When is the Best Time to Circumcise? Who performs circumcisions? Who is best to Perform Circumcisions? Should I be present in the room when my son is being circumcised? What if shaft skin is still over or adherent to the head of his penis when it has healed? What method do you use? HOW MUCH DOES IT COST? What are the Legal and bio-ethical boundaries? Why Dr Saddik does not prefer the plastibell Ring method? What are the Contraindications to routine neonatal circumcision? What are the complication of cercumcision?
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Circumcision Doctor
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FAQs

	When is the Best Time to Circumcise?
Broadly speaking the earlier the younger the better! In Australia, 74% of all circumcision involves boys within their first 6 months of age. This procedure is most commonly done on newborns within the first few days to few weeks of life are the most ideal times. Problems from circumcision are rare. Should they occur, they are usually minor although fatal outcome have been reported. However Dr Saddik has extensive experience and performs circumcisions for all age groups including adults.
	Who performs circumcisions?
Circumcisions are performed by Dr Ashraf Saddik who has extensive experience in all ages circumcisions gained from performing hundreds of successful circumcisions in Melbourne While circumcision is a simple procedure, the health and wellbeing of your baby boy is paramount. Only consider circumcision by a fully qualified, highly experienced and accredited medial practitioner. Ask lots of questions and be prepared to discuss both parents’ family medical history.
	Who is best to Perform Circumcisions?
Dr Ashraf Saddik is the principle Doctor that runs the Circumcision doctor centre. He is a fully qualified General Practitioner with more than 30 years experience in performing neonatal circumcisions for both medical and ritual reasons to all age groups from neonates to adults. Dr Saddik is accredited to perform circumcisions at a number of Private Hospitals around Melbourne. To discuss in person, please contact us to make an appointment with Dr Saddik. Circumcisions are performed by Dr Ashraf Saddik who has extensive experience in all age groups circumcisions gained from performing hundreds of successful circumcisions in Melbourne.
	HOW MUCH DOES IT COST?
The cost of the operation would vary depending on many factors including the age of the neonatal/ child/adolescence/adult, size, weight of the child, the need for conscious sedations, the type of sedations required, where to be performed. That is why we highly recommend calling up the surgery to organize an initial preoperative appointment to discuss the matter at depth. Full details are discussed with Dr Saddik at the initial consultation. The cost will be advised at the time of booking. As general rule, the younger the age, the less costly, cheaper it would be. We have fully equipped treatment room facility with attached two recovery rooms at no extra cost, if surgery performed at our rooms is much cheaper than in-patient day surgery at private hospital. The out of pocket cost will be increased dramatically if performed at private hospital, as you must pay for the hospital admission as a day Surgery cost of the operating room theatre, and the cost of anaesthetist. This can add significantly to the total cost. Dr Saddik  does not have automatic payment agreements with any of the private funds. The public hospital system in Victoria has stopped funding for circumcision since October 2007. The cost of the procedure is partly re-batable from Medicare and health insurance funds, Full payment must be made on the day. (we have eftpos / bankcard / visa / mastercard facilities available.) There is a rebate of approximately $40.00-$110 it depends on the age of your child, which can be collected from a Medicare office when you register your baby for Medicare. There is no charge for routine follow-up visits unless your child is not registered with Medicare and there is future treatment required For more information and professional advice, contact us today.
	What are the Legal and bio-ethical          boundaries?
Upon agreeing on the procedure , you or the guardian would required to sign the attached consent form As parents have the legal right to authorise circumcision, this website has been designed as a first step in helping you make an informed decision in understanding the benefits and risks of circumcision, and choosing the best option for your son. Parents have the right, indeed duty, to make informed medical decision on behalf of their children. As the procedure is not medically indicated, parents should have access to unbiased and clear information on the potential medical risks and the benefits of the procedure prior to making a decision to proceed with the circumcision. The decision to circumcise the male infant rests totally on the parents. When you make this decision, it may help you to weigh up the benefits and potential risks of the surgery, consider your reasons for having the procedure done, whether personal, religious, and cultural, tradition etc. For further inquiries and information please contact Dr Saddik, in his rooms or visit helpful resources and links attached by click here.
	What method do you use?
