Circumcision

Circumcision can be the best option to tackle medical conditions affecting the foreskin. Removing the foreskin can prevent balanitis or correct issues such as phimosis.

What is Circumcision?

Circumcision is a procedure to remove the foreskin. The foreskin is the fold of skin that covers the end of the penis. Circumcision is sometimes performed for social or religious reasons, but it is also a medical procedure that may be recommended to treat problems affecting the foreskin. The procedure is often performed on babies or young children, but it can also be done at later ages if there is a medical need.

When is Circumcision Performed?

Circumcision may be recommended if your child has problems with his foreskin. Some children suffer from recurring inflammation or infections of the foreskin, known as balanitis. If these can't be prevented by keeping the foreskin clean, then circumcision may be a good option. In some cases, a condition known as Balanitis Xerotica Obliterans (BXO) can develop, causing scarring and irritation when urinating. If this happens, then circumcision will usually be recommended to prevent more discomfort.

Circumcision may also be recommended to correct structural issues with the foreskin. Excess skin may need to be removed if your child has a condition known as megaprepuce, which means there are extra layers of foreskin that can trap urine. Circumcision could also be an option if the foreskin isn't able to retract naturally by the age of around five to eight. Phimosis occurs when the foreskin is unable to retract, while paraphimosis prevents the retracted foreskin from returning to its original position over the head of the penis. Paraphimosis can be serious as it cuts off the blood flow to the foreskin, so it needs to be treated quickly.

The Circumcision Procedure

Circumcision is a simple procedure that can usually be performed as a day case. A general anaesthetic is recommended for children and a local anaesthetic will also be used to minimise discomfort. The foreskin will be removed and the surgical incision sealed with stitches. Sometimes it is possible to correct the problem by removing part of the foreskin, while preserving the rest. However, this will depend on the reasons for having the procedure. It can take up to six weeks to recover completely and it is important to keep the area clean as it heals.

Risks and Benefits of Circumcision

Most boys will not need to be circumcised for medical reasons, but if the foreskin is causing discomfort, affecting urination, or unable to move as it should, then surgery may be the best option. The risks of circumcision are very low, but your doctor will explain the potential complications in detail before the procedure. You should expect some discomfort and swelling after the operation, but this should improve within days.

If you are concerned about recurring balanitis or other issues with the foreskin then you should make an appointment to discuss the problem with an expert. A paediatric urologist can advise you on the best treatment options for your child, including circumcision.