After the appointment for a treatment is confirmed, you will receive information about the circumcision of your child by e-mail. It contains everything you need to know about the circumcision and about the different methods, so please read this information carefully.
We have briefly summarized below what you should do before you visit our clinic:
When you arrive at the clinic, an anesthetic crème will be applied immediately to your child at the spot where the anesthetic will be injected. In the meantime, we hand out administrative forms such as the declaration of the informed consent for the circumcision. We check for the presence of both parents or the presence of an authorization form from the absent parent. After the payment is completed an intake interview follows.
During this interview we ask questions about the health of your child and you receive information about the care before, during and after the circumcision, including the possible complications (even though the chances are small). We will discuss which method is best for your child and you can indicate which method you prefer. Please feel free to ask any questions and if everything is clear, the informed consent form must be signed.
Children from the age of 1 get lightly sedated by means of a nasal spray to reduce anxiety and make the children as comfortable as possible. Children can become drowsy or sleepy, but they will remain conscious since it is not a deep sedation. In children between 6-12 months and children over 6 years, a nasal spray for sedation is only given in certain circumstances. Infants under 6 months are not sedated, however we distract them by means of sucrose (sugar water) or a bottle of milk.
After the anesthetic crème and (if applicable) the nasal spray have been absorbed, the local anesthetic will be applied and the penis will be completely numb after a few minutes. After the anesthesia is checked, the circumcision will take place. This takes about 10 to 15 minutes.
There may be certain reasons, that become clear during the interview or physical examination, which makes it wiser not to have a circumcision at that point (eg fever, vomiting / diarrhea, too much pubic fat, certain allergies or other medical reasons). The circumcision has to be postponed in these cases. This is always in the interest of your child and even if you have already planned a party, your child's health always comes first. In rare cases urological birth defects can be detected (most common is hypospadias). This is usually observed after the anesthesia has been given and the adhesions of the foreskin have been released so the glans becomes visible. When urological abnormalities occur, a circumcision cannot take place or should be postponed. Sometimes you need the foreskin for the correction of a congenital abnormality of the penis. In these cases, instructions will be given and a referral to a pediatric urologist will follow.
For the healing of the wound, it is important to follow the aftercare instructions carefully. However, we understand that you cannot remember everything on such an exciting day. All follow-up instructions are included on paper. This allows you to read everything at home. If you still have questions you can always contact BesnijdenisPunt during office hours through the general number. In case of emergency, you can always reach us 24/7 through the emergency number. Generally, a follow-up does not take place. However, if you prefer to have a follow-up, you can make an appointment by calling or e-mailing us.
A circumcision is basically a safe and minor surgical procedure, however, as with any surgical procedure, complications can occur even though this is rare. In the informed consent form all complications are described and during the interview these are pointed out again.
Listed below are the possible (and also very rare) complications: