A simple procedure provided in a safe environment with minimal discomfort by an experienced doctor and nurses.
© COPYRIGHT 2021. DR MICHAEL READ
GOLD COAST
Infant circumcision and the circumcision of pre-pubertal boys is performed using the Plastibell technique. A small ring fits over the head of the penis under the foreskin. The ring size is selected at the time of surgery. A tie is applied to the outside of the foreskin compressing the skin against the Plastibell ring. This effectively clamps off the blood flow to the end of the foreskin and allows it to be removed.
The tie is placed circumferentially around the foreskin and provides a ligature on all the vessels, so bleeding should not occur.
The tie effectively seals the foreskin and diminishes ascending infection.
The nerve supply is cut off along with the blood supply and therefore post-operative pain should be minimised.
The design of the Plastibell aids removal of the appropriate amount of foreskin.
There is no special restriction on usual activities after the circumcision. Babies can be bathed and dressed normally until the Plastibell falls off spontaneously. Boys can resume usual activities as soon as they wish.
During an initial consultation, Dr Read will discuss the procedure and advise the child’s parents or guardian/s about what to expect post-procedure. This consultation can be scheduled on a day prior to the surgery date however most patients will undergo the procedure on the same day. Please advise our reception staff if same-day surgery is desired so that adequate time can be allocated.
Dr Read will apply a numbing cream one hour before surgery and then wrap it in plastic to ensure contact is maintained. The cream provides effective pain relief and ensures your child experiences minimal discomfort.
Before surgery, a parent or guardian will be required to read and sign a consent form. One of our experienced nursing staff will take your boy and assist Dr Read while he performs the procedure, which usually takes around 20 minutes. Dr Read will return your child to you for comforting and feeding after the procedure and explain the post-operative management. Dr Read will provide after-hours contact details should any concerns arise post-operatively. Best communication is by messaging and sending a photograph identifying your concern.
The numbing cream works very well for the procedure and can provide several hours of post-operative benefit. Babies less than two to three months old usually have little discomfort. Older boys can experience some stinging from the urine. The head of the penis can be a little raw for some days where it is necessary to separate it for the circumcision. Dr Read will discuss appropriate pain relief.
Kenacomb is a post-operative ointment recommended. This should be applied two to three times daily to the head of the penis inside the ring. Kenacomb provides lubrication and protection against swelling and infection.
In infants the ring will usually separate and fall off four to seven days post-procedure, like an umbilical cord. Older boys have thicker skin and separation can normally be delayed for a couple of weeks. Continue using Kenacomb for some days after the ring separates. A smear of blood may appear on the nappy, but fresh bleeding should not occur after the circumcision. Redness and swelling can occur in the penis with the normal healing process but this will quickly settle after ring separation.
It is important to make a follow-up appointment after ring separation. It can be necessary to separate some shaft skin from the head of the penis. If this is not done skin can adhere to the glans and smegma, a creamy liquid that is a mix of old mucus and dead skin cells can accumulate under this adherent skin. Smegma will always accumulate under the foreskin of the uncircumcised. It is one of the desirable benefits of circumcision that it will be easier to clean and not accumulate. Dr Read will demonstrate how to manage longer term care.
If you’ve reached the Medicare Safety Net threshold this year, you could receive 80% back on your out-of-pocket expenses for eligible services. We are committed to providing affordable care. Find out more about the Medicare Safety Net here.
The Plastibell technique is designed to produce a good cosmetic outcome and contributes to a safe circumcision. The risk of bleeding and ascending infection is diminished as the tie is placed circumferentially around the foreskin, providing a ligature on all the vessels and sealing the foreskin. This also cuts off the nerve and blood supply to the foreskin, minimising post-operative discomfort. There is no restriction on your boy’s usual activities after circumcision. Babies can be bathed and dressed normally until the Plastibell falls off spontaneously and boys can resume usual activities as soon as they wish.
