Is Circumcision Revision Covered By Insurance?

Circumcision revision is most usually performed for cosmetic reasons, and it is not covered by health insurance.

How much is a revision circumcision?

Circumcision for a newborn infant costs $150-$400 for the doctor and maybe an additional facility fee, bringing the total to $800 or more for patients without health insurance. Gentle Circumcision in California, for example, charges $150 to circumcise kids under the age of seven weeks. In Washington state, Pediatrics Northwest costs $170. In Iowa, Pediatric Associates charges $250. Circumcising newborns up to two weeks old costs $300 at Premier Pediatrics in North Carolina. In Utah, Canyon View Medical Group costs $343. A hospital facility fee of $100-$400 or more can be added to the overall cost if the treatment is conducted in a hospital after birth rather than a physician’s office. Community Memorial Hospital in Ohio, for example, charges a circumcision facility fee of $138. Knox Community Hospital in Ohio, on the other hand, levies a $227 facility fee. A $400 facility fee is also charged by the University of North Carolina Hospitals.
Circumcision for an older child or adult male often costs $800-$3,000 or more for those without health insurance. Gentle Circumcision, for example, charges $850 for children aged 1 to 17, $1,500 for adults under local anaesthetic, and $3,000 for adults under general anesthesia. For a total of $2,000, Harold Reed, M.D. costs $250 for an initial consultation and $1750 for surgery, which includes doctor fees, anesthetic, and facility fees. The Circumcision Center in Georgia charges $2,500 for a retractable foreskin and $3,000 for a non-retractable foreskin.
Circumcision is usually performed on infants within two weeks of birth. A numbing lotion is usually applied to the penis at least half an hour before the surgery. The doctor next cleans the penis before injecting a local anesthetic around the base. A special clamp is usually placed on the penis to allow the doctor to draw the excess foreskin up and remove it with a knife or scissors. Alternatively, a disposable plastic device can be placed on the end of the penis and secured with a string; the excess foreskin and device will fall off after about a week. The treatment usually takes between 10 and 30 minutes. It takes roughly ten days for the wound to heal.
Circumcision may be performed on an older child or adult for cosmetic, social, or medical reasons, such as a tight foreskin, inability to retract the foreskin, or recurrent infections. Local or general anesthesia can be utilized in these situations. In most cases, the patient will need to take at least three days off work, and full recuperation will take around a month.
Many doctors and hospitals provide discounts to individuals who pay cash or who pay on time.
According to the American Academy of Pediatrics, the prospective medical benefits of regular circumcision for newborns are insufficient to support its recommendation.

When is a circumcision revision necessary?

Circumcision revision is a rare procedure that is sometimes required. It refers to a second surgical surgery conducted after the first circumcision yielded unsatisfactory results. The foreskin, which is the sheath of skin that covers the head of the penis, is removed during circumcision.

Why is circumcision revision needed?

Foreskin that is redundant. The most typical reason for a circumcision revision is when there is too much foreskin left after the circumcision. The term for this is redundant foreskin. As an infant grows and accumulates more fat in the area around the penis, scar tissue can form.
Penis buried. If the penis appears to be slipping back into the fatty tissue surrounding it, a circumcision revision may be required “It’s “trapped.” This results in a buried penis, which makes urination difficult and raises the risk of skin infections surrounding the penis.
Skin bridge between the sperm and the uterus. Another reason circumcision revision may be necessary is if a condition known as a “A “penile skin bridge” forms. The shaft of the penis becomes linked to the tip of the penis at this point.

If you find any of these issues with your circumcised child’s penis, you should take him to the doctor. If a circumcision revision is required, don’t delay; the condition will not go away and may worsen as the child develops.

How long does circumcision revision surgery take?

The prepuce (foreskin) that covers the glans penis is removed (head of the penis).

The majority of circumcisions are performed on newborns within the first few days of life, before they are sent home. In other cases, parents choose to have their son circumcised later in childhood or even during infancy. The following are some of the reasons:

Phimosis is a condition in which the opening of the foreskin has scarred down to the point where the individual or parents cannot pull it back easily, if at all. This can lead to poor cleanliness and, in the worst-case scenario, interfere with urination.
Urinary Tract Infection: When a young boy develops urinary tract infections, circumcision is frequently suggested if no other reason can be identified.
Infection: The head of the penis or the foreskin might become infected again and again. Patients who have had an initial infection are more likely to have recurrent infection concerns.
Parents may tell their pediatrician or urologist that they want their children circumcised for cosmetic or religious reasons.

