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Circumcision

 

 

Dear Dr. Mike,

     Will you be the doctor who does a circumcision?  If so what are your views on pain control?  In 1999 the American Academy of Pediatrics released a policy statement describing newborn circumcision as painful and stressful, noting that safe and effective anesthetics and analgesics are available and should be used during the procedure.  I have read that the lidocaine ring block is effective during all stages of the procedure.  

Thank you for your input,      Laurie                                                                                                                          

 

Laurie,

Most circumcisions in the U.S. are done by the Ob/Gyn who delivers your baby. Don't ask me why, but that's the way it is. Every once in awhile, you'll find a pediatrician who will do it, but rarely. Therefore, no, I don't do circumcisions.

I am in favor of ANY medicine which relieves pain in children (and doesn't compromise their health), including a penile block for circumcisions. I think it would be great for all circumcisions to be pain free.

Is that realistic? No. Why not? Because not all doctors who perform circumcisions take the time to give the "block". Why not? I don't know, but you can ask them. I'll bet the answers will be "The needle used for the lidocaine will cause pain", "They are not going to remember it, anyway", "It takes too long", and "They are going to cry, anyway (from being held down)". And, I guess all those responses are true, but, I don't think that justifies anything.

Your question is a good and valid one. It's one that should be asked of your Ob/Gyn.

If your baby does end up getting a circumcision without a "block", he will join the rest of millions of men who have gone before, and not received any pain medicine.

Thank you for your question, and good luck. Dr. Mike

 

This article was reviewed 04/23/2010 07:24 AM

 

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