Infection Control Following Circumcision

With circumcisions, infections should be taken seriously, especially among younger patients. Therefore, it is important to understand how to carry out appropriate aftercare, as well as how to identify signs of an infection and when it is time to seek medical attention.

Below we have a guide on the different signs of infection to look for within different age groups. But firstly, it is important to remember that you will experience signs of the healing process also.

This may include:

  • Swelling
  • Bruising
  • Itchiness
  • Tiny blotches of blood
  • A few weeks post-surgery you may develop a yellow-white film, which is common in healing. This is not puss or a sign of infection.

Signs of Infection in Children

Post-circumcision infections in young children can be more serious. Therefore, parents should prepare themselves in case their child needs medical assistance. If your child has recently had a circumcision, you should notify your clinic as soon as possible if you begin to notice the following:

Babies

  • Plastic ring has not fallen off after ten days
  • They have a fever of 38°C or more
  • Swelling is worse after three days
  • No wet nappies within 4-6 hours of the procedure
  • Continuous bleeding from their circumcision wound

Children

  • Continuous bleeding
  • Fevers of 38°C or more
  • Unpleasant smelling discharge
  • Increase in swelling after three days
  • Plastic ring doesn’t fall off after 10 days of the procedure

Teenagers

  • Continuous bleeding
  • Fevers of 38°C or more
  • Unpleasant discharge
  • Increase in swelling after three days

Should you begin to notice any of the above signs of infection in your children, please contact the circumcision clinic immediately.

Signs of Infections in Adults

With adult circumcisions, the signs of infection can appear much more severely in comparison to a child. Therefore, you should be cautious of the following:

  • Significantly bleeding
  • Struggling to urinate
  • Severe swelling
  • Fevers of 38.5°C or more

Visiting Your Circumcision Clinic

If you begin to notice any of the above symptoms, or your child is pale, cold, not moving, is very weak, is experiencing significant blood loss or you are concerned in any way that they have a life-threatening emergency, please call 999 straight away.

At Modality Circumcision Service we aim to provide a safe environment for all of our patients. After circumcision, your specialist will guide you through the appropriate aftercare and the signs to look out for.

If you have any concerns regarding a circumcision, please contact our clinic on 0121 250 0386.

How to Handle Pain During and After Circumcision

 

circumcision aftercare

Regardless of age, undergoing a circumcision can cause discomfort to patients, especially if completed without any anaesthetic. Therefore, to make circumcisions a little easier, here is our advice on handling pain during and after your circumcision.

Distractions

Bringing electronic devices along to your appointment can provide the perfect distraction for patients of any age. Babies can be distracted by listening to music and older children may prefer to play a game on a tablet. Having these distractions while your specialist carries out the procedure can help you to feel more at ease with the discomfort.

Local Anaesthetic

Before the circumcision begins, the base of the penis is injected with a local anaesthetic to make the penis numb. Your specialist will not begin the procedure until the anaesthetic has taken effect. After a few minutes they will check the foreskin to make sure the patient cannot feel any localised pain. The anaesthetic will reduce pain during the circumcision and can last for at least 6 hours.

Recovery Room

After the circumcision is complete, your specialist will take you into a separate recovery room. This is your chance to ask any questions you may have, while your specialist details the requirements for aftercare. You will also be provided with an aftercare guide to take home. This will inform you on what to expect and how to care for the wound.

This is essential to pay attention to, as poor aftercare could lead to further discomfort.

Home Aftercare

The following few days after a circumcision has been completed, you may feel some discomfort and possible swelling at the head of your penis. If you are experiencing pain post-procedure, we recommend common painkillers, including paracetamol or ibuprofen.

For any concerns regarding yours or your child’s circumcision, please get in touch with your doctor as soon as possible.

Booking Your Circumcision

At Modality Circumcision Service we are one of the largest providers of circumcision within the UK and Europe.

We offer circumcision services to adults, children and babies of all ages, providing they are more than 2.5kg in weight. All of our clinics provide a welcoming environment with a customer first approach, to ensure you and your family feel as safe and comfortable as possible.

To book a circumcision, complete our enquiry form or call 0121 250 0386 today.

Preparing for Your Baby Boy’s Circumcision

Whether or not to have your baby boy circumcised is a big decision for many parents. Many parents may worry about how their baby will react during the procedure and healing process. However, with our team at Modality Circumcision Service in Birmingham, we are here to reassure you.

Pre-Procedure Preparation

Every baby differs with their reaction to the circumcision procedure. Some babies are calm throughout the entire process, while others may cry as soon as they are undressed. An electronic device with something they can watch or listen to as a distraction can be helpful. In addition, some babies will find a bottle of sweet water soothing to fall asleep to naturally.

