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Nursing Knowledge
Male circumcision is the surgical removal of the prepuce (foreskin) that covers the glans of the penis. The procedure has been performed for thousands of years, often according to cultural teachings and religious rites. Families may elect to circumcise their male infants in keeping with these traditions, for perceived hygienic benefit, or so that the newborn will resemble other men in the family.
Circumcision is performed on 60–90% of male newborns in the United States. However, controversy exists regarding the possible medical benefits versus risks of the procedure. Circumcision is considered to be an elective procedure and not medically indicated in the majority of cases.
A variety of techniques are used and differ by provider. Families may utilize a medical provider or a trained practitioner from their cultural or religious community. Encourage parents to be aware of the technique their provider will use, the possible complications, and the specific post-procedure care needs.
Pain management differs by provider and may include a combination of techniques, such as:
Plastibell circumcision is a newer technique involving a plastic ring placed over the glans, serving as a guide for the cut. The ring remains in place for a few days after the surgery.
Monitor bleeding and the infant’s ability to void. Encourage skin-to-skin contact and infant feeding for soothing and pain management.
Instruct the family to wash the area with water only and apply petroleum jelly generously to the tip of the penis to prevent healing tissue from adhering to the diaper.
After the procedure, stay vigilant to signs of infection:
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