Dr. Jessica Ivers performs newborn circumcisions for new and established patients in The Polyclinic Pediatrics department and by referral. Parents can schedule this extended, in-office visit after their baby is born.
The visit includes consultation before the procedure about what to expect, along with detailed information on caring for your baby afterwards. Circumcisions are performed in our Pediatrics procedure room in a sterile environment.
Dr. Ivers uses a common technique for circumcision called the PlastiBell technique. This method involves placing a plastic ring over the head of the penis that is fit for size. The ring creates a tourniquet-like effect over the unwanted foreskin.
Why This Technique?
Dr. Ivers was trained on the PlastiBell method and has developed her skills using this established and reliable technique. Dr. Ivers believes the advantage to this type of circumcision is that she is able to have excellent visibility of the penis through the procedure to ensure just the right amount of skin is removed every time.
Specifics for Plastibell Circumcision
The PlastiBell ring remains on the penis for approximately 7 to 10 days after the procedure. It will fall off on its own similar to the umbilical stump.
Dr. Ivers uses evidence-based pain control measures including lidocaine injected over the nerves at the base of the penis, along with sugar water administered by an assistant. All infants are swaddled during the procedure and parents are encouraged to come into the procedure room to support their little one.
Infants can be fussy or sleepy for 24 hours after the procedure. This should not be unmanageable or excessive.
Benefits of Circumcision
- Infants who undergo circumcision are at decreased risk of urinary tract infection as an infant, and decreased risk of sexually transmitted infection as an adult.
- Circumcision is endorsed the American Academy of Pediatrics and recommended by the Centers for Disease Control and Prevention (CDC).
- Some people have cultural and personal preferences regarding male circumcision.
Reasons to Avoid Circumcision
- Your pediatrician or primary care doctor has suggested the penis is abnormal and needs to be seen by a specialist.
- Your child did not receive injected vitamin K at birth.
- There is a family history of a bleeding disorder.
- A close relative had excessive bleeding with circumcision.
Circumcision is a safe procedure. However, there are complications that can occur. The most important consideration is bleeding. If your child has excessive bleeding after the procedure, apply pressure to the site and either take him to the closest emergency department or call 911. The risk of bleeding is minimal after the first 12 hours.
Dr. Ivers has been doing circumcisions since 2014. She has performed hundreds of them at The Polyclinic and at her previous practice. She strives to minimize pain at every opportunity.
What Age Infants Are Eligible?
Circumcisions are best performed soon after mom and baby are discharged from the hospital after delivery. Dr. Ivers prefers to do the procedure on infants four weeks and younger, but will perform them for infants eight weeks and younger if the child is healthy and there are no reasons to avoid circumcision.
Newborn circumcisions are covered by most insurance companies. Be sure to check with your insurance company about your plan’s specific co-pays or out-of-pocket costs.