On booking an appointment, you will be sent an information pack. Please read these documents thoroughly as they contain consent forms and our refund and restraint policies. On the day of the appointment the doctor will go through these forms with you and also examine the baby to ensure he is healthy enough for a circumcision.

During the Procedure

For a baby boy to be circumcised there is no minimum age. However, the World Health Organisation guideline recommends for babies to be over 2.5kg is weight.

For a more comfortable procedure, your baby’s penis will be numbed. This involves injecting a local anaesthetic around the base, so they won’t experience any pain. Therefore, there is no need for the patient to be put under general anaesthetic.

After, the doctor will allow a few minutes to pass before testing the foreskin. The procedure will not begin until the doctor is confident your baby boy cannot feel localised pain. This specific local anaesthetic can last up to six hours.

We understand that baby circumcision can be an anxious experience for many parents. Therefore, parents or another family member can wait inside or outside the operating room during the procedure. Our team will try to accommodate to what you are most comfortable with.

Circumcision Aftercare

Once the circumcision is complete, for older boys, a dressing will be wrapped around their penis while the wound heals.  This will need to be removed after 48 hours. For babies, there is usually no need to apply a bandage, but the doctor will show you how to apply vaseline around the area. For the first few days post-procedure, the penis will be inflamed and sore.

Ask the doctor for what is best recommend for your baby in terms of safe aftercare and pain relief. Finally, if there are any concerns after the procedure then please contact the clinic. In the very unlikely event of any serious concerns, and when you are unable to contact the clinic, you will be advised to take the baby to your nearest hospital.

Booking Your Baby Circumcision

At Modality Circumcision Service, we always put the patient first. We aim to provide a safe and welcoming environment for families and provide an excellent service. To book your baby’s circumcision, call our specialist team on 0121 250 0386.

Men’s Health Week – June 10th-16th 2019 – Circumcision and Health

Men’s Health Week is an annual event organised by the Men’s Health Forum. Every year, the focus is on different men’s health issues and this year the theme is the impact of inequality and deprivation on men’s health. Materials to support the week will be released on the Men’s Health Forum website.

Keeping the focus on men’s health, let’s talk about circumcision for health reasons.

Circumcision for health reasons

Whilst circumcision is commonly a religious or cultural practice in the UK, in some circumstances, some males choose to be circumcised as a result of hygiene or medical issues. Some common reasons for circumcision include Phimosis (when the foreskin is too tight to be retracted behind the head of the penis), Paraphimosis (when the foreskin has been pulled back and cannot return to its natural position) and Balanitis, an infection and inflammation of the head of the penis.

In serious cases, these problems can result in more serious medical problems that could have severe consequences if left untreated. For most men experiencing foreskin related medical complaints, it’s very rare that circumcision is the first recommended treatment; medical ointments or creams are often prescribed first. However, where conditions such as Phimosis or Balanitis are recurring problems, circumcision provides a solution to prevent this, allowing for improved health and hygiene.

As well as removing the risk of foreskin related problems, some research suggests that circumcision can also reduce the risk of penile cancer and sexually transmitted infections. There are several theories for why uncircumcised penises are more susceptible to STIs such as HIV/AIDS, Human Papillomavirus and Herpes. For example:

  • The skin covering the head of the penis of uncircumcised men becomes tougher and could protect against microtears in the skin that could provide entry points for germs and infection.
  • The inner lining of the foreskin could be the point at which germs enter underlying skin cells, however, this is removed during the circumcision procedure.
  • The foreskin may prolong the amount of time that the tender skin of the penis is exposed to germs.

Studies have also found that circumcised men are less likely to get penile cancer. Inflammation and STIs like Human Papillomavirus may contribute to cancer growth, and as the risk of these issues is reduced by circumcision, the risk of penile cancer is also reduced.

Enquire about Circumcision

If circumcision has been recommended as a treatment to help improve your health, please get in touch with our specialist team today by calling 0121 250 0386. We are an award-winning healthcare clinic, our team of specialists have trained with some of the leading experts in the UK and Europe and have carried out more than eight thousand circumcisions on all age groups.

Circumcision for Babies: What to Expect

circumcision for babies

We classify babies as boys that are under the age of 3 months. In most cases, circumcision for babies is carried out using the Plastibell circumcision technique. This procedure takes between 10 and 15 minutes and there is no stitching required, so your child will be allowed to go home a short time after. For this reason, it’s very important for you, the parent, to understand the required aftercare and what to expect as your child heals.

