“The American Academy of Pediatrics believes that circumcision has potential medical benefits and advantages, as well as risks. Evaluation of current evidence indicates that the health benefits of newborn male circumcision outweigh the risks and that the procedure's benefits justify access to this procedure for families who choose it, however, existing scientific evidence is not sufficient to recommend routine circumcision.” (n.d.). Since circumcision has so many risks, I would not recommend circumcision for my patients. Some risks include bleeding, pain, infection, excess loss of skin, redundant foreskin resulting in circumcision revision, penile adhesions, meatitis/meatal stenosis, urethrocutaneous fistula, glanular necrosis/glanular amputation …show more content…
However, for patients with coagulation disorders, bleeding can serious or even fatal. Other serious early complications include hypospadias, glanular necrosis, and glanular amputation. These serious early complications of circumcision require prompt surgical intervention. Bleeding is the most common complication of circumcision. Bleeding may occur along the skin edges between sutures or from a discrete blood vessel, most commonly at the frenulum. Much of the post-circumcision bleeding can be controlled with direct pressure or careful application of silver nitrate. Another early complication is infection. Some causative organisms of infection are skin flora and colonic flora. Colonic flora are caused by the dirty environment of the diaper. Most infections can be prevented with good hygiene procedures, including local wound care. Good hygiene includes washing hands prior to and after changing baby’s diaper. Wound care includes thoroughly cleaning the penis and an application of antibiotic ointment with each diaper change. Severe infections including necrotizing fasciitis, have been reported as …show more content…
“The majority of these adhesions should lyse spontaneously as the penis grows, suprapubic fat recedes, and erections become more frequent and firmer” (2011). Otherwise, lysis of penile adhesions can be performed in the doctor’s office if they don’t lyse naturally on their own. This is accomplished by gently pushing away the adhesions from the glans after administering a topical anesthetic cream such as EMLA. A urethrocutaneous fistula is an opening between the skin of the penis and the urethra. It can be congenital, but often, it is a direct result of circumcision. To correct this complication, surgery is needed. Although urethrocutaneous fistulas are a rare complication, they do occur. Meatitis is the inflammation of the opening (the meatus) of the penis and occurs as the result of irritation. Meatal stenosis has been thought to be the result of a ligation of the frenular artery or from ammoniacal meatitis. Surgical treatment is indicated when symptoms such as deflection of the urine stream, dripping, dysuria, or urgency frequency from inadequate emptying are
As a result of Lily’s extensive hospitalisation period, a grade 3 pressure ulcers developed on her buttocks. A pressure ulcer is a localised injury to the skin which is usually located over a bony area as a result of pressure or pressure combined with friction (Willock et al., 2007). According to Sibbald et al., (2003) excreted bodily fluids are often common factors which contribute to the breakdown of skin, especially as a consequence of urinary or faecal incontinence. There were many factors which contributed to the breaking down of Lily’s skin, such as infrequent nappy changes and lack of mobilisation. Ensuring the maintenance of skin integrator within the critical care setting has its challenges. Often, patients are attached to multiple
The penis consists of basically three cylinders, covered by several sheaths of tissue and, finally, by skin. A pair of corpora cavernosa form the erectile tissue that becomes engorged with blood during erection, acting like the inner tube of a tyre. They are surrounded by the tunica albuginea, a tough, inelastic, fibrous sheath, which might be compared with the tyre itself. When the penis becomes erect, the inner tubes (corpora cavernosa) inflate, filling the space within the tyre (tunica albugenia), making it more rigid.
Afterwards, the parents sign a surgical consent giving the provider the approval to perform the procedure. The purpose of the circumcision is to remove the foreskin from the head of the penis, and allow the head of the penis to be exposed. The provider will use various supplies during the procedure such as an topical or injection anesthetic, a scapula to cut the foreskin, and one of three different clamps to hold the foreskin. According to Bcheraoui et al. (2014), studies have revealed that male circumcisions have an overall side effects rate of 0.5% if performed during the child’s first year of life, but increase up to 20 times that if performed after
Erection of the Clitoris is a psychological sign of sexual arousal. During erection the shaft of the clitoris becomes firmer, but the glans remains soft. The reason for this is that the shaft surrounds by a layer of tough connective tissue that restricts its expansion, whereas the glans is free to expand LaVay & Baldwin 2012. Usually, the glans of the clitoris is visible in the nonaroused (flaccid) state, but it may disappear under the clitoral hood during erection or with increasing sexual arousal, so sexual stimulation of the clitoris may occur through the hood rather than directly on the clitoral glans (or shaft). There 's quite a bit of variation from female to female regarding her clitoral anatomy and what kind of clitoral stimulation she finds arousing. The clitoris is more erotically sensitive in the erect than in the flaccid state LaVay & Baldwin, 2012.
