Circumcision is a very personal decision for parents, which can involve religious or cultural considerations. Medical experts continue to debate the health benefits of circumcision versus the risks.
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If you are having a baby boy and have questions, it’s important to talk to your pediatrician. Pediatric urologist Jeffrey Donohoe, MD, answers five questions he hears most often from parents about this practice.
1. Do medical experts advise parents to circumcise or not?
Although cultural and religious reasons make it relatively common in the U.S., circumcision (surgical removal of the penis foreskin) is less common elsewhere in the world. It remains a personal decision for parents.
When parents ask his opinion, Dr. Donohoe says, “I advise parents undecided about whether or not to have their son circumcised to consider the social dynamics of the family — and what is typical among men in the family.”
More than sixty years ago, the American Academy of Pediatrics (AAP) had recommended circumcision to reduce the risk of penile cancer, but more recent evidence finds no link between circumcision and cancer. “Keeping your son’s penis clean can reduce his risk of penile cancer, either way,” Dr. Donohoe says.
Currently, the AAP says circumcision helps protect against sexually transmitted diseases (STDs) later in life. Dr. Donohoe doesn’t disagree, but he says that using condoms is the best protection against STDs.
2. How do I care for my son’s uncircumcised penis?
If your son isn’t circumcised, you should not push the skin back over the head of the penis, says Dr. Donohoe. Just keep the area clean.
Leaving your son’s uncircumcised penis alone is best, as naturally occurring skin adhesions will stretch out over time when your son gets erections while sleeping. You should see 30 to 50 percent of the glans penis (the bulbous structure at the end of the penis) by age 3, and most of it by age 5, he says.
Complications are rare for boys who are not circumcised. But sometimes secretions under the foreskin harden and irritate the skin, causing inflammation or, rarely, an infection. Good hygiene can prevent this, Dr. Donohoe says.
3. My son’s circumcision doesn’t look the way I expected. What should I do?
It’s natural to wonder if your son’s circumcision was done correctly, and to sometimes question whether it needs to be redone, Dr. Donohoe says.
If your son seems to have too much skin around the head of the penis or if skin is sticking to it, your first step is to get a pediatric urologist to evaluate it.
Sometimes, the skin forms adhesions (fibrous bands between tissues) to the glans penis. In this case, your son will need more surgery, Dr. Donohoe says. To help keep this from happening, push the skin back far enough to expose the head of the penis and the groove around the head of the penis when you bathe or change your son’s diaper, he says.
4. Can circumcision cause my son’s penis to get inflamed?
If your son’s penis is inflamed, you might wonder if he could have a urinary tract infection (UTI). However, circumcision does not cause UTIs for most boys, says Dr. Donohoe.
“What many parents think is an infection is actually just red and irritated foreskin that generally improves when you use a barrier cream,” he says.
If the irritation persists, look for these signs of infection:
- Foul-smelling urine
- Burning during urination
- Urinary frequency
- Urinary urgency
If your son has one or more of these symptoms, talk with your pediatrician.
It’s important to go to your pediatrician with questions about circumcision or other concerns. It will help you to learn about what your child will go through at each stage of development.
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