Circumcision

What is Circumcision?

This is an operation that involves removing the foreskin (prepuce) of the penis in baby boys.

Circumcisions are most commonly performed for religious or cultural reasons anytime from 1 to 12 weeks of life.

Is my baby going to experience pain?

Pain control is a very important aspect of your baby’s circumcision. We take every measure to ensure that the procedure is as pain free as possible.

A local anaesthetic cream is applied to the base of the penis to numb the skin. It takes between 20 to 40 minutes for the cream to start working.  This must be applied 1 hour before the procedure as instructed. After this a local anaesthetic is injected prior to the operation through the numbed skin.

This generally offers a very satisfactory level of pain relief allowing the doctor to perform the circumcision without causing any discomfort to your baby.

Babies are cuddled and held by experienced and skilled nurses from the operating theatre. We appreciate it can be distressing for the parent if the child is in pain; we recommend you stay with your baby for their comfort. We understand if the parent would rather leave the operating room for a while if they can’t stand to see the child distressed.

What is Plastibell Procedure?

The Plastibell (a bell shaped plastic device) will be used for your baby’s circumcision.

Understanding Circumcision

The following narrative refers to the diagrams above:

  1. Separation of inner foreskin from the glans.
  2. Making a cut in the foreskin.
  3. Pulling back the foreskin to expose the glans.
  4. (a) Placing an appropriate size of Plastibell and drawing the foreskin over it.
    (b) Placing a thread in the groove on the Plastibell.
  5. Removing the skin beyond the tied thread.
  6. Breaking the handle of the Plastibell leaving the Plastibell device and a ligature on.
    • The Plastibell device usually falls off after 2 and 8 days and it starts by splitting at the thread level.

For more information please get in contact with one of our friendly staff.


Dr. Molapo SelepeDr Molapo Selepe:

(MBChB, MRCGP, FRACGP, DFSRH, LoC SDI, Certificate in Local Anaesthetic Vasectomy)

  • a member of the Association of Surgeons in Primary Care, UK.
  • trained and accredited with the Faculty of Sexual and Reproductive Healthcare in London, UK.
  • a Member of the Royal College of General Practitioners and the Fellow of the Royal Australia College of General Practitioners.

You can be assured that you are under the care of a specialist GP with clear understanding of general practice needs, sensitivities and concerns of individuals and their families.

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