Circumcision is a non-invasive surgery that can be done in the comfort of your own home. Children are put under general anesthesia and are completely unaware of what is going on. In addition, some surgeons inject a long-acting local anesthetic medication into the child’s skin to reduce pain when the youngster awakens. The recuperation period is usually brief.

A newborn is occasionally circumcised, but the healing process is problematic. There may be some extra skin left over in some cases. In some cases, adhesions may form on some of the skin (skin bridges or scar tissue). Both conditions may demand a circumcision “revision.” In terms of preparation, technique, recovery, and probable complications, these procedures are extremely comparable to a first-time circumcision.

Preparation

You will be requested not to feed your child anything (including any drinks) after midnight the night before the surgery, as with any procedure requiring anesthesia. If your child need medicine, you will have discussed it with us and/or the anesthesiologist, and you will have been given instructions. If your child is taking, or has recently taken, any medicine that may interfere with his capacity to coagulate blood, the surgery will not be performed. Aspirin-like compounds and all associated pain relievers, fever reducers, or anti-inflammatory chemicals are the most prevalent of these drugs (whether prescription or over-the-counter). Please look through the accompanying list and let us know if he’s taken any of these in the last 10 days. If his prescription isn’t on the list, please let us know right away so we can make sure the surgery is as safe as possible. During the pre-operative/pre-procedure consultation, we will have gone through any current medications with you.

If anything has changed since your last appointment (medication or otherwise), you must let us know.

Procedure

To recap what we talked about in the office, here’s what we talked about: It normally takes less than an hour to complete the process.

The foreskin can be removed in a variety of ways. Each surgeon is at ease with, and often prefers, a certain method. At the end of the day, the outcome is the same.

We inspect the glans penis (head) after the excess skin is removed to confirm that the meatus (hole through which one urinates at the end of the penis) is of suitable caliber (large enough) and placement. We also look at the frenulum (the web-like tissue that connects the glans and the shaft on the underside of the penis) to make sure it’s not tugging on the glans. If this is the case, a frenulotomy is performed (simple division of the skin bridge or frenulum). We then check the area where the skin was removed for any signs of hemorrhage. The skin’s margins are sewed together, and an antibiotic treatment may be used. After that, we wrap the penis in a loose-fitting bandage. The dressing does not restrict the passage of urine since it does not block the meatus.

Expectations of Outcome

Circumcisions are known to recover quickly. The penis is frequently swollen, which makes it appear curved or wide. Over the next two weeks, the edema will subside.

When your youngster urinates, he will not experience any burning. The only exception is if a meatotomy is required (open the caliber of the hole through which he urinates). If this is the case, we will talk to you about it following the surgery.

After the sutures disintegrate and fall out, the suture line may be visible for a long time. As the youngster grows older, these signs normally vanish.

Possible Complications of the Procedure

Surgical treatments, regardless of their complexity or duration, might result in unanticipated complications. They can appear right away or take a long time to appear. While we discussed these and possibly more during the consultation, we’d like you to have a list so you can ask questions if you have any remaining concerns. Apart from anesthesia, parents should be informed about all possible consequences, which may include, but are not limited to:

