Circumcision is a procedure parents can choose to have for their baby during their first few days or weeks, but older kids can also benefit from having circumcisions. Dr. Jerome Pittman and his team at Gentle Circumcision in Culver City, California, specialize in performing circumcisions for older children which can be a more involved procedure than it is for an infant. But our experience over the years combined with a proven protocol makes us one of the few facilities able to perform circumcision for kids using local anesthesia.
Circumcision for kids is a specialty at Gentle Circumcision. The most popular time for circumcision is soon after birth or in the first few weeks of life. However, not all babies undergo circumcision at that time for various reasons.
Dr. Pittman has exceptional skills in performing circumcisions on kids of all ages. He carries out circumcision for kids in one of two ways: Placement of a Plastibel circumcision device, a modified hand technique, or the combination of each method.
Plastibell technique is the method used in newborn circumcision but can also be used for older infants and toddlers. If your child is small enough, Dr. Pittman can use
a Plastibel device that comes in sizes to fit children from newborn to toddler age. To carry out the circumcision, the doctor places the proper size plastibel over the head (glans) to protect it while circumcising. Next, the excess foreskin is pulled over the outside of the plastibel. A surgical ligature (string) ties off the unwanted portion of the foreskin, which the doctor removes. The plastibel is removed in 7 days.
The Plastibell procedure takes 20 minutes. In older children, healing takes up to three weeks.
A hand technique is the most common method of circumcision in kids, especially older children. The procedure requires either a general anesthetic or local anesthesia. Local anesthesia is the preferred method for pain management at Gentle Circumcision.
The procedure begins similar to that done in a newborn:
Your son’s circumcision area is entirely numb before and during the procedure, similar to what you experience in the dental office.
The stitches dissolve into the skin, so they donʼt need removing.
This modified hand technique takes around 30 minutes, and the healing time is about three weeks. Your child can usually return to school within 3-5 days.
For toddlers and children, a pre-circumcision loading dose of extra-strength acetaminophen is given the night before, and then again, the morning of the procedure. Alternating between acetaminophen and ibuprofen is continued for 48 hours after circumcision.