FREE CONSULTATION BEFORE CIRCUMCISION:

Since August 2015, this page has been carefully designed to answer the most frequent questions.

However, reading online information or reviews can never replace a direct conversation with a doctor.

Because the decision to circumcise your child is important and may raise questions, to ensure you are fully reassured and at ease, we offer a free consultation before the day of the procedure. This allows you to ask all your questions and receive clear, real-time answers.

Don’t wait any longer, book your appointment now.

How does it work?

Book an appointment for a consultation before the circumcision date.

The fee for this consultation will be refunded or deducted from the cost of the procedure if you decide to proceed with us.

Available online or in person, depending on your preference and availability.

FAQ – Frequently Asked Questions

Fee:
1,560 MAD

Includes for a child under 3 years old:

• Pre-procedure consultation

• Circumcision under local anesthesia

• Check-up on the 3rd day after the procedure

• Second optional check-up within the month following the procedure

What is Circumcision (Posthectomy)?

Circumcision (posthectomy) is a simple and quick medical procedure that involves removing the foreskin, the skin covering the head of the penis. Ideally, it is performed on babies between 5 and 30 days old, but our doctor also performs circumcisions on older babies, young boys, teenagers, and adults.

How to make an appointment?

Send your child’s name, surname, and date of birth via the appointment request form above, or directly via WhatsApp at 00212 644 382 431.

Once we receive this information, we will ask for a blood test.

After receiving the results, we can schedule your appointment.

Anesthesia?

To manage pain, a 4-step protocol is followed:

1. Paracetamol: We ask parents to administer paracetamol 30 minutes before the appointment.

2. Sweet pacifier: A sweet pacifier is used during the procedure to reduce the perception of pain.

3. Topical local anesthesia: A cream or spray anesthetic is applied to reduce the sensation of the injection.

4. Injection of local anesthesia: A fine needle is used to inject an anesthetic into the area already numbed by the cream or spray. This local anesthesia acts on the penis nerve and becomes effective in about one minute.

Visual distraction: To further reduce anxiety and pain, a large screen is provided for the child during the procedure. They can watch whatever they wish, as visual distraction can be as effective, sometimes even more so, than anesthesia in soothing pain.

Conscious Sedation Option: A Gentle and Effective Solution for Restless Children

For children over one year old who are restless or have had difficult medical experiences, we offer conscious sedation in addition to local anesthesia.

The child breathes through a small mask, similar to an oxygen mask, which relaxes them quickly without making them lose consciousness.

They remain awake, calm, and cooperative during the procedure.

The effect disappears within a few minutes after stopping the breathing through the mask.

This method calms anxiety while local anesthesia completely blocks the pain. For an additional fee, it guarantees a calm experience for the child and reassurance for the parents.

Discuss this option during the pre-consultation to see if it’s suitable for your child.

How does the circumcision procedure go?

Before the circumcision, the doctor performs a thorough clinical examination of the child and may conduct an ultrasound if necessary.

The doctor then cleans the head of the penis and retracts the foreskin (also called preputial retraction) to expose the glans.

The circumcision is then performed by cutting the foreskin with an electric scalpel. Finally, a mucocutaneous suture is done to achieve an optimal aesthetic result.

On the day of the appointment:

Here are some instructions for the day of the circumcision:

• Plan to be at the clinic for about an hour.

• Feed your child before leaving home so they won’t be hungry during the procedure.

• Arrive 15 minutes before the scheduled time and bring two blankets and diapers.

• If you arrive late, your appointment may be postponed.

• Thirty minutes before the appointment, give your child age-appropriate paracetamol.

• Do not give aspirin or ibuprofen to your child, as it may cause excessive bleeding.

Post-Circumcision Care:

After the circumcision, it’s important to take care of the treated area by following these recommendations:

• Keep the treated area clean and dry.

• Change diapers more frequently during the first week to keep the area dry and clean.

• Gently clean the area around the penis with warm water and a soft cloth, then dry immediately with a towel.

• Do not use wet wipes, alcohol, powders, or lotions, as these may irritate the wound.

• Avoid unnecessary car trips, as this can irritate the newly circumcised penis.

During the First 24 Hours:

It’s normal for your baby to be a little irritable during the first 24 hours.

Make sure they are comfortably swaddled: the less they move their legs, the better they will feel.

While sleeping, your baby will be more comfortable if positioned on their side.

Avoid laying them on their stomach.

Most babies sleep well after circumcision.

Give care in a calm environment.

A baby who cries for more than a few minutes may have swallowed air during the procedure. Be sure to burp them gently, avoiding pressure on the penis.

For the first three days, limit washing your child to sponge baths.

Check the diaper hourly for active bleeding.

If there is no blood, it is likely that the penis is not actively bleeding.

Each diaper change may show blood spots the size of a coin, and the gauze may be slightly red from the bleeding. This is normal.

The dressing may come off earlier: apply a thin layer of ointment to a compress and cover the penis until the 3rd-day check-up.

After the 3rd day, without a dressing, it’s normal for the penis to be discolored, with drops of blood and small patches of skin at the tip of the penis.

The yellowish membrane around the tip of the penis is part of the normal healing process and is not a sign of infection.

Keep the child’s legs swaddled in a blanket as much as possible.

After 1 Day:

At each diaper change, gently apply eosin spray from a distance, without touching the dressing or penis. Let it dry completely before putting on a new diaper or clothes.

After 2 Days:

If the skin covers the tip of the penis slightly, gently push it back to ensure proper healing.

Do not press on the skin during the first 48 hours to avoid swelling.

From the 3rd Day:

After the 3rd-day check-up, begin applying the ointment to the incision site and the tip of the penis.

After 2 Weeks:

You can give your child a bath.

Stop applying ointment to the penis.

If you have any questions or concerns about the appearance of your child’s penis, don’t hesitate to call us.

Send photos directly to the doctor via WhatsApp.

Healing is generally fast and occurs in several stages:

24 Hours:
The surgical wound heals, and bleeding stops within the day.

1-2 Days:
The glans may appear whitish, yellowish, or spotted. These spots are similar to scabs and are part of the normal healing process.

3-7 Days:
Some parents notice swelling of the mucosal tissue behind or under the tip of the penis, which can resemble a blister. This swelling is normal and will eventually disappear.

1-2 Weeks:
The area just behind the glans (especially the underside) becomes swollen and then shrinks.

Up to 2 Weeks:
After a few days, the incision site may appear green and yellow. This does not mean there is pus, but that the tissue is healing. The color returns to normal within 14 days.

Around 1 Month:
The glans appears bright red and sometimes purple. This is because the skin covering the glans of an uncircumcised penis is mucous membrane. Once exposed, this membrane hardens (keratinization). It takes about 30 days for the penis to look normal, indicating full healing.

Overall Appearance:

After circumcision, all parents are concerned about the appearance of their child’s penis. Remember that penises come in many shapes and sizes.

Most penises look “normal” a few days after circumcision, but some only appear completely “normal” after they start growing.

Also, the penis may appear smaller after circumcision due to the relaxation of the skin around the penis.

Before circumcision, this skin keeps the penis more erect.