Those suffering from this condition can also practice good hygiene, during urination the head of the penis is rinsed over. Urine is not sterile but it can help these individuals maintain a clean penis. If a sufferer develops complications from this disorder they can seek medical attention which results in part of the foreskin removed so that it becomes retractable. Trying to prevent a problem before it occurs can be helpful in some cases but cases such as this one it is
That’s typical, according to Craig Shoemaker, M.D., a North Dakota pediatrician and member of the American Academy of Pediatrics (AAP) task force on circumcision. “Many doctors do not adequately counsel parents regarding circumcision—what the risks are, what the potential benefits are, how much it costs. Performing a circumcision without such counseling is inappropriate. Some people would call it criminal assault.” Most parent...
Certainly, in the United States (and much of the Western world), female circumcision is illegal; however, male circumcision is utterly legal. In fact, in 2007, the Center for Disease Control reported that almost eighty percent of men in the United States were circumcised (Morris): legally, zero percent were females. Yet, several nations, where the culture is absolutely polar from the West, have prohibited male circumcision (Evans). The predominant factor, of course. The ideologies of culture make the laws, including morals; thus, these laws represent each region’s civilization, morals, and culture. Again, doctors must conform—this time to the law, not the parent. So, any decision doctors make, regarding circumcision, is due to cultural restrictions and their own
Since male circumcision is a surgery there are certain risks involved. There is a 2-10% occurrence rate of key complications that involve hemorrhage, sepsis, fistula, meatal stenosis, removal of excessive skin and penile loss (5:2239), of which parents should be made aware.
Circumcision is the surgical removal of the foreskin, the tissue covering the head (glans) of the penis. The practice of circumcision has been found to have been recorded as hieroglyphics. Religion is a huge factor for infant circumcision. The Jewish believe that all male infants are to be circumcised on the 8th day of life. Circumcision is such an important tradition to the Jewish religion that a circumcision can be performed on a
Child providers need to know the correct way to change a diaper and appropriate ways to teach children to use the toilet in order to prevent the spread of illness.
Intervention: Perform regular perineal hygiene and keep the wound clean and dry. This will prevent infection and skin irritation (Lowdermilk, Perry, Cashion & Alden, 2012)
Home Circumcisions Toronto understands what a hectic time this is for you and wants to make your child’s circumcision as stress-free and comfortable as possible for all involved. Circumcision a home is recommended by many physicians and from the testimonials we have received parents have preferred this method to a cold clinical setting.
Next you will want to teach your toddler about proper hygiene. After your toddler as finished pottying you should teach then to wipe from front to back. This helps prevent any bacteria from entering the private areas, which could lead to health issues such as bacterial infections. Your toddler should also learn how to use proper hand washing skills after they are done using the potty to prevent spreading harmful germs to other individuals. Proper hygiene is an important step of potty training because it can prevent several illness and disease from
Imagine having a part of you removed without your permission; that is what some babies go through every time their parents decide to circumcise them. Circumcision is a surgery performed on male babies to remove the foreskin from the head of the penis. It is unnecessary and unethical to put these babies in a position that could potentially scar them for life.
Many question whether female circumcision (FGM, genital cutting, etc.) is a form of abuse, is it a humane and morally acceptable practice and how can we fix this horrendous practice? These assumptive thoughts are typically made through the eyes of outsiders, female circumcision is many things and must be looked at through such a lens. Despite, all of this female circumcision is still framed very commonly between these three views, female circumcision is abuse, is a result of patriarchal societies, and is a cultural and religious practice.