“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.
When parents first discover they are having a baby, there are so many aspects to consider. Who is going to be their doctor, which hospital are they going to deliver at, what are they going to name the baby, and what color should they paint the nursery. Parents that are expecting a male newborn have to decide if they want their baby to be circumcised. For many families, this is an easy decision based on their cultural or religious beliefs. However, for others the right option is not as clear. Over the years, the topic of circumcision has been debated and views have swayed for and against the procedure. Ultimately, the parents must evaluate all the pros and cons and make the decision that aligns best with their thoughts and beliefs. The parent’s decision about the procedure will be influenced by various factors. It is vital that they are educated on the accurate information surrounding the advantages and disadvantages of the circumcision. This paper will evaluate both sides of this controversial issue.
The majority of circumcisions performed in the United States happen after given birth. The procedure may subsist implemented at any age. Around 30% of men are circumcised ubiquitously (UNAIDS, 2007), Circumcisions is an ancient practice that likewise based on religious practice amid Jews, Muslims, low percentage of Christian (LaVay & Baldwin, 2012; Drain, et al., 2006). Ethnic cohort such as Polynesian and various parts of the Philippines engage in different procedures on the male penis. These methods encompass a slit along the top of a child foreskin around the time of puberty know as superincision. Superincision exposes the upper portion of the glans allowing the foreskin to sag beneath the glans; no tissue removed LaVay & Baldwin, 2012. Other cultures including Australian aborigines customarily create an incision near the base of the penis known as subincision. Exposing the urethra and allowing the glans and part of the shaft to flare outward, giving the penis a flat appearance LaVay & Baldwin,
Freedom of choice is a desire for most, but as we are young we depend on the decision of our parents. With this dependent nature of a child the freedom of choice is limited, for males this can lead to a life long consequence. Male circumcision is the surgical removal of the foreskin; the skin covering the head of the penis. Circumcision is practiced for religious purposes in Jewish and Muslim communities. Normally, the boy’s age varies from 4 to 11 years old. In the United States, this procedure is also done but without a religious purpose. The boys in this case are commonly newborn. This practice became popular after medical groups claimed that there were many health benefits that came with circumcision. Though it has been proven otherwise, it is still a common practice in the U.S. fueled by ignorance. Circumcision is an unnecessary surgery that leads to psychological problems, issues with sexual activities and lasting physical damage.
The baby, Phil, is less than a day old. His tiny head still slightly misshaped, his eyelids puffy, his mouth half-open in his sleep. The nurse has taken him from his mother and is carrying him to another room in the pediatric ward. The nurse clicks on a white metal lamp with a twist of her fingers, removes the child from a cozy blue blanket, and lays him in a cold molded plastic form that is bolted tightly to the counter. This form fitting shell is called a Circumstraint. There are indentations for the baby’s arms and legs. The nurse methodically binds the secure restraining straps around his limbs, bends the flexible metal light over him and steps back. The baby is naked and spread-eagle, and he begins to cry. For many boys, life begins with circumcision, a painful cut to the sensitive skin on his penis. Is it necessary?
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
Neonatal circumcision is one of the most often executed surgeries in the United States. (1:130) In my clinical practice thus far, the question whether to circumcise male neonates or not is frequently asked in the postpartum period. Midwives play an important role in providing informed choice discussions for their clients, it is thus our role to present the research evidence available in order to help women make the right choice for them and their families. This paper aims to describe the different incentives of male circumcision and the benefits and risks involved.
Intervention: Perform regular perineal hygiene and keep the wound clean and dry. This will prevent infection and skin irritation (Lowdermilk, Perry, Cashion & Alden, 2012)
Health benefits of infant circumcision are, circumcision decreases the risk of urinary tract infections, reduces the risk or heterosexually acquired HIV infections in males, lowers the risk or penile cancer, lowers the risk of STDs, including a lowered risk of penile HPV in males, and cervical cancer in their female partners, chlamydia, pelvic inflammatory disease and infertility. Circumcision decreases the risk of balanopositis, and phimosis, and improves sexual function. (Houle,
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.
You have just arrived home after giving birth to you beautiful bundle of joy. Before you settle into your new life you need to plan your child’s circumcision. This procedure is usually performed on the first or second day after birth. Although, within the Jewish population, is performed on the eighth day. The thought of returning back to a hospital after just leaving one raises your already heightened anxiety. We have the perfect solution. Home Circumcisions Toronto will perform your child’s circumcision in the comfort of your own home. We even perform aftercare visits immediately following the procedure.
The procedure in unnecessary because the reasons behind it are contradictory and have many other solutions. For example, a reason why circumcision became common was because it was “a hope that circumcision would result in a decrease in masturbation” (Andres, 2007). However, circumcision was also thought as a way to prevent HIV (WHO, 2015).
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.
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