Oh, boy! You’re expecting a son, and with that news comes a big decision: whether to circumcise him. Not to worry, Metropolitan Pediatrics is here to help you understand your options, so you can choose what feels right for your family. And, if you decide to have your newborn circumcised within 30 days of birth, our providers will perform the procedure with great care, compassion, and every effort to minimize discomfort.
Circumcision is available to all families, whether they establish care at Metropolitan Pediatrics or another practice.
Circumcision is an elective procedure that we perform for infants up to 30 days old who have already received their vitamin K shot. We do our best to keep patients calm and comfortable during the procedure, including a secure swaddle, sucrose (sugar) water, and local anesthetic (numbing medication).
Please plan for the visit to take up to two hours, including a monitoring period following the procedure to watch for any bleeding (30-45 minutes).
There are three techniques to perform a circumcision: Mogen, Gomco, and Plastibell. All of them are safe and effective if performed by an experienced practitioner.
We currently offer circumcisions at three of our locations, using two different methods:
- Gresham with Rachel Manzo, MD (Gomco)
- Bridgeport with Jenny Malcom, MD (Gomco)
- Beaverton with TJ Anderson II, MD (Plastibell)
Metropolitan Pediatrics understands that this procedure is not medically necessary, and yet we know that culturally this can be a very important and personal decision for families to make. We present families with unbiased information regarding circumcision, including current American Academy of Pediatrics guidelines, and are very respectful of parents’ choices, whether they decide to circumcise or not.
Your baby’s penis will be red and swollen for several days. A moist yellowish film may appear around the head of the penis as it’s healing—this is called granulation tissue and is normal. Don’t try to wipe it off!
Your baby’s scrotum or skin around the penis may be bruised from the circumcision for several days.
Healing of the circumcision usually takes seven to 10 days. When healing is complete, the head of the penis will look like normal skin.
Your baby may be fussier over the next day after his circumcision, but he should be consolable and continue feeding regularly. You may give your baby infant Tylenol (acetaminophen) only ONE time after his circumcision—his dose is 1.25 ml four to six hours after the circumcision occurred.
Expect the amount of blood on the front of the diaper to be dime-sized or smaller over the first day.
For Gomco & Mogen (no ring)
- Put liberal amounts of petroleum jelly (Vaseline) on the head of the penis during every diaper change for the next week, or until the circumcision is healed. This will help protect the penis from sticking to the front of the diaper.
- Twenty-four hours after the circumcision, start gently pressing the remaining skin back from the head of the penis to prevent the skin from sticking and causing adhesions.
- Don’t use diaper wipes while the circumcision is healing as they can irritate sensitive skin! Clean with plain warm water.
For Plastibell (plastic ring)
- Do not use petroleum jelly (Vaseline), diaper cream, or gobs of soap near the head of the penis until the plastic ring has fallen off. This is to keep the ring from sliding off while the penis heals.
- The ring should fall off on its own (you will likely find it during a diaper change) around five to seven days following the procedure, but anywhere within three to 14 days after the procedure is completely normal.
- While the ring is in place, use warm water and a washcloth to keep the area clean.
Call Your Doctor If
- There is any bright red bleeding or oozing, or if the amount of blood on the front of the diaper is larger than the size of a quarter.
- Your baby does not urinate within eight hours after the circumcision.
- The redness and swelling around the head of the penis is getting worse.
- There is thick, smelly yellow or green discharge.
- Any fever greater than or equal to 100.4° F. We recommend taking a rectal or axillary (armpit) temperature if your baby is fussier than usual, less active than usual, seems warm, or is not feeding at his baseline.
- Your baby seems very fussy after one day.