Wednesday, February 3, 2016

MALE CIRCUMCISION IN NIGERIA: MERITS AND DEMERITS

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Rotimi Ayoola Adesanya Good evening all,I am welcoming all to this discussion on male circumcision in newborn. I commit our discussion to God who is the beginning and the end to bless us all as we share knowledge and rub minds together.
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Thanks to Dr Gbemisola Boyede for giving me another opportunity to share on this platform.
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Circumcision is one of the world's most widely-performed procedures..Circumcision is a religious or cultural ritual for many Jewish and Islamic families, as well as certain tribes in Africa and other parts of the world.
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Male circumcision is the surgical removal of the foreskin; the foreskin is opened and then separated from the glans after inspection.
Circumcision= circumfence + excision. It is from Latin word circumcidere, meaning "to cut around .
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya we will focus more on the newborn and infants.
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Circumcision should not be performed without a qualified health professional and a sanitary environment.
It can be done in the theatre, in the consulting room or at home. It is done by all categories of qualified health workers GP , Family Physician, Paediatricians, Obstetrician and Gynaecologists. surgeons, midwifes, nurses and community health extension workers (Chews).
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya On a lighter mood, who will you like to circumcise your baby? The Obstetrician and Gynaecologists circumcised my own son.
Lateefah Olayiwola Adebayo
Lateefah Olayiwola Adebayo A surgeon did my second son's.a gynea did d first.
Wariku Fredrick-Enweliku
Wariku Fredrick-Enweliku An Ob/Gyn did my son's own
Rotimi Ayoola Adesanya

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Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya CIRCUMCISION IN A MALE NEWBORN: ALL YOU NEED TO KNOW ISTHE TOPIC FOR THOSE JUST JOINING!
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Newborn circumcision is often done in the hospital nursery, usually 7- 8days after birth. Biblically, Leviticus 12:3 says, “On the eighth day, the flesh of (a male child’s) foreskin shall be circumcised.”This is also supported by medical science, which notes that there is more vitamin K and prothrombin present in the blood by day 8, which means less pain, less bleeding, and a better healing process
Gloria Okitiakpe
Gloria Okitiakpe WoW. Isn't God great? Well timed
Rotimi Ayoola Adesanya
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Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya .Based on my last explanation, It is not advisable to have routine newborn circumcision done before the baby is eight days old.
Mojola Comfort Sopeju Mufutau
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Health benefits
• Circumcision aids personal hygiene, as it makes it simpler to wash the penis.
• Though the risk of urinary tract infection in males is low, it is more common in uncircumcised males. Circumcision therefore prevents urinary tract infec...See More
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya PROCEDURE
For NEWBORN AND INFANT'S circumcision, devices such as the Gomco clamp, Plastibell and Mogen clamp are commonly used in the western world.These follow the same basic procedure. First, the amount of foreskin to be removed is estimated.
These ...See More
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya This is what we call Plastibel, used in circumcissing male newborn and infants.The Plastibell comes in six sizes to fit over the glans of various baby boys' penises at birth. The most common size used is 1.2cm in diameter, followed by 1.3cm. Larger sizes of 1.5 and 1.7cm are used infrequently.
The doctor looks at your child penis and estimate the appropriate size.

Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya kindly look at the diagram. we separate the fore skin.we make a small cut,we then put the plastic and tie.Finally we cut and clean up.No gauze .no dressing.Finally you wear your baby diaper after the procedure!
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya The traditional type is the old type also called surgical type.It involves seperation of the foreskin and cutting the extra flesh.In some cases we may need to put stitches to prevent bleeding.Thereafter we put a dressing which will be removed after some days unlike the plastibel which does not require dressing and falls on its own 3-5 days after the procedure.
Chioma Adichie Mgbemene
Chioma Adichie Mgbemene I used this method on my two sons, just got to know about d modern one from my colleague two months ago.
