About Circumcision
Circumcision is a minor surgical procedure that removes the foreskin, which is the skin that naturally covers the tip of the penis. The foreskin can be removed for religious reasons, cultural reasons, or personal preference, and it may also be recommended for certain medical conditions.
Circumcision for babies
A baby must be well and medically fit before the procedure can take place. During the procedure, the doctor places the baby on a secure procedure table and cleans the penis and foreskin. A plastic ring is placed over the head of the penis, and the foreskin is gently removed. Finally, ointment on some gauze is placed over the circumcision to protect it and reduce risk of infection.
Circumcision for boys and adults
Circumcision can also be carried out safely for older children and adults. The steps are similar but adapted to the needs of the patient. Local anaesthesia is used to numb the area before the procedure begins. Most families are able to go home within 2 hours of their appointment time.
Making the decision
Circumcision is an elective procedure, which means it is your decision whether to have your son, or yourself, circumcised. Adults give their own consent. In the United Kingdom, for children, consent has to be given by both parents or legal guardian(s). You can find out more by contacting us for further information.
People choose circumcision for many reasons. For some families, it is part of their cultural or faith tradition. Others may choose it for personal, social, or hygiene preferences. Whatever your reason, it is important to take time to consider the benefits, risks, and what feels right for you and your family.
If you have questions or are unsure, you can discuss the benefits and risks with your doctor. This can support you in making an informed decision.
If you are considering circumcision for a newborn, it may also be useful to ask any questions during pregnancy so you have enough time to decide comfortably.
In general, the earlier circumcision is performed, the simpler the procedure and recovery tend to be. We typically recommend having the procedure done between 4–8 weeks of age, although it can be performed earlier in a healthy baby. It can be performed after the recommended time frame, but the procedure and recovery can be different as a child gets older.
We are here to help you understand your options, answer any questions, and support you in making the decision that feels right for you and your family.
Local and General Anaesthetic:
Understanding the Differences
A general anaesthetic ensures your child is fully asleep and feels no sensation during the procedure. A general anaesthetic can only be given safely to a child in a hospital setting. Even in a hospital setting, a general anaesthetic will not be considered under the age of 2 years just for a circumcision.
A local anaesthetic keeps your child awake but numbs the area completely. For most children, a local anaesthetic is all that is needed for a safe and comfortable circumcision.
Things to consider
- Lower chance of foreskin infections: Removing the foreskin can reduce the risk of infections and inflammation in the area.
- Reduced risk of urinary tract infections: UTIs are uncommon in males, but circumcision can lower the risk.
- Lower lifetime risk of penile cancer: Although penile cancer is rare, circumcision is associated with a reduced risk.
- Reduced risk of some sexually transmitted infections: Studies show that circumcision can lower the risk of certain STIs. However, standard methods to prevent STIs should still be used.
- Prevention of foreskin-related conditions: Such as phimosis and paraphimosis, where the foreskin becomes difficult to retract
- Easier hygiene: Cleaning can be simpler without the foreskin
- Surgical risks: Like any procedure, circumcision carries small risks. Complications are uncommon and usually minor, such as light bleeding or infection.
- Changes in sensitivity: Some people believe the procedure may affect sensitivity. Current medical evidence does not clearly confirm this.
- Concerns about discomfort: Some parents prefer not to choose circumcision because they worry about their child experiencing pain, although local anaesthetic greatly reduces discomfort.
- Irritation during healing: The tip of the penis may become mildly irritated as it heals. This is usually temporary and settles with routine aftercare.
- Rare healing issues: Very occasionally, healing may not be as expected. This is uncommon, and most issues can be easily managed with follow-up care.