Frequently Asked Questions

Useful information and helpful answers to the most commonly asked questions
from parents and carers.

Circumcision FAQs

Newborn Circumcision

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.

Testimonials

I was extremely hesitant at circumcision as I didn’t want my baby to feel any pain. On the day of the circumcision I was so nervous but Dr and his staff made me feel so at ease and the entire process was explained so thoroughly.

To my surprise my baby Ari didn’t even cry, felt no pain and had an amazing recovery. He shed more tears with his first vaccinations than he did with his circumcision.

I couldn’t recommend Dr Varjavandi and his team more highly.

Martine D., Bowral, March 2016

In the lead up, we felt a bit anxious – it was his first journey into the real world and it’s something you definitely want to get right the first time.

Before and on the day, Dr V. was very reassuring and took the time to explain everything to us. It was a super quick and successful procedure.

We were able to be with our son while the procedure happened, and Dr V. also accommodated a Rabbi and grandparents to be there for this auspicious occasion in his young life.

After the procedure, Dr Vincent would always answer our questions immediately whenever we had concerns – he was only ever a text away.

The end result is a fantastic cosmetic appearance!

We would recommend anyone who loves their precious baby boy to go see Dr V. for this once in a lifetime procedure.

Adam and Anna M., July 2016

We chose to have our son circumcised at 8 days to fulfill a religious obligation.

Dr Varjavandi’s attention, care and skill made this stressful experience for new parents completely manageable.

Dr Varjavandi was incredibly approachable, compassionate and calming. He made himself available for pre and post questions (no matter how small).

The outcome was amazing and our son healed quickly and easily.

Dr. Varjavandi really is the best. We can’t thank him enough and recommend him unreservedly.

Tarryn L., Darlinghurst, July 2017

As first time parents we were somewhat anxious about circumcision but after meeting with Dr Varjavandi we knew our baby boy was in safe hands.

Dr Varjavandi has a very calm, reassuring and caring manner and we found him to be a pleasure to deal with. He was generous with his time and took the time to explain the process to us from start to finish.

The procedure was completed in a very short period of time with minimal fuss and the outcome was fantastic. The procedure appeared to be pain free with our bub experiencing little discomfort during and after the procedure.

Our experience with Dr Varjavandi was excellent and I would highly recommend him to any parent considering having their baby boy circumcised.

Jon and Hayley S., Kensington, August 2017

My family’s experience with Dr Varjavandi was extremely positive and knew that we were in good hands from the moment we met him.

He performed a procedure on my son and took a lot of time to explain the procedure in detail and make sure that my husband and I were comfortable prior to the procedure taking place.

Afterwards, the healing process was fantastic and my husband and I both felt that we had made the right decision in taking our son to Dr Varjavandi. He also offered for us to contact him personally if we had any questions or concerns in the days after the procedure. My husband and I felt extremely comforted in knowing we could reach out for assistance if we needed it.

We would highly recommend Dr Varjavandi for his kind nature and excellent practices.

Amelia S., May 2017

We found Dr Varjavandi to be extremely friendly, knowledgeable and professional. He gave us all the information up front to put us at ease with the process. The procedure itself was done in less than 10 minutes and we are very satisfied with the result.

We also appreciated being given the time to settle Luqman in the doctor’s office afterwards without being pressured to rush out the door.

We were very appreciative that Dr Varjavandi is able to perform circumcisions up to 6 weeks of age – other places we spoke to had a limit of 4, 3 or even 2 weeks which would not have been practical for us.

Overall we are very happy with our choice to have the procedure at Randwick Specialists. All the staff we dealt with during the process were pleasant and informative, right from the very first phone call in response to our email enquiry.

James P., May 2016

Our experience with Dr. Vincent was very pleasant.

His approach was extremely professional and informative, explaining the procedure from A-Z.

What we loved most about Dr. Vincent is his empathy and reassurance which made a world of difference as a parent, as well as his gentle and caring manner with our son Moses.

Farah and Danny K., Mascot, January 2017