Dr Varjavandi performs newborn circumcision under topical/local anaesthesia in infants less than 6 weeks of age. The whole procedure takes less than an hour. There is minimal discomfort for the baby and the cosmetic result is excellent.
To make an appointment for your newborn to be circumcised, contact Randwick Specialists.
To ensure the procedure is performed as soon as possible, it is best to contact us just before or soon after your baby is born. Our friendly staff at the surgery will be happy to provide you with details on cost and medicare rebates. An appointment can also be scheduled with Dr Varjavandi if you have any further questions or concerns.
Circumcision for Children over One Year of Age
The alternative method of circumcision is performed under a general anaesthetic as a day surgical procedure in children over 1 year of age.
As it is a general anaesthetic, the child must be fasted prior to the operation, which is performed in an operating theatre.
The foreskin is removed back to the coronal sulcus and closed with an absorbable suture. The operation takes thirty minutes.
Note: Circumcisions cannot be performed in a public hospital without a medical indication.
Medical Policies on Circumcision
Recently, the policy of the American Academy of Paediatrics has changed to favouring newborn circumcision.
“After a comprehensive review of the scientific evidence, the American Academy of Pediatrics found the health benefits of newborn male circumcision outweigh the risks.”
Read their full policy at pediatrics.aappublications.org/content/130/3/585.
It is important to note, however, that there are strong arguments on both sides of the circumcision issue and every parent should acquaint themselves with the pros and cons.
Dr Varjavandi is available to discuss any of your concerns at his surgery in Randwick.
In the newborn boy, the foreskin is adherent to the glans (head of the penis) and cannot be retracted. Forcing it back before it is ready can cause damage and should never be attempted by parents or medical professionals. The process of separation can take several years, but in most boys is complete by the age of eight.
Penile infection (balanitis) is extremely rare, but is a common parental concern. There are several reasons for this.
Firstly, as the foreskin begins its retraction, areas of the glans which were previously protected become exposed. This skin is initially very sensitive and can lead to pain on urination.
Redness, which is a normal part of any healing process, often occurs at the tip; and occasionally smegma is extruded.
Smegma is simply desquamated skin, no different to the white material found under fingernails! It accumulates between the foreskin and glans and often forms clumps. With the normal process of foreskin separation it can be extruded and mistaken as pus.
Redness at the tip, mild irritation on voiding for a day or two and extrusion of smegma is a normal part of foreskin retraction.
If your child remains well, these symptoms require no treatment and will settle spontaneously and quickly. If there is any doubt, a urine sample should be sent to exclude a urinary tract infection, but other than that no treatment is necessary.
As a general rule, simple hygiene is best left until the foreskin is fully retractile and when the boy is old enough to do it for himself. In the majority of boys, this will be around five years of age.
Will circumcision protect from STD’s later in life?
This is still controversial, but there is increasing evidence that the tougher glans skin in circumcised men offers increased protection against sexually transmitted diseases, including HIV.
In Australia, the risks of contracting HIV from sexual intercourse is extremely low, however, the incidence is rising, so this may become important in the future.