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Part 4: Keeping Your Child Healthy  >  The A-Z of Childhood Illnesses  >  Circumcision

CIRCUMCISION

Circumcision refers to the cutting off of the foreskin of the penis. The foreskin or prepuce covers the glans or the soft front portion of the penis. 

Circumcision may be done:

  • For religious reasons
  • For any complication
  • For no definite reason

The foreskin is normally adhered to the glans penis in most newborns. If nothing is done, it separates on its own by the age of 3 or so, in almost all cases. Therefore, instruct people at home not to make any attempt to retract the foreskin. If it is still adhered, you may yourself try to gently push the foreskin behind and clean any stuff between the skin and glans penis.

If no separation of the foreskin is noticed by the age of 4 years, consult a paediatric surgeon.

Do not circumcise because the child has a long foreskin or is wetting the bed or has ballooning of the foreskin while passing urine, but has no other problem. Some reports indicate that circumcision reduces the overall incidence of urinary tract infections. Circumcision should be considered if a child with an adhered prepuce gets repeated attacks of urinary infection in the absence of any proven obstruction in the urinary tract.

If proper attention is not given to treat a severe diaper rash, secondary bacterial infection may result in scarring of the foreskin. This may result in the foreskin getting permanently adhered to the glans penis. In such cases, circumcision has to be undertaken because spontaneous retraction is not going to take place. It is also mooted that cancer of the penis in males and cancer of the cervix in wives of circumcised males is less common. An editorial in the reputed British Medical Journal has refuted this view.

Some advocate circumcision from a hygienic point of view. This is not tenable because smegma (the cheesy material 
which collects between the foreskin and glans) can be removed daily while having a bath.

If the skin is forcibly retracted, you may find it difficult to bring it back to its original place and the penis gets swollen. Your doctor can set it right but if it recurs, he may advise circumcision. The operation may also be advised for pus collection behind the prepuce.

People who believe circumcision should be done as a routine minor operation do not realise that even this operation can cause infections, excessive bleeding and other problems. I am against routine circumcision. If religious reasons dictate circumcision, get it done by a reputed doctor. Defer the operation to a later date if the baby was premature or had some complication at birth.


Do Not Circumcise In Case Of Hypospadias

Paediatric surgeons warn against circumcision in hypospadias, a condition in which the opening of the urinary passage is on the undersurface of the penis. In these male infants, the urethra (urinary tube) is deficient and circumcision must be categorically avoided as the excess foreskin on the penis is used to construct the deficient urethra. The penis bears a neatly circumcised look after this operation.




7 March, 2016

 
Part 4
The A-Z of Childhood Illnesses

Abdominal Pain
Abrasions or Scratches
Acute Glomerulonephritis
Acute Nephritis
Acute Watery Diarrhoea
Addictions
Adenoids
AIDS
Allergies
Anaemia
Anorexia (Poor Appetite)
Asthma
ADHD
Autism
Backache
Bed-Wetting (Enuresis)
Birth Deformities
Bites and Stings
Bleeding
Bone, Joint and Muscle Injuries
Bowlegs and Knock-Knees
Breathlessness
Bronchiolitis
Burns
Calcium Deficiency
Cancer
Cardiac Pulmonary Resuscitation
Cerebral Palsy (CP)
Chickenpox
Choking
Circumcision
Cleft Lip and Palate
Common Cold
Congenital Heart Disease
Constipation
Convulsions or Fits or Seizures
Cough
Croup
Crying
Cuts
Dengue Fever
Diabetes Mellitus
Diarrhoea, Dysentery ...
Diphtheria
Down's Syndrome
Earache, Ear Infections ...
Electric Shock
Encephalitis
Eye Problems
Fears
Foot Problems
German Measles (Rubella)
Glands in the Neck ...
Headache
Head Injury
Hepatitis
Hydrocephalus
Hypertension
Hypospadias
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Joint Disorders
Kala-Azar
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Limp and Pain in the Legs
Malaria
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Measles
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Mouth To Mouth Breathing
Mumps
Nephrotic Syndrome
Nose-Related Problems
Obesity
Pneumonia
Poisoning
Poliomyelitis
Premature Baby
Prolapse of the Rectum
Rabies
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Rheumatoid Arthritis
Rickets
Short Child
Skin Conditions
Sleep and Sleep Problems
Sore Throat (Pharyngitis)
Splinters
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Teething and Care of Teeth
Tetanus (Lock Jaw)
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Tropical Eosinophilia
Tuberculosis (TB)
Typhoid
Umbilical Problems
Undescended Testis
Urinary Infection
Vaginal Discharge
Vomiting
Wheezing
Whooping Cough (Pertusis)



Part 4
Keeping Your Child Healthy
Choosing A Paediatrician
Proper Use of Medicines
Home Remedies
A First Aid Kit
The A-Z of Childhood Illnesses
Psychological Concerns
Managing A Hospital Stay
Emergencies
Prayer And Your Child's Health
The Role of Nature Cure
Homoeopathy
Ayurveda and Child Care
Congenital Heart Disease FAQ
 
Guide to Child Care
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1 Pregnancy, Childbirth ...
2 The Growing Years
3 Feeding Infants, ...
4 Keeping Your Child Healthy
5 Keeping Your Child Happy
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