Pediatric Circumcision

  • Jonathan D. Kaye
  • Hal C. Scherz
  • Andrew J. Kirsch


Most infant circumcisions are performed in the first month or two of life with one of the common clamp techniques. In older infants, a freehand technique done in the operating room under general anesthesia is preferred. The common sleeve technique is described here. This technique requires adequate hands-on training in addition to its description here.




  1. 1.
    AUA policy statement. 1989; revised 1996, 1998, 2003, 2007. (accesed 1 April 2012).
  2. 2.
    Ridings H, Amaya M. Male neonatal circumcision: an evidence-based review. JAAPA. 2007;20(2):32–4, 36.PubMedGoogle Scholar
  3. 3.
    Lerman SE, Liao JC. Neonatal circumcision. Pediatr Clin North Am. 2001;48(6):1539–57.PubMedCrossRefGoogle Scholar
  4. 4.
    Niku SD, Stock JA, Kaplan GW. Neonatal circumcision. Urol Clin North Am. 1995;22(1):57–65.PubMedGoogle Scholar
  5. 5.
    Essid A, Hamzaoui M, Sahli S, Houissa T. Glans reimplantation after circumcision accident. Prog Urol. 2005;15(4):745–7.PubMedGoogle Scholar
  6. 6.
    Gluckman GR, Stoller ML, Jacobs MM, Kogan BA. Newborn penile glans amputation during circumcision and successful reattachment. J Urol. 1995;153(3 Pt 1):778–9.PubMedGoogle Scholar
  7. 7.
    Shaeer O. Restoration of the penis following amputation at circumcision: Shaeer’s A-Y plasty. J Sex Med. 2008;5(4):1013–21. Epub 2007 Dec 14.PubMedCrossRefGoogle Scholar
  8. 8.
    Okeke LI. Epidermal inclusion cyst as a rare complication of neonatal male circumcision: a case report. J Med Case Reports. 2009;3:7321.CrossRefGoogle Scholar
  9. 9.
    Osifo OD, Oriaifo IA. Circumcision mishaps in Nigerian children. Ann Afr Med. 2009;8(4):266–70.PubMedCrossRefGoogle Scholar
  10. 10.
    O’Sullivan DC, Heal MR, Powell CS. Circumcision: how do urologists do it? Br J Urol. 1996;78(2):265–70.PubMedCrossRefGoogle Scholar
  11. 11.
    Elder JS. Circumcision. BJU Int. 2007;99(6):1553–64.PubMedCrossRefGoogle Scholar
  12. 12.
    Genesis 17:10–3.Google Scholar
  13. 13.
    Cohen MM, Cameron CB, Duncan PG. Pediatric anesthesia morbidity and mortality in the perioperative period. Anesth Analg. 1990;70:160–7.PubMedCrossRefGoogle Scholar
  14. 14.
    Kaye JD, Kalisvaart JF, Cuda SP, Elmore JM, Cerwinka WH, Kirsch AJ. Sutureless and scalpelfree circumcision: faster, cheaper, and better? J Urol. 2010 Oct;184(4 Suppl):1758–62.Google Scholar

Copyright information

© Springer-Verlag London 2012

Authors and Affiliations

  • Jonathan D. Kaye
    • 1
  • Hal C. Scherz
    • 2
  • Andrew J. Kirsch
    • 2
  1. 1.Urology Associates of North Texas, Division of Pediatric UrologyCook Children’s Medical CenterFort WorthUSA
  2. 2.Department of Urology, Children’s Healthcare of AtlantaEmory University School of MedicineAtlantaUSA

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