Cutting Through the Debate: The Truth About Newborn Male Circumcision

Are you expecting a baby boy and wondering about circumcision? Today, on the She Found Motherhood podcast, Dr. Alicia is diving into this question with Dr. Ellen, an experienced urologist. Together, they’re breaking down the basics of infant circumcision - why parents choose it, what’s involved, and how to care for a baby post-procedure - in an accessible, judgement-free way. Let's get into it!

Why Consider Circumcision?

Dr. Ellen explains that parents often decide to circumcise their babies for a mix of cultural, personal, or medical reasons. Medically, circumcision might be advised in rare cases, like if a baby experiences recurring infections or tight foreskin (known as phimosis). However, for the most part, it’s entirely up to the parents. Dr. Ellen encourages consulting a healthcare provider if you have questions, especially for certain cases like hypospadias (a condition where the penis doesn’t fully form). For this, circumcision isn’t recommended because the foreskin might be helpful in future treatments.

Timing Is Key

If you’re leaning toward circumcision, the timing can make a big difference. Dr. Ellen says the first week of life is the best time for babies to handle the procedure with the least amount of pain. And it’s a good idea to plan ahead and discuss your options with a provider during pregnancy - no one wants to make big decisions under the sleep-deprived haze of new parenthood!

Different Methods, Same Result

Dr. Ellen runs through the three most common techniques: the Gomco clamp, Plastibell, and Mogen clamp. Each has its pros and cons, and the choice really comes down to your provider’s preference and experience. Find someone who feels comfortable with your chosen method and is available for any follow-up needs.

What to Expect After Circumcision

In the days after circumcision, Dr. Alicia, a maternity care provider, reassures parents that the healing process may look intense but is often very normal. You may see some swelling, redness, or a little blood in the diaper - nothing to panic about. Be on the lookout for signs of infection, though, like redness that doesn’t fade, fever, or trouble urinating.

Pro Tip for Healing: Slather on the Vaseline! Dr. Ellen advises keeping the area well-lubricated to prevent it from sticking to the diaper, which helps avoid adhesions. Babies might be a bit fussy at first, but gentle care will help them feel comfortable in no time.

Cost Considerations

Dr. Ellen reminds us that circumcision generally isn’t covered by Canada’s public healthcare system unless there’s a medical need. It costs between $250 and $500 on average, depending on the provider and location. If you’re considering circumcision later in childhood or adulthood, be aware that the procedure can become much more costly, involving general anesthesia and more follow-up.

A Few Thoughts to Leave With

As Dr. Ellen wisely notes, many adult men sometimes express a desire to have been more involved in the decision about circumcision. So, whatever you decide, remember this is about making the best, most informed choice for your family! Want to learn more? Dr. Ellen shares helpful insights on Instagram and Facebook @EllenForbesMD.

Happy parenting and remember - take it one decision at a time!