The debate over “to circumcise or not to circumcise” is one that has been going on for decades, and you probably have your own conflicting feelings over the practice. Opinions are mixed over which is the best for newborns, but only you can make the best decision for your child. None of the world’s leading medical organizations and associations has made circumcision mandatory for newborns- the only exception to this stance is when the procedure is medically necessary.

Like any surgical procedure, there are risks and complications involved, although the chances are minor in circumcisions. Some newborns experience short term side effects such as steady bleeding and local infection, both of which are generally mild. Irritation can also occur.

In some cases, the physician may under or over estimate the amount of foreskin to remove, resulting in the remaining foreskin being too short or long to heal properly, or the foreskin may reattach itself to the end of the shaft, both of which require corrective surgery. Removing too much skin from the shaft of the penis can make erections extremely painful and sexual intercourse unpleasant and the removal of insufficient amount of foreskin can require an additional operation. It is also possible that small bits of skin tissue may fuse together between the foreskin and the head of the penis, called skin bridges, which can directly cause curved erections, pain upon stimulation, and even minor bleeding. Other complications that can develop as a result of circumcision are skin tags, scarring, and unevenness. There are more potentially serious complications, including accidental glans amputation, serious infection, hairy shaft, metal stenosis, de-gloving, among others. Although it is extremely rare, circumcision can even cause death in some cases.

While it has not been officially documented, some people claim that circumcision is responsible for decreased sensitivity of the penis, and that leaving the foreskin’s sensory tissue fully intact ensures pleasurable sexual sensation. You are probably also concerned with the pain your newborn will feel both during and after the procedure, which is an understandable and true concern. Research and studies have shown that crying, as well as an increase in both heart rate and blood pressure, are all indications that the infant is experiencing stress and discomfort. Even with pain management and treatment available, it is impossible for newborns to communicate verbally with us in regards to their pain levels.

Cost may be a significant factor in your decision to not circumcise your newborn. Coverage of the procedure is not universal among health insurance plans, which means the cost would be have to be paid directly by out of pocket. Last but certainly not least, circumcision is also a reflection of personal beliefs and preferences- both aesthetically speaking and in regards to cultural or religious belief.

Posted in Circumcision

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