Yetunde Abe Folorunso
Yetunde Abe Folorunso I also used it for my son. Thank God for my mum that stayed with them because I couldn't stand it.I was just crying outside as I was hearing my lil boy's cries.thank God it was successful. But I still think it is the best method
Rotimi Ayoola Adesanya
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Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Post circumcision care:Pain management
The circumcision procedure causes pain; and for newborns, this pain may interfere with mother-infant interaction or cause other behavioural changes. Consequently, physicians advocate the use of analgesics.
Give paracetamol twice daily for two to three days....See More
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya In practice, localised or regional pain-blocking injections and topical analgesic creams are effective for pain. In this part of the world we rarely anesthetize babies when circumcising them because Anesthesia has its own side effects!.
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya For surgical circumcision, a light dressing such as gauze with petroleum jelly will have been placed over the head of the penis.

The next time the baby urinates, this dressing usually will come off. Some pediatricians recommend keeping a clean dressi...See More
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya For the plastibell method you don't need to do anything in terms of dressing or otherwise,The plastibell covers the raw area,take your baby birth normally. just wait for the plastic to drop usually in 5 days but may take up to a week. Just care for the baby normally. Once the plastic drop, the circumcision is healed just bath the baby and the penis area normally.
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya It's OK to wash the penis as it heals. Once the penis heals, wash it with soap and water during normal bathing.
Ask Thepaediatricians
Chioma Adichie Mgbemene
Chioma Adichie Mgbemene When circumcision is not done on the seventh day, does it pose any danger to the child. Or maybe will d child face more pains.
Ask Thepaediatricians
Ask Thepaediatricians PLS WAIT TILL THE DOCTOR HAS FINISHED AND ASKED FOR QUESTIONS AND COMMENTS, THANK YOU
Chioma Adichie Mgbemene
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya WHEN TO BE WORRIED AFTER A CIRCUMCISSION:
• Normal urination doesn't resume within 12 hours of the circumcision
• There's persistent bleeding...See More
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Circumcision cannot be performed on males with the following conditions:
• Congenital abnormalities of the penis including where the urethra opening is not on the penis tip (hypospadias or epispadias);
• Chordee, or the downward curvature of the penis,...See More
Chioma Nwachukwu
Chioma Nwachukwu Thanks so juch Doctor , the teaching is simple and clear
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya kindly take a look at the tiny hole(urethal opening) in the diagram.This is where urine comes out it is facing down instead of it being at the centre. we dont do circumcision for these children we refer them to urologist who will use thier fore skin to reconstruct the abnormality.
Mojola Comfort Sopeju Mufutau
Mojola Comfort Sopeju Mufutau All those who perform d circumsition in health centres n home...pls do dey know dis...or dey just continue with circumsition
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya After delivery,newborn are examined and parents are told about this.Any health worker who performs in circumcision should know this!
Rotimi Ayoola Adesanya
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Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Complications
The most common complications associated with circumcision are bleeding and infection. Circumcision may also result in foreskin problems, as the foreskin might be cut too short or too long.
The foreskin might also fail to heal properly. ...See More
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya I hear the parents says this ‘’you are now a man’’.This is not true your son becomes a man at puberty not by circumcision.
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Circumcision doesn't affect fertility, nor is circumcision generally thought to enhance or detract from sexual pleasure for men or their partners.
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya In conclusion,he American Academy of Pediatrics (AAP) says the benefits of circumcision outweigh the risks. However, the AAP doesn't recommend routine circumcision for all male newborns.
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya In Nigeria it is a routine,i think children who may be left out may have some complex in the future,i mean inferiority complex,low self esteem etc.
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Thank you all for listening.Its exactly one hour.we can now ask our questionns,put forward our comments and clarifications.Over to Dr Gbemisola Boyede,the chief Administrator of Ask Thepaediatricians.
