Is the service available throughout the year?
Yes. Procedures are usually carried out from the clinic every weekend, usually on a Sunday. We have prolonged opening during school holidays. Weekday procedures can be arranged on special request on advance notice.
Is the procedure painful?
Circumcision should be a pain free procedure, as long as the local anaesthetic has been administered correctly. We do get a few horror stories of procedures being done during which the child has felt the pain and the whole experience of both parents and child has been awful. You can rest assure that your child will not be in any form of pain during the procedure. The only thing to warn you would be that children in the age group 1 – 5 years of age can be difficult to circumcise, as they are at an age where they are weary of strangers and won’t let anyone go near them. This age group of patients do pose a challenge for us – nevertheless, we do cater for them as well.
How long does the local anaesthetic last?
Usually 1 – 2 hours. Following which the feeling will return and the child may be in
pain for about 15-20 minutes acutely. Therefore, it is advisable that painkillers are given just before or soon after the procedure, so that while the anaesthetic wears off there won’t be too much pain.
Can the procedure be carried out with the child asleep?
Not at our clinic. All procedures carried out at the LCC are under local anaesthetic (LA). However, you are looking to have it done under a general anaesthetic (GA) will have to get in touch with your local private provider. Be warned that they can quote you a price around the region of £1,500:00. Importantly, there are no added benefits of doing a circumcision under a GA – if anything; you have the added complications that are associated with a GA.
What is the best age to get a child circumcised?
The best time is when the child is born, soon after birth at the age 2-3 weeks. The advantages are that the procedure is easy to carry out using the Plastibell ring method and most importantly, the recovery is very quick.
What is the average time to recovery?
You are looking in the region of approximately 2 weeks.
Will someone explain the procedure and the after-care to us?
As part of taking informed consent, it is imperative on the circumcision practitioner that they explain the procedure to you in full, the likely complications and the after-care.
What level of experience do the circumcision practitioners have? Are they GPs or Surgeons?
Our practitioners are all practising NHS Surgeons who are involved in their day to day work operating. They have a wealth of experience and you can chat to them directly about their experiences – it is important that you have full confidence in the practitioner that will operate on your child.
Are parents allowed to be present during the procedure?
Generally we prefer parents to be present during the surgery – as this gives a great deal of confidence to the child undergoing the procedure (in the case of the older child). However, if a parent or relative feels they do not want to be present – then this will be respected and they can remain in the waiting room.
Can I take my child home straight away?
In the vast majority of cases you can. However, if the doctor is concerned that there may be a slight chance of bleeding, then he may request that you wait for about half an hour so he can perform interval checks to ensure that there is no bleeding. Only when he is confident that it is safe, he will tell you that you may go.
Should I be aware of any risks associated with a circumcision?
One thing you have to bear in mind is that circumcision is a surgical procedure. All surgical procedures are associated with an element of risk. However, these risks can be minimised if the procedure is carried out by a fully trained and professional circumcision practitioner, in particular if someone has a surgical background or is a practicing surgeon.
The risks associated with a circumcision are commonly (1) bleeding (1-3%) and (2) infection (1-3%). To minimise the risk of infection - the procedure is carried out in a sterile fashion and antibiotic prophylaxis is usually given.
Is there routine follow-up checks?
Routine checks are not necessary on the newborn infant. For the older child it may be necessary depending on how the procedure has been performed. In all cases, if the parents wish to re-visit for whatever reason, they may do so without incurring any further costs.
NEED FURTHER ADVICE?
Have a question that you don't see here?
Call a member of our team and we will endeavour to answer all your questions.
Tel: 0207 043 9747