Pain

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The pain of circumcision is severe and traumatizing.

Circumcision is most-commonly performed on newborn infants as a non-therapeutic cultural body re-configuration. At that tender age, the foreskin normally is fused with the underlying glans penis by a synechial membrane that is common to both parts.[1]

There are four painful steps in every infant circumcision:

1. Before circumcision surgery can commence, the surgeon must first forcibly separate these two highly innervated body parts in an exquisitely painful procedure by the passage of a blunt probe between the two parts to rip and tear the synechia apart.[2]

2. Next, in another painful step, a dorsal slit must be cut in the foreskin, so that a special clamp can be installed.

3. The foreskin is erogenous tissue,[3] so it is highly innervated.[4] Nervous tissue requires a large blood supply, so the foreskin is richly vascular with many blood vessels,[5] therefore the foreskin must be crushed with one of several special clamps in yet another painful step before the circumcision can be carried out.[6]

4. Finally, in another, painful step, the foreskin must be cut away.

Circumcision is an invasive cutting operation. Like other invasive operations, post-surgical pain persists after the surgery for days or weeks. Infant boys will not receive effective analgesia because of their young makes such drugs dangerous.

Video

Infant circumcision procedure

External links

  • REFweb Hill, George (11 September 2006). Pain of circumcision and pain control, Circumcision Reference Library. Retrieved 8 November 2020.
    Quote: Circumcision is the most stressful surgical procedure commonly performed on newborns.

References

  1. REFjournal Deibart, G.A.. The separation of the prepuce in the human penis. Anat Rec. 1933; 57: 387-99. DOI. Retrieved 8 November 2020.
  2. REFjournal Oliver, JE. Circumcision and cruelty to children. Br Med J. 1979; 2(6195): 933. PMID. PMC. DOI. Retrieved 8 November 2020.
    Quote: Without anaesthetic the operation in babies causes pain, intense and prolonged crying, air swallowing, vomiting sometimes followed by apnoea, and sometimes permanent local complications.
  3. REFjournal Falliers. Circumcision. JAMA. 21 December 1970; 214(12): 2194. Retrieved 8 November 2020.
  4. REFjournal Winkelmann, RK. The cutaneous innervation of the human newborn prepuce. J Invest Dermatol. January 1956; 26(1): 53-67. Retrieved 8 November 2020.
  5. REFjournal Fleiss, P., Hodges, F., Van Howe, R.S.. Immunological functions of the human prepuce. Sex Trans Infect. October 1998; 74(5): 364-67. PMID. Retrieved 15 October 2019.
  6. REFjournal Circumcision procedure (Gomco Clamp method). Patient Care. 15 March 1978; 12: 82-85. Retrieved 8 November 2020.