Ayeni Yetunde
Ayeni Yetunde Tanks dr, dis is interesting
Ayeni Yetunde
Ayeni Yetunde Tanks dr, dis is interesting
Ask Thepaediatricians
Ask Thepaediatricians THANK YOU DR Rotimi Ayoola Adesanya.......Gbemisola Boyede was banned due to frequent commenting while trying to tag people on this post wink emoticon
Lateefah Olayiwola Adebayo
Ilesanmi Seunfunmi Ololade
Ask Thepaediatricians
Ask Thepaediatricians FLOOR OPEN FOR DISCUSSION
Ayeni Yetunde
Ayeni Yetunde I tink d plasticbell method is d best and less risky
Muojekwu Chichi Genevieve
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Ayeni Yetunde. !t has less side effect,less bleeding, less infection but the use depends on the skill of the doctor.If it fails while the doctor is doing it ,it will be converted to the surgical type!
Ask Thepaediatricians
Opeyemi Odeyemi
Vera Gold
Vera Gold We definitely did smile emoticon
Rotimi Ayoola Adesanya
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Ask Thepaediatricians
Treasure Tolulope Kusimo Ogunyale
Treasure Tolulope Kusimo Ogunyale I really enjoy this. How I wish I knew about this earlier before now. Now I need to do a post circumcision for my 14 months old baby. Av been to luth ikeja saverally on it but was always told to come back for another appointment to examine d penis.hopefully we will be attended to when he's 18months according to the Doctor
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Be patient, its only 4 months left you are in safe hands --Urologist!
Treasure Tolulope Kusimo Ogunyale
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya A note of caution to our mummies who are planning to have thier babies abroad. Don't pressurize the hospital to circumcise your son. We see many babies when they arrive back with extra flesh still hanging on the penis.we are told the Oyinbos don't do i...See More
Linda Freeborn Edewor
Linda Freeborn Edewor So how late can Circumcision be done?
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya There is no deadline,like i said it is not done routinely abroad,they do it at any age.I have done many 3 months for those delivered abroad.I have done 6 and 8 months which are re circumcision but pain and the child may be irritable for 1 to 2 days!
Rotimi Ayoola Adesanya
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Cindy Ekanem
Cindy Ekanem Is plastibell done in d hospital or on request. I prefer the method but don't know if affordable and done anywer
Mojola Comfort Sopeju Mufutau
Mojola Comfort Sopeju Mufutau It's done... N dey charge from 8-10 thousand... More or less
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya The cost is the same,it depends on the doctor's skill,Most hospitals are now doing it. however no harm in requesting for it!
Rotimi Ayoola Adesanya
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Oluwashola Ayodele Adewumi
Oluwashola Ayodele Adewumi Can circumcision be done when the umbilical cord has not fallen or the baby has to wait. This was what happened to me, my sons cord fell on the 10th day and i took him to the hospital on the 8th day i was told to go home and wait till it falls before coming for the circumcision. Is there any relationship
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya I hear my nurses also say this,I do the circumcison once the cord is clean and dry but if the cord is infected it may affect the child totality.
Rotimi Ayoola Adesanya
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Lateefah Olayiwola Adebayo
Lateefah Olayiwola Adebayo Doctor Rotimi Ayoola Adesanya,God bless you plentifully sir,ask the paediatricians pls un ban Dr gbemisola boyede oo,I want to know if circumcission can make a boy s testes to disappear and re appear.
Secondly, most Yoruba female s are circumcised,but ...See More
Ask Thepaediatricians
Ask Thepaediatricians IT IS FACEBOOK O......THEY THINK I'S SPAMMING....SO NO MORE TAG ME O.....NEXT YEAR.....JUST TAG YOURSELF BEFORE THAT DAY OR SAVE THE POST grin emoticon
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Circumcision does not affect a male testes,Circumcision is just for the fore skin.FEMALE CIRCUMCISION IS CRIMINAL.PLEASE DON'T DO,REPORT ANYONE TRYING TO DO SO! OUR PARENTS DID SO IN THE DAY OF IGNORANCE!
