
Newborn and Pediatric Circumcision: What Families Should Know
Circumcision is the surgical removal of the foreskin. For most families it is an elective decision made for cultural, religious or personal reasons. Less often it is recommended for a specific medical reason. Either way, the aim is a clear conversation first and a careful procedure afterwards.
Medical Reasons It May Be Recommended
Phimosis that does not resolve as a boy grows, repeated episodes of balanitis, or recurrent urinary tract infections in selected children.
Newborn Circumcision
Usually performed in the first weeks of life using a clamp or ring technique with local anesthetic. The procedure itself is brief and the baby goes home the same day.
Older Children
Circumcision after the newborn period is generally performed under general anesthesia as a day case, which allows a more precise repair and a comfortable experience for the child.
What to Expect
The appointment begins with a discussion of the method, the anesthetic, and what aftercare involves, so that families can ask questions before anything is scheduled.
Aftercare
Aftercare involves keeping the area clean, applying petroleum jelly so the area does not stick to the diaper, and knowing what normal healing looks like. Written instructions are provided.
Healing
Newborns typically heal within seven to ten days. Older children take somewhat longer and may need a few days off school.
When to Call
Bleeding that does not stop with gentle pressure, fever, increasing swelling or redness, or difficulty passing urine.
An Honest Note
In most cases circumcision is elective. Families are welcome to take their time, ask questions and decide what is right for them.
To discuss your child's care, you can learn more about Dr. Philip K. Frykman, MD, FACS or read about the full range of pediatric surgery services at Surgery Group LA. To arrange a consultation, call (310) 861-7493.