Painless Circumcision

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Painless Circumcision

August 28, 2023 Health 0

Circumcision can help lower the risk of phimosis, which can cause pain when passing urine and result in local skin infection as well as issues with urination and sex. Furthermore, circumcision reduces invasive penile cancer risk.

After your nurse cleanses and applies anesthesia (shot of numbing medicine or cream), your doctor will remove the foreskin. He or she then cauterises and sutures with dissolvable stitches the glans.

Pain

Circumcision is an increasingly popular procedure among males for personal, religious or cultural reasons. Furthermore, Circumcision Melbourne helps prevent balanitis, balanoposthitis and paraphimosis.

Procedure involves injecting local anesthetic at the base of the penis before extracting foreskin with a clamp-type device and closing off edges using multiple simple interrupted stitches (4-0 or 5-0 absorbable sutures), before protecting area with petroleum jelly to keep pain at bay.

Bleeding, hematoma formation, infection, inadvertent damage to the glans, too much or too little skin being removed or results that are visually unappealing can all be possible complications of circumcision. Furthermore, men not circumcised may experience discomfort during intercourse due to tight, firm or painful sensation caused by their frenulums causing friction during intimacy.

Men often report that circumcision makes their penises feel and look more comfortable afterward, especially when wearing swimsuits or sleeveless shirts. Hygienic considerations also play a part in choosing to be circumcised, since circumcised penis produce less smegma which makes cleaning it easier.

Anesthesia

Circumcision can be painful for newborns, so anesthesia should always be administered during circumcision. This could take the form of numbing cream, injection or even sedation – and should help to minimize pain and risk of injury to their penis.

Infant circumcision uses three forms of local anesthesia: dorsal penile nerve block, ring block and topical application of EMLA (eutectic mixture of local anesthetics). All are effective and have been associated with fewer complications than unanesthetized circumcision.

From a halakhic perspective, two arguments against local anesthesia for brit milah have been advanced. R. Eliezer Waldenberg and Yosef Wosner’s (Tzitz Eliezer 20:73 and Shevet Ha-Levi 5:147) argue on behalf of R. Meir Arik’s (Imrei Yosher 2:140) interpretation is that pain must be an integral component of circumcising, thus circumcising without pain would appear more like chabbala than welcoming Avraham into Avraham’s covenant.

Surgery

Circumcision refers to the surgical removal of a fold of skin (the foreskin or prepuce) covering the head (glans) of a penis for cosmetic, hygienic or medical purposes. It can be performed for aesthetic, hygiene or medical reasons.

Aesthetic benefits of circumcision for uncircumcised men include improved grooming and toiletry needs that may be challenging when managing with full penis. Hygienic advantages include reduced incidences of balanitis or balanoposthitis – an inflammation of the tip and foreskin of the penis often caused by too much smegma that collects beneath skin layer combining with bacteria to produce an unpleasant odor – as well as reduction of frequency for outbreaks such as balanitis or balanoposthitis occurrences.

Circumcision can also prevent adult males from developing phimosis, an uncomfortable and sometimes painful condition in which the foreskin becomes thick enough that it cannot be pulled back over the penis head. Phimosis can lead to urinary tract infections, painful urination episodes, kidney stones and erectile dysfunction – potentially serious health consequences that circumcision can help mitigate.

Recovery

Infant circumcision is often performed shortly after birth or within one month of life under general anesthesia, in which case the foreskin is retracted and removed along with any penis head (glans). Any remaining skin edges are sutured with dissolvable stitches before cleaning with antiseptic and dressing being applied over the wound.

Most patients report experiencing minimal pain following their procedure; in fact, 90% of adult patients rated their level of discomfort on a scale from 1-10 as 2-3. Some opt for over the counter pain medications such as Motrin or Tylenol to ease any discomfort they might be feeling post-procedure.

After circumcision, swelling and bruising are to be expected in the days that follow. Swelling typically worsens over the first three days before gradually diminishing over time. To keep the area clean and prevent infection it is vital to use bacitracin at each diaper change.

Circumcision can reduce the risk of phimosis, which may lead to urinary tract infections, painful passing urine episodes, fluid retention issues, kidney stones and sexual dysfunction. There is evidence suggesting it could even help reduce sexually transmitted diseases including HIV.