Why this technique? Our procedure takes less than 1 minute. (many times faster than most hospital  circumcisions) We use extensive pain control methods including Tylenol, a sugar solution (to reduce pain perception), topical freezing and a local anesthetic injection. Excellent cosmetic result.

Why do parents choose to circumcise their sons? Research shows that: It reduces the risk of urinary tract infections It reduces the risk of penile infections It eliminates the need to do it later in life when up to 6% of boys will require a  circumcision because of various problems. (When it is done later in life, it is a more costly, difficult and riskier procedure requiring a general anesthetic, and is more painful). It reduces the risk of getting some sexually transmitted diseases including Human Papilloma Virus (HPV) and AIDS (HIV). It reduces the risk of penile cancer and cervical cancer in partners. Circumcised men have less risk of sexual dysfunction later in life.

Why do parents choose not to circumcise their sons?

• They are concerned that they may be doing a procedure on an otherwise healthy baby that may cause pain or complications.
• They wonder whether their child may wish that he had not been circumcised.
• They are unsure of the medical reasons in favor of a circumcision.

Circumcision is:

Circumcision is a simple operation that involves removal of the foreskin that sheaths the head of the penis (Figures 1 and 2). There are a number of very different methods used today for circumcision and the application of anesthesia. A new approach has been developed that allows for a virtually painless and bloodless procedure to be safely performed in less than 1 minute.

Our circumcision method and approach towards pain control:

The technique used by Dr. Crouse is called the Mogen technique. This technique is known for its quickness and safety. In conjunction with this technique, Dr. Crouse uses the most complete and extensive pain control methods available. This ensures that your son will feel little or no pain at all.

Methods of circumcision used by other doctors:

• The Gomco clamp - This is the most common technique used by physicians. It requires much longer to perform and involves much more tissue handling.
• The Plastibell - with this technique the baby must go home with a small plastic device tied to his penis that allows the foreskin to desiccate over subsequent days. This is also a more lengthy procedure to perform.

Anatomy of the Circumcision:  (Figures 1-4)

	A profile of the uncircumcised penis with the foreskin covering the glans (head of the penis). The same penis as in Figure 1 but drawn as if the foreskin was transparent. Here you can see the foreskin in relation to the glans. Notice the adhesions (arrow ) between the inner side of the the foreskin and the glans. These are present at birth in almost all babies and must be released before the actual circumcision. This shows the foreskin stretched forward and through the central slit of the Mogen. Notice the outline of the glans (shaded ) safely behind the Mogen. The cut is made along the front surface of the Mogen. The same penis following the circumcision. Notice that the cut edge of the skin retracts to just behind the back rim of the glans (arrow). This is the site of healing.

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