The Healing Process

After the circumcision procedure, the surgeon applies a gauze dressing to the area. To prevent the gauze from sticking to the glans, a lubricant is used. The gauze will normally fall off on its own within 24 hours of the surgery.

Every child will heal differently and will do so in stages. In some cases, it can take up to a month before the penis appears completely healed.

Circumcision can cause bleeding, but the cut edges of the glans will usually close-up in a day, if not a matter of hours or minutes.

Instantly after the procedure your infant’s glans (head of the penis) can change colour – usually red or purple. The reason for this is that the skin that covers the glans of an uncircumcised penis is a mucous membrane, which darkens and becomes thicker when exposed after circumcision.

For the first few days following surgery, you may notice off-white or yellowish patches on your child’s glans. These are just scabs, which is completely normal. After 2 or 3 days, the skin may appear yellowish-green – this is nothing to worry about, it is a normal sign of healing, not pus.

Another sign of healing is swelling, which can take the appearance of a blister. Swelling will disappear in between 1 and 2 weeks.

The skin neighbouring the penis usually holds it more erect. However, after circumcision there can appear to be a change in size, as the skin will become relaxed, leaving the penis looking a little smaller.

Aftercare for Babies

Firstly, there are a few things to be aware of. For 24 hours after the circumcision, leave your child’s lubricant gauze on until it falls off on its own.

Following circumcision, bathe your child in warm water every day for a week. If the lubricant gauze hasn’t fallen off within the first 24 hours, soaking it in the bath will help to remove it (Do not remove the gauze yourself, unless advised to by a medical professional). Once the dressing is removed, you may notice discolouration, small blots of blood and skin at the top of the penis. This is normal.

After each bath and nappy change, apply a topical barrier ointment, such as Vaseline (petroleum jelly), to the end of the penis to assist healing and prevent it from sticking to the nappy.

For a few hours, or up to a couple of days after the procedure, your infant may be fussy from pain. Signs of pain can include difficulty sleeping and feeding, as well as crying. Your doctor will advise you on pain relief.

After the first two weeks of healing, it is important to stop the skin from sticking to the glans. Complete this by gently pushing the edges of penile skin back, away from the glans.

Emergency Signs

During each nappy change, it is normal to see small spots of blood. However, if these spots are larger than an inch wide then visit your emergency department straight away. On the way to the hospital, create a ring with your thumb and index finger. Hold this at the top of your infant’s penis and squeeze for five minutes to slow down the bleeding.

Also visit the emergency department immediately if you notice that your new-born is experiencing a fever, difficulty urinating, swelling, worsening redness or a yellow liquid pouring from the incision.

More Information

At Birmingham Circumcision Clinic, we are an award winning UK health care provider, with circumcision clinics in Birmingham and Sandwell.

Circumcision services should always be completed in a safe and professional environment, performed by qualified doctors. Which is why we are registered with the Care Quality Commission to reassure our patients that we are providing the highest standards of care.

For more information on circumcision for babies visit our complete guide. Or to book an appointment, call our circumcision clinic on 0121 250 0386.

 

Common Medical Reasons for Adult Circumcision

The foreskin is the retractable fold of skin which can be found at the tip of a penis. Male circumcision is the surgical procedure of having this skin removed and is often completed on babies or young children for religious or medical reasons, however, many adults also choose to be circumcised.

In this blog post, we will look at a number of medical reasons why adult men may require or choose circumcision:

Phimosis

In generic terms, phimosis concerns a tight foreskin which cannot be retracted back behind the head of the penis. In some cases, phimosis can cause pain during urination, or while the penis is erect, as well as making it difficult for men to properly clean their penis. As a result, phimosis is one of the most common reasons for adults choosing circumcision for medical reasons.

Balanitis Xerotica Obliterans (BXO)

BXO is a chronic disease, which can often be progressive and lead to phimosis. Steroid creams are usually the first call of treatment to try, however, in some cases, circumcision surgery is required.

Recurrent Balanitis

This is when the head of the penis and foreskin regularly becomes infected and inflamed. The symptoms include a sore, itchy and smelly penis, as well as redness and swelling, a build-up of thick fluid and pain when urinating. Balanitis can also lead to phimosis.

Seek GP attention if you suspect you have balanitis to check it isn’t a symptom of something more serious.

Paraphimosis

After the foreskin has been pulled back and cannot be returned to its natural position, this is known as paraphimosis. As a result, the head of the penis can experience pain and swelling. When this happens, immediate medical treatment is required to avoid serious consequences, including a limited blood flow to the penis.