Circumcision is performed by the traditional clamp forceps method. Circumcision performed by the Plastic Device has its limitation that can not fit the older boys at about puberty or older due to restrictions in the sizes of plastic devices. The Plastibell removes most of the inner layer of the foreskin, which is sensitive, erogenous tissue. The traditional method on the other hand, turns the inner foreskin back. Did your doctor preserve much of the inner foreskin? (i.e. leave a collar of pinkish skin around the base of the head) ? It disappoints me that this aspect of Plastibell circumcision is never discussed.
The horizontal crushing device method has no limitation to certain age group in comparison to other techniques such as bell devices as Plastibell or Gomco clamp. The ring (bell) technique is limited to younger age group. It comes in 6 sizes only. It is not suitable for older kids, as the ring will not fit the growing glans. The Plastibell  ring falls off in 3 to 7 days leaving a circumferential wound that will heal over the following week. The ring must fall off before final healing can occur. Rarely, the tip of the glens may protrude through the ring and become swollen, trapping the ring in place. Blood transfusion risk 1 in 30,000 procedures (Wiswell).One study of 2000 Plastibell  circumcisions found a complication rate of 1.8%1.Furthermore, because convalescence depends on a (temporarily) affixed medical device, risks of infection or haemorrhage due to the bell slipping or otherwise failing are greater 2 than a Gomco clamp or similar entirely-supervised circumcision. There are several reports in the literature of urinary retention after circumcision with the Plastibell device 3. Death has been reported 4 5 6.There also is a report of impetigo caused by Staphylococcus auras when using the Plastibell 7.There have been multiple cases of children developing necrotizing fasciitis in their penis after being circumcised using the Plastibell device 8,9,10.There have been cases of necrosis of the glans penis following circumcision with the Plastibell device 11.
	Why Dr Saddik does not prefer the           plastibell Ring method?
Please bring him back for review.  If that skin is adherent, we will separate it off. You can apply Riodine ointment just for few days post operatively, while it's a bit raw looking to make sure it doesn't get infected. Then after that it is simply a matter of keeping it clean and dry. Your child may have developed what appeared as Buried penis in pubic fat that is called Puppy Fat where The penis is anchored to the pubic bone and tends to get “buried” in the fat pad. Many boys do develop a pad of “puppy fat” in front of their pubic bone. That “puppy fat” pushes the shaft skin forward so that it overhangs or even covers the head of the penis. Make sure that they know to push the foreskin down over the tip of the penis after they have washed it. If it stays up, the foreskin may swell (drainage of blood away from the foreskin may be affected), and the foreskin can become tight and painful. If that should happen with your boy, there will be a necessity, every day, when you bathe him, to push that shaft skin back firmly towards his pubic bone. This is for two reasons : If you can’t see it, you can’t clean it. Smegma will accumulate in the groove behind the head of the penis. Also, if those skin edges are allowed to remain in contact, undisturbed, for more than 24 hours, they can readhere. Don’t be scared of it – you won’t hurt him ! And you won’t have to do it forever. Most boys seem to burn up that “puppy fat” with running around, riding bikes and all those boy things!
	What if shaft skin is still over or adherent         to the head of his penis when it has healed? 	Should I be present in the room when           my son is being circumcised?
Complications following newborn circumcision are uncommon; appear in one out of every 500 procedures. The American Medical Association quotes a complication rate of 0.2%–0.6% Apart from the pain and distress, there have been many complications of circumcision reported though rare. Most complications are minor, but some can be more severe, penile amputation and even death has been reported.
	What are the complication of          cercumcision? 	What are the Contraindications to           routine neonatal circumcision?
These include: Hypospadius and other congenital anomalies of the penis. (Hypospadius is a birth defect of the urethra in the male that involves an abnormally placed urethral meatus (opening). Family history of a bleeding disorder or an actual bleeding disorder. Severely jaundiced (yellow) neonates. Chordee (ventral angulations’ of the penis). Sick and unwell neonates. Inadequate expertise and facilities.
Not a good idea.  Having a parent present is a distraction for the operator, and we minimise distractions so as to focus totally on “doing a good job”. Parents have a big part to play in providing emotional support to their kids especially older kids who are aware of their physical body, again immediately post-op in comforting and feeding especially in nursing younger babies where mums ‘s role are mandatory.