Circumcision is most often done in the first few days of life, which is the best time for your baby, providing theyʼre healthy. Dr. Jerome Pittman and his team at Gentle Circumcision in Culver City, California, specialize in performing circumcisions and have more experience in these procedures than any other provider in the Los Angeles area. Find out more about the benefits of baby circumcision below or schedule an appointment online today.
Circumcision is the removal of the foreskin that covers the head penis. It might be done for religious reasons, family, or cultural preference. Sometimes there are medical reasons why circumcision is advisable.
Most newborn circumcisions take place within the first week or so after their birth. This is the best time to perform a circumcision and carries the least expense and minimal risks when done by circumcision specialists.
Baby circumcisions make use of a Plastibell circumcision device. The Plastibell is a tool made of clear, lightweight plastic thatʼs shaped like a bell, with a handle attached. It comes in different sizes to fit newborns, infants, and toddlers.
The bell covers the head of the penis to protect it during the circumcision procedure. Dr. Pittman then pulls the foreskin over the bell, securing it with a string or ligature. The ligature sits in a groove at the top of the Plastibell. When this is tied, he can then remove the unwanted foreskin while the plastibel protects the glans from injury. The plastibel is designed to fall off by itself in 7-10 days, similar to the belly button.
Itʼs vital to select the correct size Plastibell for newborn circumcision. Using too large a bell causes excessive tension on the foreskin left behind. On the other hand, selecting too small a plastibel might mean not enough foreskin gets removed. A Plastibell thatʼs too small could also put excessive pressure on the glans and result in a visible deformity.
It takes 10-15 minutes to perform a newborn circumcision. Healing time is around 10-14 days.
While newborns are not likely to remember anything about circumcision, focusing on pain prevents babies from experiencing trauma. To reduce pain in newborns, practitioners at Gentle Circumcision give an anesthetic known as buffered lidocaine. This simply means using lidocaine with added saline to remove the uncomfortable “sting” of the lidocaine (similar to what one experiences before a dental procedure). As an option, ( with parents permission), newborns are provided a pacifier dipped in a concentration of sugar water, which research shows minimizes discomfort. We also offer a soothing environment with music, which research also has shown to relax babies. After the procedure, parents can give their babies acetaminophen (infant Tylenol) to alleviate any discomfort after circumcision. Combined, each of these techniques allows your newborn to experience a virtual pain-free recovery.