Penile Cancers

Although it is rare for cancer to start in the penis, it does happen. When it does, a red patch that almost takes on the appearance of an ulcer or a growth similar to a wart forms either under foreskin or on the end of the penis.

HIV Prevention

Previously, there has been evidence and research suggesting that adult circumcision can help with HIV prevention. This came from multiple trials in Africa, which saw circumcised men being less likely to contract the disease from infected women.

Despite further studies to test if circumcision can prevent any other sexually transmitted infections, no evidence has been found.

Enquiring about Treatment

It is very rare that adult circumcision is the first call of treatment. In most cases you will be recommended other treatments to try first, such as ointments and creams.

At Birmingham Circumcision Clinic we are an award-winning healthcare clinic, providing circumcision treatments to adults, boys, infants and babies. Our clinicians have carried out more than seven thousand circumcisions on all age groups and have trained with some of the leading experts from the UK, mainland Europe and Australia.

We operate with a dedicated team, offering multiple treatment options, flexible solutions and appointments to suit you.

To enquire or book an appointment, please get in touch with our specialist team today on 0121 250 0386.

Home Healing for Your Baby Following Circumcision

Circumcision of babies is a short and simple procedure, however, as with all large or minor surgeries, there will be a period of aftercare for your child, so here we offer some advice on what to expect.

Healing

After circumcision is performed a protective lubricant gauze will be applied to the affected area – this will usually fall away after 24 hours. The healing process varies from baby to baby, but a period of between two weeks and a month is usually required for the penis to heal completely.

Bleeding

Bleeding around the cut edges of the penis should stop within hours of the procedure having been performed and will last no longer than a day. During this time it is wise to keep an eye on a baby’s nappy to make sure a significant amount of blood has not been lost. If you have any worries, contact your doctor.

Swelling

Given the sensitivity of the affected area there is likely to be some protective swelling following a circumcision procedure. Although this inflammation of the area may seem like a blister, is an excellent sign that the body is healing correctly. Making sure that the penis is directed upwards when wearing a nappy is a useful way to help the swelling subside.

Change in colour

Following the procedure parents often discover the affected area to suffer some discolouration, developing either a red or purple hue. This is perfectly normal and may be joined by off-white or yellow patches in the days following the operation. After three or four days the penis may take a green or yellowish colour, but this is an expected symptom of the healing process.

Change in size

The penis may appear to be smaller following circumcision, but this is simply because the skin surrounding the area is looser as a result of the procedure and is nothing to worry about.

Signs of complication

In the unlikely event that complications occur following circumcision a doctor should be contacted immediately. Parents should be cautious to spot signs of continued bleeding, fever, poor feeding, sickness, difficulty urinating and any sign of yellow discharge from the treated area.

Get in touch

If you would like to learn more about circumcision for babies and children and the services offered by the Birmingham Circumcision Clinic, please contact our friendly team today on 0121 2500386.

FAQs on Adult Circumcision

Although circumcision in adults is common practice in the UK, very little is known about the procedure by many men that are considering the procedure. Here we offer the answers to some of the questions asked most frequently by our patients.

circumcision aftercare

What are the most common reasons for adult circumcision?

Circumcision in adult males usually occurs when the foreskin becomes too tight and cannot be retracted. This condition is known as phimosis, and although alternative treatments such as topical steroids can be used, circumcision remains the most recognised long-term solution.

Are there any benefits to adult circumcision?

Removal of the foreskin makes it easier to keep the head of the penis clean and free of bacterial build-up, so circumcision can be beneficial for men’s health. Medical studies suggest that circumcision can reduce the risk of contracting urinary tract infections and sexually transmitted diseases.

How is a circumcision operation performed?

 Circumcision is a quick and relatively simple procedure whereby the foreskin is removed just behind the head of the penis with the use of a scalpel or surgical scissors. If bleeding occurs it is cauterised (using a heated rod) and the remaining skin stitched together neatly using dissolvable stitches.

Are there any after effects?

For a few days following a circumcision operation patients may experience some discomfort and there is a good chance there will be swelling around the head of the penis. Patients experiencing pain following the procedure can use common painkilling medication such as paracetamol or ibuprofen.

How long will it take to heal following circumcision?

It generally takes between a week and 10 days for the penis to heal fully following circumcision. Patients are usually advised to take a week off work in order to recover, making sure that the penis is kept clean and allowed to heal properly. Patients will be advised on individual recovery times, including when they will be able to drive and have sexual intercourse.

Is there a risk of infection?

Complications after circumcisions carried out for medical reasons are very rare in the UK, and most men don’t experience any significant problems.

