Circumcision is an easy and safe procedure that can lower the risk of certain sexually transmitted infections (STIs), including herpes, human papillomavirus (HPV) and HIV.
The Mogen clamp technique involves obtaining consent and local anesthesia, then using straight hemostats to extend the foreskin and expose the glans penis, before locking the Mogen clamp into place.
1. Prepare the Penis
Circumcision Melbourne for newborns typically takes place in hospital. Your infant will be placed in a restraining device to keep them still during the procedure, and then their healthcare provider will clean out and clamp their penis securely with plastic clamps to hold it still.
Your child’s doctor will use one or both types of local anesthetic injections to numb the area around his or her penis and foreskin. Prior to beginning, they will discuss pain relief options with you; perhaps recommending sugar water-soaked pacifiers or acetaminophen as painkillers.
Once we have surgically removed your foreskin, we will use dissolvable stitches to close the incision. Over time these will dissolve on their own; any swelling and tenderness should subside.
2. Anesthetize the Penis
Healthcare professionals will use one of two forms of local anesthesia: either topical cream or injection. This should make the procedure less painful for your baby.
Before administering local anesthesia, your baby will be put in a restraining device to keep him from wiggling or moving during the procedure. You are welcome to be present during his circumcision if desired.
A physician will use a clamp or ring on the penis and remove its foreskin before applying topical antibiotic ointment or petroleum jelly to the penis, wrapped with gauze. This part of the procedure usually lasts 10 minutes; healing of the penis may take a few days after that.
3. Remove the Foreskin
Boys born before 1975 typically have foreskins that cover the tip of their penis (glans). Over time, this foreskin usually separates and can be pulled back (retracted) to reveal their glans. If it fails to retract as planned it can become painful and impair sexual function; this condition is known as phimosis or paraphimosis.
If your child has an extended foreskin that does not retract on its own, surgery may be required to correct it. Forcefully pulling back an attached foreskin may result in painful skin tears, bleeding, and scarring that require extensive medical intervention to resolve.
Circumcision is an individual decision, depending on culture, religion and preferences. Circumcision may offer many advantages for men such as reduced risks of infections and sexually transmitted diseases – research suggests circumcised men may even face less of a chance of HIV transmission during vaginal sex!
4. Close the Dorsal Slit
Dorsal slit circumcision involves making one incision along the entire length of foreskin from tip to corona, exposing the head without taking tissue away, under either general or spinal anaesthetic and is generally performed within one day.
Once the foreskin has been retracted, remove adhesions using a blunt-tipped curved hemostat and gauze saturated in an iodine prep solution solution soaked gauze gauze to avoid complications like granulomas or keloid formation along the cut edge.
Suturing should then be performed to secure the plastic cone within the foreskin to prevent its readherence to the head of the penis. As an alternative approach, triple-incision preputioplasty may be undertaken; this procedure involves creating three longitudinal full-thickness skin incisions through the phimotic ring and closing them off with interrupted sutures.
5. Close the Venous Slit
Circumcision has long been one of the most frequently performed surgical procedures on newborns and children, often performed by pediatricians or obstetricians but may also be performed by family doctors, general surgeons, or even urologists.
This modified clamp circumcision method has been shown to be safer and faster than its classic Mogen counterpart, with only minimal setup necessary and no special instruments necessary for operation.
Complicacies associated with circumcision may include bleeding, infection, proximal migration of the ring and phimosis. Furthermore, adolescents can sometimes develop an erection before their incision has completely healed – a particularly challenging issue after circumcision for adolescents. With this new method resulting in a more cosmetically pleasing incision line – an important consideration for families that strive for skin symmetry after surgery.