Chatham Street Surgery121 Chatham StreetReadingBerkshire, RG1 7JETel: 0118 950 5121
Parents requesting religious and cultural circumcision in the UK is quite common. The National Health Service has limited provision for religious and cultural circumcisions. This is insufficient to cater for all local needs. It is important for parents to ensure that they contact experienced medical personnel for this procedure.
We use the Plastibell technique for circumcision up to age of the one year.
The Plastibell technique, commonly known as the ring method, is a simple procedure. It can be safely performed by trained medical personnel with an acceptable (low) rate of complications. In this method a plastic ring is put on the tip of penis under the foreskin and a thread is tied tightly over the ring and foreskin. The thread gradually cuts the foreskin and the ring eventually falls off in seven to ten days duration. The most common risk is bleeding in the first 24 hours, which can mostly be controlled without requiring any further surgical procedure.
The ring method is also one of the most common techniques used for infant circumcision in the United States.
Circumcision is a minor surgical procedure and usually takes about 40 minutes. With the plastibell ring in place there is no need to take any extra precautions ensuring there is no pressure applied to the ring (no belts or buckles). The child should not have any problems passing urine in the presence of the plastibell ring.
Usually regular pain killer medicine (paracetamol 4-6 hourly) is required for the first 24 hours. Most children continue with their normal activities and do not complain of pain.
Parents need to carry out normal nappy care and everything else as usual. During this period, maintaining good hygiene is very important. After 24 hours bathe for 15 to 20 minutes and then twice daily.
Application of Sudo cream is helpful in each nappy.
The plastic ring stays on for about seven days and gradually falls off. If the ring has not fallen off by the 7th day please return to the surgery as arranged to have it removed.
Some swelling and mild redness of the area is normal tissue reaction to surgical trauma. After four to five days the skin at the edge of the wound becomes soft and yellowish and may even look like the colour of pus. This is not a sign of infection. Swelling, redness or increasing discomfort/pain may be signs of infection and you should contact us or your GP without any further delay.
We will provide you with a 24 hour contact to discuss any concerns following the procedure. However in case of emergency it may be required to refer your child to hospital for further care.
The National Health Service has limited provision for religious and cultural circumcisions. This is insufficient to cater for all local needs
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