Problems After Newborn Circumcision
Newborn circumcisions are done using various devices (Gomco, Plastibell, Mogen) to remove the foreskin. All leave a small remnant of the foreskin as a collar around the penis just under the head.
The reason newborns with abnormal foreskin, such as those with hypospadias and chordee without hypospadias, should not be circumcised is because these devices do not function properly when part of the foreskin is missing.
These devises are very reliable when used by experienced practitioners. In most cases when parents become concerned that not enough skin was removed, the appearance is due to the fat pad that normal infants develop and the skin will look more “normal” with time. Revision of a circumcision is rarely needed.
A variety of minor skin issues can occur after newborn circumcision. Rarely, more severe injuries to the head of the penis and even the urine opening, occurs during the circumcision. These are all discussed below.
Adhesions to the Glans
Skin Tags after Plastibell Circumcision
Too Much Skin Removed
Injury to the Head or Urine Opening
The skin edges are not sutured after newborn circumcision. Occasionally, early after the circumcision, these edges will separate and heal over the head of the penis, forming a scar that hides the head. Most often, steroid cream applied twice daily for 6 to 12 weeks will soften the scar and allow the skin the return to a normal position without corrective surgery.