Home » Decision Support in Medicine » Anesthesiology. The most common indications for circumcision are phimosis, balanitis, and parental preference. This procedure can be accomplished under local, regional, or general anesthesia.
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This information is designed to help you, your family and friends prepare for your surgery. It will also help you plan how to take care of yourself in the weeks following discharge from hospital. A circumcision is an operation that removes the foreskin from the penis, exposing the underlying head medically known as the glans. Circumcisions are usually carried out because of phimosis an abnormally tight foreskin , or if the foreskin is stuck to the underlying glans. Both of these conditions prevent the foreskin being retracted, which can cause hygiene problems, infection and pain. Circumcisions are also carried out for social, religious and cultural reasons. Following removal of the foreskin two skin edges remain; these are joined together with fine dissolving stitches. We need permission for the operation to go ahead. Before the consent is signed, it is important that the risks and effects of the operation and anaesthetic are understood. These will be discussed prior to surgery.
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Jump to navigation. Postoperative pain following circumcision frequently results in crying, restlessness and agitation that may be associated with an increased incidence of bleeding. Therefore, pain needs to be anticipated and effectively controlled. Caudal epidural block is performed with the patient partly prone or on his side. It is one of the most common local anaesthetic techniques used in children. When compared with penile block, the need for rescue analgesia was similar. For boys old enough to walk, penile block may be preferable to caudal block since caudal block may cause temporary leg weakness. No difference in the need for rescue analgesia was seen when caudal block was compared with parenteral opioid by injection. Other methods such as simple analgesics and topical local anaesthetics creams and gels have not been adequately evaluated and need to be compared with caudal block.
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