Circumcision performed within the first month after birth is called newborn circumcision.
When is the Most Appropriate Time to Perform Newborn Circumcision?
It is appropriate to have the baby circumcised immediately after birth. It is not. A newborn baby's adaptation to the outside world, observation of nutritional status, jaundice, etc. Circumcision should be postponed to later days, taking into account the possibility that negative situations such as may develop. In addition, it would be appropriate to wait for a certain period of time after birth for the mother who has just given birth to recover. Although it can be done any day after 24 hours after birth, the most appropriate time is the seventh day and later.
What are the Advantages of Newborn Circumcision?
- Since there is not much vascularity in the penis, bleeding is not observed during and after circumcision.
- Wound. Since the healing process is faster, the foreskin wound heals quickly.
- There is no psychological impact before and after circumcision.
- Situations that may require mandatory circumcision, such as urinary tract inflammation and foreskin stenosis, that may develop later, are prevented. .
In what cases is Newborn Circumcision Not Performed?
- Premature (early born) babies
- In the first 24 hours after birth
- If there are bleeding and coagulation disorders in the family
- If the baby has conditions such as jaundice, fever, respiratory distress or inability to feed that require observation or hospitalization
- In the presence of abnormalities in the penis, such as hypospadias, epispadias, such as urinary opening, conditions such as rotation, curvature, buried penis, or anatomical development disorders such as sexual development disorders, hernia, undescended testicle
- Wound healing may be adversely affected. If there are any skin or tissue problems that affect /li>
- It should be observed that the baby has urinated and defecated normally after birth.
- Come to the hospital one hour before the circumcision procedure.
- If the baby is fed with formula, formula and a pacifier when coming to the hospital. and the special items you think are necessary (diaper, snap-on bodysuit, asthma etc.) is brought in.
- An examination is made again by the specialist doctor and if there is no obstacle to circumcision, preparations begin.
How is Newborn Circumcision? Can it be done?
It is ideal for circumcision to be performed in fully equipped centers and by experienced surgeons. As with every surgical procedure, newborn circumcision is performed under sterile conditions. In our hospital, circumcision in newborn babies should be performed in the operating room environment, as in older children. Newborn circumcision is performed under local anesthesia while the baby is awake. An hour must have passed since the baby's last feeding. An hour before the procedure, a numbing cream is applied around the penis. After the one-hour period is completed, the baby is taken to the operating room accompanied by the nurse and mother/father and handed over to the circumcision team. Before circumcision, local anesthetic is injected around the penis with a very thin needle and waited for a few minutes for the anesthesia effect. Then, the circumcision area is cleaned with antiseptic and disinfectant solutions and covered with a sterile cover. After ensuring sufficient numbness, circumcision is performed using special techniques. It is an easy procedure that is generally painless, stitch-free and has almost no bleeding. After the circumcision process is completed, the circumcision area is wrapped with a transparent dressing material and the circumcision process is completed. Diapers with normal baby diapers. Immediately after the circumcision, the baby is given to its mother, taken to the ward under the accompaniment of a nurse, and breastfed by the mother. The baby is evaluated by the doctor again in the ward and is sent home if there is no obstacle to going home.
What to Do After Circumcision?
Babies have a comfortable and calm post-circumcision period as it is generally a painless procedure. The mother can easily hold the baby in her arms and breastfeed. It is important for the mother to breastfeed frequently, and breastfeeding comforts the baby with every cry. If there is a lot of pain and discomfort, there is no harm in using painkillers. After the sterile transparent bandage wrapped around the circumcision area falls off, the recommended ointment is applied to the circumcision area. The baby is given a bath on the third day after circumcision. In the bath, the circumcision bandage falls off and after that, the ointment is applied to the circumcision at every diaper change for three days. It is applied to the flesh area. If the circumcision area becomes dirty with the baby's feces, it is washed with warm water, ointment is applied and clothed. It is necessary to pay attention to general cleanliness and hygiene in babies after circumcision, as in every child.
In what situations should you consult your doctor after circumcision?
- Excessive bleeding in the circumcision area
- Increased fever of the baby
- The baby should not urinate until 12 hours after circumcision.
- There may be slight redness and swelling in the penis after circumcision. However, if the penis becomes bruised or the redness and swelling continues to increase, it is appropriate to consult your doctor.
What are the Complications of Newborn Circumcision?
Newborn circumcision is an extremely safe and healthy procedure when performed in appropriate centers and by specialist physicians. In general, the complication rate after circumcision is 1-2%, and when performed by specialist doctors, this rate is much lower. The complication rate after neonatal circumcision has been reported to be lower (0.2%-0.4%) and are generally mild.
Bleeding: There may be slight bleeding in the form of leakage and it may stop spontaneously. In case of dripping or excessive bleeding, you should consult your doctor.
Infection: It may occur when circumcision is not performed under appropriate conditions or when post-circumcision care is not appropriate. Local or systemic antibiotic treatment may be required.
The complications listed below are serious and require repeat surgical intervention;
- Insufficient or excessive foreskin removal
- Narrowing of the urinary opening (meal stenosis)
- Skin bridge formation
- Full or partial glans incision
As a result,
It is appropriate for circumcision to be performed within the first year of life in terms of the child's mental and physical health. Newborn circumcision performed within the first month of life is also an appropriate time. Newborn circumcision should be accepted as a surgical procedure and should be performed properly without compromising basic surgical principles. It should be done as n. It is an easy, quick and safe procedure when performed by specialist doctors under sterile conditions in a hospital environment.
We wish you healthy and happy days,
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