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Manual for Male Circumcision under Local Anaesthesia

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<strong>Male</strong> circumcision <strong>under</strong> local anaesthesia<br />

Version 3.1 (Dec09)<br />

Appendix 3.2<br />

SAMPLE INFORMATION SHEET FOR ADULT AND ADOLESCENT CLIENTS<br />

Normal anatomy<br />

The head (glans) of the penis is covered by a fold of skin (<strong>for</strong>eskin). As the penis becomes<br />

erect, this skin withdraws freely so that the head of the penis is fully exposed.<br />

Scrotum (or<br />

bag) containing<br />

the testicles<br />

Foreskin covering<br />

the head of the<br />

penis<br />

A<br />

Glans or<br />

head of<br />

the<br />

penis<br />

B<br />

Urethral meatus<br />

(opening of the<br />

urinary passage)<br />

should be at the tip<br />

of the penis<br />

A Normal uncircumcised penis<br />

B Normal circumcised penis<br />

What is circumcision<br />

<strong>Circumcision</strong> is surgical removal of the <strong>for</strong>eskin. It is an ancient practice that has its origin in<br />

religious and traditional rites. Many parents have their sons circumcised <strong>for</strong> religious<br />

reasons. More and more men are now choosing circumcision <strong>for</strong> health and hygiene<br />

reasons.<br />

Who will do the operation<br />

A specially-trained member of the circumcision team will do the operation.<br />

Is circumcision a painful operation<br />

Normally, circumcision is done with a local anaesthetic. This is given by injection through the<br />

skin near the base of the penis. Although you will be awake during the operation, you will not<br />

feel it being done. When the local anaesthetic wears off after the operation, it is usual to feel<br />

some discom<strong>for</strong>t; this can be reduced by taking pain-relieving tablets. For some clients, it is<br />

preferable to do the operation in a hospital or <strong>under</strong> general anaesthesia, rather than in a<br />

clinic.<br />

Educating and Counselling Clients and Obtaining In<strong>for</strong>med Consent Chapter 3-19

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