A/Prof Mahmoud performs infant male circumcision up until six weeks of age (corrected). He uses the Plastibell technique.
One of the most important aspects about operating on an awake newborn is adequate pain relief. The penis can only be rendered completely numb, after two local anaesthetic injections are administered. These injections are as painful as those given for immunization. After waiting for 4-5 minutes the local anesthetic has taken full effect and the penis is numb – the baby can be operated on without further discomfort.
During the operation which takes approximately ten minutes, the plastibell is placed between the foreskin and the head of the penis, protecting the head of penis during the procedure. A surgical string used to secure the plastibell device in the correct position and excess skin is removed. It is the string that gradually works its way through the layers of the foreskin, healing it as it goes. Once the string has completely cut through the layers of the foreskin, the plastibell ring and string will spontaneously separate from the penis and the ring will be found in the nappy.
Norwest Pregnancy and Women's Health
Copyright © 2023 Norwest Pregnancy and Women's Health - All Rights Reserved.