 

Find out more

If you would like to find out more about the potential benefits of circumcision and how the procedure is performed, please call the friendly team at Birmingham Circumcision today on 0121 250 0386.

 

Health Benefits Linked to Circumcision

Although circumcision is in many cases a religious or cultural practice, there are a number of long-term health benefits that can be associated with procedure.

Circumcision is the surgical removal of the foreskin, the skin covering the tip of the penis. It’s a simple and well established operation that is common in the United States, parts of Africa and the Middle East, and increasingly popular in the UK and Europe.

Because male circumcision makes it easier to keep the end of the penis clean and free of bacterial build-up, medical studies have suggested that being circumcised can reduce the risk of contracting urinary tract infections and sexually transmitted infections such as Human papillomavirus (HPV).

Equally, circumcision is thought to reduce the likelihood of passing some sexually transmitted infections to partners.

A recent study published in the USA found that male circumcision can be linked with a reduced risk for women of catching infections including HIV, Chlamydia, Syphilis and Herpes Simplex Virus Type 2 through intercourse. The study also suggests that circumcision may be linked to a reduced risk of cervical cancer and dysplasia.

So, through assorted studies and medical investigations, the proposed benefits of circumcision include:

  • A decreased risk of urinary tract infections.
  • A reduced risk of some sexually transmitted diseases in men
  • Protection against penile cancer and a reduced risk of cervical cancer in female sex partners.
  • Prevention of balanitis (inflammation of the glans)
  • Prevention of balanoposthitis (inflammation of the glans and foreskin).
  • Prevention of phimosis (the inability to retract the foreskin)
  • Prevention of paraphimosis (the inability to return the foreskin to its original location)

If you would like to find out more about the possible health benefits of circumcision and how the procedure is performed, please call the friendly team at Birmingham Circumcision Clinic on 0121 250 0386.

Phimosis – When a Foreskin is Too Tight

Many parents may feel concerned that their new-born’s foreskin cannot be pulled back and feel that they need circumcision to correct it. However, nine out of ten boys’ foreskins are tight or stuck to the head of the penis when they’re born, and it can sometimes last up until six years of age.

This is known as phimosis, which is completely normal for the first two to six years. It protects the head of the penis from coming into contact with things like bacteria and viruses, while also stopping it from rubbing against things and becoming sore. Sometimes, the foreskin of some boys can take longer to separate and will detach at a later stage – again, completely normal.

When there’s a problem

Despite phimosis being a normal phenomenon, there are instances where it can cause an issue, such as redness, swelling or infection. It can also cause a skin irritation called balanitis, which can affect both men and boys.

The symptoms of balanitis include: An itchy, smelly penis, redness and swelling, a build-up of thick fluid and pain when urinating. If the glans and foreskin are inflamed, the condition is known as balanoposthitis.

If you think you or your son has balanitis or balanoposthitis, we would always recommend seeing a doctor to receive the appropriate treatment.

Finally, in teenagers and adults, having a non-retractable foreskin can cause pain during sex or an erection. There’s also the potential for it to cause a balloon-like swelling under the foreskin if the opening is so small that urine cannot escape.

Treatment for phimosis

The first port of call is usually to visit a doctor who will be able to give you or your son treatment to try and reduce the swelling. They may apply a local anaesthetic cream, prescribe pain medication or inject the penis with a local anaesthetic to numb the pain.

If the balanitis or balanoposthitis is caused by a fungal or bacterial infection, your healthcare provider may prescribe anti-fungal medication or antibiotics. Topical steroids may also be prescribed to treat a tight foreskin thanks to their ability to soften the skin and make it easier to retract.

When the first line of treatment doesn’t work

If none of the above techniques work, or if symptoms keep reappearing, sometimes a small surgical slit can be made in the dorsal region of the tight skin. To stop a recurrence of the problem, this procedure should later be followed with a circumcision.

Unfortunately, it is not always possible to treat phimosis with non-surgical methods, and sometimes the only thing that will fix the problem is circumcision. This will permanently remove the problem, rather than simply treating symptoms.

Circumcision is a popular treatment for phimosis and is one of medicine’s oldest surgeries. At Birmingham Circumcision Clinic, we are one of the biggest circumcision providers across Europe. We circumcise babies, children, teenagers and adults and have been awarded the NHS Contract for Cultural and Religious Circumcision by Birmingham South Central CCG.

If you or a loved one is suffering from phimosis and you want to go down the circumcision route, you can find out more about our services by talking to our knowledgeable and friendly team on: 0121 250 0386  and by reading more here and here.