Rotimi Ayoola Adesanya
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Gina Emordi
Ayeni Yetunde
Ayeni Yetunde
Lydia Ij Ofoha
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya
Bola Bello Olukoju
Bola Bello Olukoju Rotimi Ayoola Adesanya, thanks for the tagging, pls can i have the full copy for the website sir.
Rotimi Ayoola Adesanya
Bola Bello Olukoju
Bola Bello Olukoju i mean the compiled text sir.
Rotimi Ayoola Adesanya
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Iyebiye Kehinde Dairo
Iyebiye Kehinde Dairo Thank God for plastibell , is so simple , easy and clear
Ndubuisi Onuogu Uche
Vera Gold
Vera Gold God bless the administration and the good doctor for this presentation, very enlightenning
Ask Thepaediatricians
Ask Thepaediatricians THE ADMIN AND MUMS ON ATP FACEBOOK GROUP WILL LIKE TO THANK OUR FACILITATOR DR Rotimi Ayoola Adesanya FOR THIS WONDERFUL PRESENTATION.....THE DISCUSSION IS OFFICIALLY CLOSED BUT YOU CAN STILL ASK QUESTIONS WHICH DR ROTIMI WILL ATTEND TO AT HIS SPARE TIME.....THANK YOU ALL TO ALL MUMS AND DADS WHO PARTICIPATED AS WELL BY READING, LIKING, COMMENTING AND ASKING QUESTIONS!!!
Ask Thepaediatricians
Ask Thepaediatricians
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya YOU ARE WELCOME.THANK YOU ALL FOR THE AUDIENCE!
Ayankojo Omolara Bakare
Vera Gold
Vera Gold
Chioma Adichie Mgbemene
Chioma Adichie Mgbemene Can an uncircumcised male child have erections.
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Yes ma,As they are growing up the penis will come out of the fore skin when they have erections!
Chioma Adichie Mgbemene
Chioma Adichie Mgbemene OK, thanks doc. I learnt a lot today.
Rotimi Ayoola Adesanya
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Uju Ajana
Uju Ajana Thank you so much Doc.
Uju Ajana
Olori Adenike Ashake
Olori Adenike Ashake Dr Rotimi Ayoola Adesanya a baby born LBW penis is extremely small and he is 7 months old now. When can he be circumcised
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Now is the day of salvation! no matter how small the penis is at 7 months the size is available.My son was also born with low birth weight being a twin,He was circumcised when he was a month.
Olori Adenike Ashake
Olori Adenike Ashake Thank u so much actually they are twins too. D other twins penis is big and we are thinking of doing when they are a year old. Now that u enlight us and I will examine d penis to see if there is any abnormalities as u stated in ur discussion.
Rotimi Ayoola Adesanya
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Sis Ukaa Onyima
Esther Orji Asodike
Esther Orji Asodike Wow! Its interesting. Thank u doctors.
Oluwajerimi Sibesibeoluwajekoyemikale Adewale
Ogunkoya Temitope Felicia
Feyiropo Bakare Bankole
Feyiropo Bakare Bankole Thank you sir Dr. Rotimi Ayoola Adesanya. Really educative.
Olubukola Olusola Samson
Olubukola Olusola Samson This made me remember what my son went through during circumcision, they had same size of plastibel for all, it was after he had been cut that they discovered, none could size him and they had to stitch all round. I was crying with him.
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya This does not always happen anyway,sorry for the pain you and your son passed through!
Mojola Comfort Sopeju Mufutau
Rotimi Ayoola Adesanya
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Fatima Oyinda Olabode-Yusuf
Fatima Oyinda Olabode-Yusuf Thanks Dr, thanks am just thinking about when my baby did his own, very interestin topic. I did for my baby at 5weekz that was the date I was given at the govt hospital because they do it once in a week and for about 10babies, and I chose to do it the...See More
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Thanks for your comments.I prefer paracetamol should be given.Its painful oooo! No engine oil,No coconut oil or penicillin.we allow it to fall by itself and remove it if by 7 days it has not fallen.This are the standard. PCV test to know the child blood level and HIV (XYZ) test so as to use a seperate instruments for those that have HIV .
