in men. Cochrane Database of Systematic Reviews (6).
World Health Organization, JHPIEGO (2010). Manual for Early Infant Male Circumcision Under Local Anaesthesia. Geneva: World Health Organization.
ByHealthwise StaffPrimary Medical ReviewerAdam Husney, MD - Family MedicineThomas M. Bailey, MD - Family MedicineSpecialist Medical ReviewerJohn Pope, MD - Pediatrics
Current as ofSeptember 9, 2014
Current as of:
September 9, 2014
Adam Husney, MD - Family Medicine
& Thomas M. Bailey, MD - Family Medicine & John Pope, MD - Pediatrics
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