Dr Read will apply a numbing cream to the penis one hour before surgery and wrap it in plastic to maintain contact. The cream provides effective pain relief during the procedure and can provide several hours of post-operative benefits. Babies less than two to three months old usually have little discomfort, however older boys can experience some stinging during urination. Dr Read will discuss appropriate pain relief during consultation.
The procedure itself usually takes around 20 minutes. One of our nursing staff will take your boy and assist Dr Read while he performs the procedure. Dr Read will return our child to you for comforting and feeding after the procedure and explain the post-operative management. If the numbing cream is applied by Dr Read at his clinic, you will need to allow an additional 45-60minutes for this to take effect.
A tube of post-operative ointment called Kenacomb to lubricate and protect against swelling and infection will be provided. This needs to be applied two to three times daily to the head of the penis inside the ring. After ring separation, usually occurring four to seven days post-procedure, Kenacomb should continue to be applied. A smear of blood on the nappy may appear, and redness and swelling of the penis can occur with the normal healing process. A follow up appointment will need to be made after ring separation for Dr Read to review the circumcision and demonstrate how to manage longer term care.
Please fill in the online enquiry form to ask a question or book your consultation with Dr Michael Read at Gold Coast Circumcision Centre or Gold Coast Vasectomy Centre.
There are a lot of mixed opinions about infant circumcisions although there are also a lot of health benefit associated with the procedure. Not many people know that circumcisions are a long-term solution for the foreskin being too tight and not being able to be retracted, easier hygiene, decreased risk of urinary tract infections, decreased risk of sexually transmitted infections, prevention of penile problems and decreased risk of penile cancer.
Dr Michael Read acknowledges that it is essential to offer dedication and a high-quality surgery experience to patients of all ages and especially infants.
As an adult bringing your child in to be circumcised you may feel quite scared. All you need to remember is that procedures performed by professional are completely safe with the correct procedures followed resulting in a successful outcome. If you have any questions or concerns before your scheduled appointment be sure to contact your doctor beforehand so you are able to relax.
Not many people are aware of how circumcisions are performed until they are experiencing it first-hand. An infant circumcision is performed using a Plastibell device. The doctor uses a small ring that fits over the head of the infant’s penis under the foreskin. The size of the ring is selected appropriately by the doctor performing the surgery at the time. A tie is then applied to the outside of the foreskin which compresses the skin against the Plastibell ring. This process successfully compresses the blood flow to the foreskin making it easier to remove.
A lot of parent’s fear putting their babies through the pain of being circumcised and question whether the procedure is safe to proceed with. There is minimal pain when going through the procedure as professionals performing the circumcision will use numbing cream and sedation to ensure your child is as comfortable as possible. The Plastibell used for the procedure produces a good quality outcome and contributes to a safer infant circumcision.
Taking care of yourself is simple as you can feel if something is hurting or isn’t quite right. It can be a little daunting when you know you child has a wound and you need to take care of it. After the infant circumcision, your surgeon should provide you with instructions on how to look after your child circumcision wound to ensure there is no infections and it heals correctly.
Adults and Infants do a lot of things differently although when it comes to recovery time its similar if not the same. Generally, infants take 7 – 10 days to heal after their circumcision. After the procedure, there will be a lot of steps to take to ensure it heals quickly.
Your infant/child deserve the best and most relaxing experience when proceeding with an infant circumcision. It is important the procedure is performed by a surgeon who has a passion and extensive experience with the procedure to ensure the best possible outcome is achieved with no implications. For over 25 years Dr Michael Read has performed surgeries with successful outcomes. Arranging a consultation at the Circumcision Centre with Dr Michael Read is the best way to begin planning your child’s circumcision.
Please submit an enquiry and we will endeavour to get in contact with you as soon as possible.
Dr Michael Read has thirty years’ experience performing vasectomy and circumcision procedures and an established reputation on the Gold Coast.
Please fill in the online enquiry form to ask a question or book your consultation with Dr Michael Read at Gold Coast Circumcision Centre or Gold Coast Vasectomy Centre.
