The Procedure

Many doctors, including well trained Family Doctors, Pediatricians, Pediatric Surgeons, Obstetricians and Urologists can now perform the circumcision procedures.

There are several methods for performing circumcision, with the choices varying depending on the physician’s preference and experience. The three major methods used for neonatal and pediatric circumcision are:

  • Plastibell Device (strangulating the blood supply to the distal foreskin)
  • GOMCO Clamp (used to crush about lrnm of the foreskin circumferentially)
  • Mogen Clamp
  • Cut and stitch method

The Plastibell Device method is used within our clinic, which is also the most commonly used method in Australia and overseas, such as in America.

The Procedure

The use of the plastibell device comes with many advantages, and overcomes many of the complications of conventional circumcision procedures. Using this method, circulation is cut off from the foreskin which reduces the occurrence of any bleeding as well as preventing infection. Pain is also minimized as clamping also cuts off the nerve supply. It is also a relatively hassle-free procedure, as dressings are not necessary, and the plastibell ring generally falls off on its own after about 10 to 14 days.

During the procedure, we use a world leading dermal anaesthetic cream called EMLA cream, which can be used on full-term newborns to older children. The cream is applied and allowed to be absorbed over a 2 hour period, after which the anaesthetic effect lasts for about 4 hours, enough time for the tissue beyond the tie to be fully strangulated.This prevents any pain from being experienced. After circulation has been cut off, excess foreskin is trimmed and the circumcision procedure is complete. The plastibell method we use in this clinic is also the most commonly used method in Australia and overseas, including the USA.