What is Circumcision?
Circumcision is a surgical procedure that involves the removal of the skin at the tip of the penis (foreskin) in male children. This procedure is usually performed for religious, cultural, or medical reasons.
From a Medical Perspective
There are studies suggesting that circumcision has benefits related to hygiene, a reduction in urinary tract infections, and some aspects of sexual health. However, the decision for circumcision is often made based on family preferences and cultural beliefs, and it is carried out using various methods at different age groups.
At What Age Should Circumcision Be Performed?
Circumcision can generally be performed at varying ages from infancy to adolescence. However, we as pediatric surgery specialists often indicate that circumcision is easier and has a quicker healing process when performed during infancy. Personally, I particularly recommend it to be done in the first 1-3 months, as this period is considered ideal by many experts due to the ease of the surgical procedure, rapid wound healing in infants, ease of post-operative care, and minimal psychological trauma. Some families may prefer a different age range for religious or cultural reasons.
So, Who Should Perform Circumcision?
In our country, circumcision is unfortunately often performed by individuals referred to as “sünnetçi,” who may be graduates of health vocational schools or two-year colleges, and sometimes even less qualified individuals, despite being illegal. According to the Ministry of Health’s regulation dated March 23, 2015, circumcision should only be performed by a physician. It is important that the person performing the circumcision is a knowledgeable and experienced doctor skilled in various methods, preferably a pediatric surgeon or pediatric urologist.
Which Season is Best for Circumcision?
Circumcision is not particularly related to the season. In Turkish society, circumcision is performed for hygienic, medical, religious, and sociocultural reasons. However, we do not recommend performing circumcision on infants, especially in July and August, due to the high temperatures potentially leading to diaper rash and delayed wound healing.
Local Anesthesia or General Anesthesia?
Local anesthesia numbs only the genital area, preventing the patient from feeling pain in that region. We do not recommend general anesthesia for circumcision unless absolutely necessary, as it requires blood tests, which means the child has to fast before the procedure.
Finally, How Should We Prepare Our Child for Circumcision?
Using misleading statements such as "there will be no circumcision, no needles or cutting, just an examination" can lead to fear and trust issues when the child faces the reality. It is important to provide accurate and clear information about circumcision to psychologically prepare your child. Listening to your child's thoughts and feelings about circumcision and including them in the decision-making process can be beneficial for both you and us.
Op. Dr. Necip Fazıl ARAS
Pediatric Surgery
