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 Thanks to Dr Gbemisola Boyede for giving me another opportunity to share on this platform.
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 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 .
Circumcision= circumfence + excision. It is from Latin word circumcidere, meaning "to cut around .
Rotimi Ayoola Adesanya we will focus more on the newborn and infants.
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).
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 On a lighter mood, who will you like to circumcise your baby? The Obstetrician and Gynaecologists circumcised my own son.
Lateefah Olayiwola Adebayo A surgeon did my second son's.a gynea did d first.
Wariku Fredrick-Enweliku An Ob/Gyn did my son's own
Write a reply...
Rotimi Ayoola Adesanya CIRCUMCISION IN A MALE NEWBORN: ALL YOU NEED TO KNOW ISTHE TOPIC FOR THOSE JUST JOINING!
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 WoW. Isn't God great? Well timed
Write a reply...
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.
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
• 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 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
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 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.
The doctor looks at your child penis and estimate the appropriate size.
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 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 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 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
Write a reply...
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
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 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 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
The next time the baby urinates, this dressing usually will come off. Some pediatricians recommend keeping a clean dressi...See More
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 It's OK to wash the penis as it heals. Once the penis heals, wash it with soap and water during normal bathing.
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 PLS WAIT TILL THE DOCTOR HAS FINISHED AND ASKED FOR QUESTIONS AND COMMENTS, THANK YOU
Write a reply...
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
• Normal urination doesn't resume within 12 hours of the circumcision
• There's persistent bleeding...See More
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
• 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 Thanks so juch Doctor , the teaching is simple and clear
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 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 After
delivery,newborn are examined and parents are told about this.Any
health worker who performs in circumcision should know this!
Write a reply...
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
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 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 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 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 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 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 Tanks dr, dis is interesting
Ayeni Yetunde Tanks dr, dis is interesting
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 Unban please
Ilesanmi Seunfunmi Ololade pls unban her.........
Write a reply...
Ayeni Yetunde I tink d plasticbell method is d best and less risky
Muojekwu Chichi Genevieve Wow! Thank u very much Dr
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!
Opeyemi Odeyemi Yes indeed
Vera Gold We definitely did smile emoticon
Write a reply...
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 Be patient, its only 4 months left you are in safe hands --Urologist!
Treasure Tolulope Kusimo Ogunyale OK sir. Tnx
Write a reply...
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 So how late can Circumcision be done?
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!
Write a reply...
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 It's done... N dey charge from 8-10 thousand... More or less
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!
Write a reply...
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 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.
Write a reply...
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
Secondly, most Yoruba female s are circumcised,but ...See More
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 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!
Write a reply...
Gina Emordi Interesting
Ayeni Yetunde Tanks
Ayeni Yetunde Tanks
Lydia Ij Ofoha Thanks Dr Ayoola Rotimi
Bola Bello Olukoju Rotimi Ayoola Adesanya, thanks for the tagging, pls can i have the full copy for the website sir.
Bola Bello Olukoju i mean the compiled text sir.
Write a reply...
Iyebiye Kehinde Dairo Thank God for plastibell , is so simple , easy and clear
Ndubuisi Onuogu Uche Thanks doctor
Vera Gold God bless the administration and the good doctor for this presentation, very enlightenning
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!!!
Rotimi Ayoola Adesanya YOU ARE WELCOME.THANK YOU ALL FOR THE AUDIENCE!
Ayankojo Omolara Bakare Thx Dr
Chioma Adichie Mgbemene Can an uncircumcised male child have erections.
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 OK, thanks doc. I learnt a lot today.
Write a reply...
Uju Ajana Thank you so much Doc.
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 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 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.
Write a reply...
Sis Ukaa Onyima Thanks so much, Dr
Esther Orji Asodike Wow! Its interesting. Thank u doctors.
Oluwajerimi Sibesibeoluwajekoyemikale Adewale Wonderful. Thanks a bunch. God bless u
Ogunkoya Temitope Felicia Thanks a lot
Feyiropo Bakare Bankole Thank you sir Dr. Rotimi Ayoola Adesanya. Really educative.
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 This does not always happen anyway,sorry for the pain you and your son passed through!
Mojola Comfort Sopeju Mufutau Jeez I can imagine d pain
Write a reply...
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 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 Pls ma which hospital nd hw much did dey charged 4 it ma?
Write a reply...
Oluwatimileyin Omolabake Y. Oki Hmmmm. Lov d topic. Tanx doc Rotimi Ayoola Adesanya, seriously, u rock
Rotimi Ayoola Adesanya Thanks,Na God oooo!
Write a reply...
Ekundayo Fagbohun Ishola Jeez! Learnt a lot from this, Thanks Doctor...more grace!
Yetunde Abe Folorunso More grease to your elbow Dr.So happy to be on this page.
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 Very interesting...even though l joined late, l v learnt something
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 Dee Zac
Jessica Chibuikem following
Toria Eni Ff
Tessy Okhiria Tank u so much doc,i ve learnt alot in dis group.
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.
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!
Write a reply...
Suleiman Ameerah Thank you doctor, my son was born prematurely now weighing 3.6 when can I take him for circumcision?
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 Thanks very much doctor
Write a reply...
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 what do you mean by circumcision trade?kindly clarify!
Chizzy Nazzy the trade they used to tie the edge of his penis
Write a reply...
Ogo Gloria Ikeomu-Ezedigboh Thanks Dr
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 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
No comments:
Post a Comment