As parents you have the right to decide what is in the best interests of your child.
The information contained in this website may help you make your decision. If you have any concerns or questions, talk to one of our doctors before making an appointment for this procedure.
Circumcision of infant boys has been practised for centuries for religious and cultural reasons. It involves the removal of the prepuce of the foreskin, which is the skin that covers the tip of the penis.
Some believe there are benefits such as cleanliness and reduced cancer risk. It also avoids the occasional need for it to be done when the child is older involving a general anaesthetic and significant postoperative discomfort.
Deciding whether to have your newborn son circumcised can be difficult. You will have to consider both the benefits and risks of circumcision. Other factors such as your culture, religion and personal preference will also affect your decision.
Please talk to our doctors if you have any concerns.
Both Dr Connell and Dr Russell are highly experienced having done over 5000 operations. This method has a very low rate of complications. Parents should notify the doctor beforehand of any family history of bleeding problems or if your baby has not had the Vitamin K injection at delivery. Occasionally there can be minor infection or bleeding. The amount of foreskin removed can vary. Longer term there occasionally can be narrowing of the urinary outlet or anaesthetic complications."
The ideal time is between 1 to 3 weeks of age but it can be done up to 3 months of age.
The circumcision is done using a local anaesthetic injection and after giving paracetamol by mouth. The procedure is normally relatively quick with minimal discomfort and baby frequently settles quickly after a feed. Occasionally a further dose of paracetamol is required 4 to 6 hours later.
If your son is distressed following the procedure you can give him paracetamol. For babies 2-3 weeks of age, the dose is usually 1-2ml of paracetamol (120Mg/5mI) depending on their weight. The doctor will advise you of any change in dose. Your son can be bathed and changed normally. The Plastibell ring will come off by itself after 3 to 5 days leaving a narrow open area of skin which heals over naturally in about 1 week. You do not need to put any special creams or dressings on the penis but a small amount of vaseline may help if the skin sticks to the nappy. You can use either disposable or cloth nappies.
There are many different methods used, but our research shows that the Plastibell device is one of the safest to use in infants under local anaesthetic. The Plastibell is a plastic ring that is fitted over the head of the penis under the foreskin. It is then firmly secured by a special tie so that no stitches or dressings are required. The remaining foreskin is then removed leaving a consistent length of foreskin. The Plastibell is designed so that the baby can urinate normally.
Studies have provided conflicting results. Most authorities say that the benefits of circumcision are not significant enough to recommend it as a routine procedure. Urine infection and some sexually transmitted infections are thought to be less common in circumcised boys. Cancer of the penis although rare is also less common in men circumcised as infants.
I have worked in General Practice in Hillsborough since 1987. I enjoy the variety of General Practice and the close interaction with my patients and staff.I have further training in Obstetrics and Gynaecology and spent 10 years delivering babies, many of whom are still patients. I have further training in minor surgery and also offer vasectomy and infant circumcision. I lead the GP College quality programme Cornerstone, for our clinic.Outside of work, I enjoy road cycling, gardening and catching the occasional trout. I am married to Judith and have 3 adult children.
I grew up in Hillsborough and was a patient at the Hillsborough Medical Centre before studying medicine at the University of Otago in Dunedin and Wellington. Since my graduation I worked at Dunedin Hospital, then in London and Paris. I started as a GP at the Hillsborough Medical Centre in 1985.I practiced obstetrics until 2004, delivering more than 1000 babies. My General Practice includes performing surgical procedures including infant circumcision, in our fully equipped operating theatre. In addition to General Practice, I work as a Vein Specialist and have a Varicose Vein Clinic at the Ascot Hospital.I am married to Margaret and have a daughter. When not at work I enjoy golf, cooking, music and languages.
165 Hillsborough Road
By appointment only