Oluwanifemi Ashafa
Oluwanifemi Ashafa Pls ma which hospital nd hw much did dey charged 4 it ma?
Rotimi Ayoola Adesanya
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Oluwatimileyin Omolabake Y. Oki
Oluwatimileyin Omolabake Y. Oki Hmmmm. Lov d topic. Tanx doc Rotimi Ayoola Adesanya, seriously, u rock
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya
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Ekundayo Fagbohun Ishola
Ekundayo Fagbohun Ishola Jeez! Learnt a lot from this, Thanks Doctor...more grace!
Yetunde Abe Folorunso
Yetunde Abe Folorunso More grease to your elbow Dr.So happy to be on this page.
Oluwanifemi Ashafa
Oluwanifemi Ashafa Tnks a million Dr Rotimi ayoola adesanya am so pleased wit all ur explanations may god bless u sir am gettin ma baby's own done rite away no more fear
Raymonda Raymond Alvan
Raymonda Raymond Alvan Very interesting...even though l joined late, l v learnt something
Ibby Elijah
Ibby Elijah Tanx Doc,u really rock!!God bless u and yours.greater heights on all sides for u by God's grace.thank u.
Furla Akindele Zac
Jessica Chibuikem
James Mercy
Toria Eni
Tessy Okhiria
Tessy Okhiria Tank u so much doc,i ve learnt alot in dis group.
Oluwajerimi Sibesibeoluwajekoyemikale Adewale
Oluwajerimi Sibesibeoluwajekoyemikale Adewale Dr pls. A friend of mine in Aba took the baby for circumcision last week Monday. She said the doctor circumcised the boy using the old method not the plastibel. The baby's penis has not heal and he ask them to be applying Vaseline and keep the open without diaper or pant. Its 7 days. What can be don't? The baby still feel pains when urinating.
Gbemisola Boyede
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya Vaseline gives a protective covering for the wound ,be patient.The baby still feels pain because wound is not fully healed.If after the next 7 days its still not dry .you may raise alarm. The advice of not wearing diaper or pant may be because the wound is still raw.Lets no the outcome in the next 7 days so that we can advice further!
Rotimi Ayoola Adesanya
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Suleiman Ameerah
Suleiman Ameerah Thank you doctor, my son was born prematurely now weighing 3.6 when can I take him for circumcision?
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya wt of 3.6 kg, is Ok. Your son is fit for circumcision provided there is no other problem. .For babies who are born at term i take 2.5 kg as the cut off point.
Suleiman Ameerah
Suleiman Ameerah Thanks very much doctor
Rotimi Ayoola Adesanya
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Gbemisola Boyede
Gbemisola Boyede
Gbemisola Boyede MUM ANON ASKS gud pm ma, my baby's circumcision trade has not fallen and it was done last 3 wks. what can i do? thanks DTR Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya
Rotimi Ayoola Adesanya what do you mean by circumcision trade?kindly clarify!
Chizzy Nazzy
Chizzy Nazzy the trade they used to tie the edge of his penis
Rotimi Ayoola Adesanya
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Ogo Gloria Ikeomu-Ezedigboh
Temitope Sosanwo Good Success
Temitope Sosanwo Good Success Thank u Dr. I saw a boy recently abt 8yrs old he was not circumcise I was afraid wen I saw him, I try to ask sm1 close to his mum d reason for such act, it was due to poverty n ignorance, my question now is wot is ur advice sincerely I want to talk to d woman n help her I really nid ur advice so I can move close to her n intervene dat is if she will allow me. Thank u
Gbemisola Boyede
Gbemisola Boyede CIRCUMCISION IS NOT COMPULSORY ......IF THE PARENTS CHOSE NOT TOO....MANY CAUCASIAN/AMERICAN MEN ARE UNCIRCUMCISED
THE END, SEND IN YOUR QUESTIONS, COMMENTS AND CLARIFICATIONS TO 08186549147

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