Is circumcision painful?
Julie Bragg: Is it painful for the child? How do you manage that? We don’t really know how they feel.
Dr. Winslow: Well, in a newborn, circumcision would certainly be painful, although I’ve heard many people say, “Oh, it’s just such a quick procedure, just do it! They won’t notice.” It is actually mandated now by the American Academy of Pediatrics and the American College of Obstetrics and Gynecology that pain control should be a part of the procedure, and it has been another thing fueling the debate. When I do them, I always apply a local anesthesia ointment, I administer a block with a fine little injection, and I take pride in doing a circumcision as a child doses off, and I am comfortable enough about it that I invite the parents to be in the room with me, because I find that they are much more at ease when they know that that is how we took care of the child instead of bringing them back screaming and maybe not nursing well. Yeah, pain is a part of it. I also think that if you do not control pain, then you also do not have the luxury of adjusting the circumcision skin clamping device to remove the skin properly, and you tend to hurry more, and I like it to have it come out perfect.