FAQs for our clinic in Western Sydney Based Practice

Frequently Asked Questions? Infants and Newborns

What is the plastibell technique?

Under local anaesthetic, a small plastic ring is positioned between the head of the penis and the foreskin. A string is then double tied securely around the foreskin, gently compressing it against the ring before the excess skin is removed.

Is a follow up appointment needed?

As a general rule, Dr Sheen will see your son about 5-7 days after the procedure.

What happens next if I wish to go ahead with a baby circumcision?

At an initial consultation, Dr Sheen will go through in detail the procedure and ensure that your baby is suitable for the procedure. a concent form and payment will be needed and then an appointment time will be booked in.

The procedure is performed under long-acting local anaesthetic. Despite natural reservations, it is fair to say the circumcision is virtually painless for your son.

What after care is needed?

Once you have left the practice and are home, check the circumcision. The next day, remove any dressings and bath him as normal. 

How long does it take for wounds to settle down?

The first couple of weeks your son will have swelling and bruising. This will slowly settle and will improve as the Plastibell falls off.

What pain relief is used?

The use of a local anaesthetic injection prior to the procedure is used and has proven to provide excellent anaesthesia.

Oral pain relief such as Panadol can be administered for comfort after the circumcision.

Are there any complications?

No surgical procedure is without possible complications. The Plastibell technique using a plastic ring was first used in 1953 and has proved to give excellent reliable results.

Possible complications will be discussed with you before the procedure, the main concerns are bleeding and infection. Both are uncommon but can occur.

 

Frequently Asked Questions? Teens and Adults

Why do teens and men wish to be circumcised?

There are many reasons that people wish to be circumcised later in life. These range from personal choice, cultural reasons and medical conditions.

The most common medical reasons are frequent infections or scarring of the foreskin, a condition known as BXO or Lichen Sclerosis. This can result in the foreskin becoming tight and unable to retract with erections. Intercourse can become painful.

What is the free-hand technique?

It is a personalised circumcision with consistently good results.

The procedure is performed under local anaesthetic. The edges are stitched with dissolvable sutures; these remain in place for up to three weeks.

Once the procedure is completed you will be asked to rest up at the practice for a short while.

This is to ensure that everything settles and it is safe to return home.

What happens if I wish to go ahead with a circumcision?

At an initial consultation, Dr Sheen will go through in detail about the procedure and all your questions will be answered.

The procedure is performed under long-acting local anaesthetic. Despite natural reservations, it is fair to say the circumcision is virtually painless. The adult circumcision is performed by the freehand technique. Since everyone is different the freehand technique enables a more precise and individualised circumcision.

The wound is closed with dissolvable sutures and surgical glue. Bandages are applied and you are given information on how to look after your circumcision.

Is a follow up appointment needed?

As a general rule, Dr Sheen will see you about 4 days after the procedure and again about 10 days later.

How long does it take for wounds to settle down?

The first couple of weeks you can expect swelling and bruising. This will slowly settle and will improve as the sutures come out.

It is important not to judge the outcome of the procedure for 3 months.

What pain relief is used?

The use of a local anaesthetic injection prior to the procedure is used and has proven to provide excellent anaesthesia. This will be discussed with you in detail prior to the procedure. Oral pain relief such as Panadol can be administered for comfort after the circumcision.

What after care is needed?

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How much time off work?

This will very much depend on your job. If you become hot and sweaty at work or if looking after your bandages would be difficult then you would need to take 10 days off work.

If you have an “office job”, you should be able to go back to work after 4 days.

Travelling soon after circumcision?

You would be advised to delay any significant travel until 3 weeks after the circumcision. Sometimes it may be better to delay the procedure until after you return home from travel.

Are there any complications?

No surgical procedure is without possible complications. The Plastibell technique using a plastic ring was first used in 1953 and has proved to give excellent reliable results.

Possible complications will be discussed with you before the procedure, the main concerns are bleeding and infection. Both are uncommon but can occur. The chances of the baby needing to be in hospital following the procedure are very, very low but it can occur.

 

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