Meatal Stricture or Stenosis: The meatus (hole at the very end of the urethra or tip of the penis) is now exposed to the diaper or undergarments after circumcision. It may scar tighter as a result of chronic irritation. As a result, the free flow of urine may be obstructed slightly. The urine stream is frequently redirected upward and sprays. A simple revision surgery, such as dilatation or a small incision, may be required.
Infection: Infection can occur after any procedure. Warm compresses and medicines are usually sufficient. An infection may necessitate partially opening the incision to allow for appropriate drainage.
Hematoma: When a small blood vessel continues to ooze or bleed after the procedure is completed, it is called a hematoma. As a result, there is more swelling and bruising. A drainage treatment is rarely required, and it normally resolves with the application of compresses over time…much like any other type of significant bruising or swelling. A technique to remove the clots may be required if the hematoma is extremely large (cumbersome or painful) or does not resolve in a reasonable amount of time.
If the penis is mistakenly injured following surgery, some or all of the sutures may tear. Sutures can be restored in the operating room if they are removed immediately after circumcision and quick treatment is required. Most of the time, it’s only a few sutures, and we don’t have to do anything. Circumcisions heal well in the majority of cases.
Injury to the Glans (Head of) Penis: This is a very uncommon side effect. When an injury is detected, we will take the necessary steps to fix it.
The skin edges are aligned and then sewed together during the Penile Torsion or Chordee surgery. Nonetheless, a minor torsion (rotation or twisting) to one side is possible. If more skin is removed from one side than the other, a chordee (penis bend to one side) may occur. In either case, a revision procedure might be required. Penile torsion and chordee are two disorders that might be present at birth but are extremely rare after circumcision.
Chronic Pain: A patient can acquire chronic pain in an area exposed to surgery, just like with any other procedure. The ache usually goes away with time. If the problem persists, more investigation is required.

This literature is available to patients and their families. It’s meant to be an educational supplement that highlights some of the most significant aspects of what we’ve talked about in the office so far.

In our face-to-face appointment, we discussed alternative treatments, the objective of the procedure/surgery, and the topics in this handout (s).

Can you sue for a botched circumcision?

So, in the case of a botched circumcision, if the procedure caused injury or deformity, the case would be considered a personal injury action. In addition to the manufacturer of the equipment used in the surgery, you could launch a lawsuit against the doctor, hospital, or practitioner who performed the procedure.

How is circumcision revision done?

We use local anesthetic near the penis after anesthesia to reduce post-procedure pain. We securely lyse or eliminate the penile adhesions at this time. We cut the adhesions and remove the excess skin if they are dense, so there is no redundant skin left. We check for any tiny vessels that are bleeding and sew them up. A bacitracin-laced bandage is sometimes used, and the kid is awakened and taken to the recovery room. That following day, they return home.

Can you fix a botched circumcision be fixed?

If you believe you have circumcision problems or that your circumcision was botched, you should seek medical attention right once. The first thing you should do is get advice from your doctor or urologist. From there, a strategy for resolving the issue can be devised.

When you’re under a doctor’s care, the first thing they’ll want to do is examine the extent of the injury. Is it possible that the poor circumcision caused minor issues, or is there something more serious going on? Once the extent and nature of the damage have been assessed, the best plan of action for repairing it can be determined.

When circumcision difficulties occur, medically speaking, a botched circumcision must be addressed as quickly as possible. This is because a poor circumcision can lead to infections and a malfunctioning penis. These problems must be treated through surgery or any other means that your doctor or urologist deems essential.

Another option for circumcision difficulties, such as a botched procedure, is to reconstruct the foreskin and other sections of the penis that were removed during the procedure. However, each case is unique, and some people require foreskin reconstruction for reasons other than aesthetics. Consult your doctor to learn about your alternatives.

There are things you can do to fix circumcision issues, such as a botched circumcision. You will undoubtedly require the assistance of expert pros. They’ll assist you in assessing the damage and devising a viable plan of action.

Is circumcision revision painful?

During circumcision revision, most men report little to no pain. A tiny dressing (wrap) will be placed around your penis after the treatment is completed.

How do you fix circumcision adhesions?

As an infant’s penis grows and with spontaneous erections, some penile adhesions may dissolve on their own.

Penile adhesions can be treated in a urologist’s clinic or at home using a topical steroid cream. In order to remove the adhesions in the urologist’s office, a numbing lotion must be administered to your son’s penis first. This lotion will be left on for 20-30 minutes before being applied to the adhesions to be addressed. It takes around 5 minutes to remove the adhesions.

The steroid cream must be administered twice a day for six weeks at home. As the penile skin is pulled back with each diaper change, the steroid cream thins the skin around the adhesions, allowing them to be addressed gradually over time. However, this cream may induce skin discoloration (lightening or darkening) in the surrounding penile area. If you see any discoloration on your skin, stop using the lotion right away and see your doctor.

After a numbing treatment is applied, skin bridges can sometimes be separated (cut) in a doctor’s office. In the operating room, other skin bridges may need to be divided.

If your child is still in diapers, you will be urged to pull the extra skin back several times a day and apply petroleum jelly such as Vaseline to prevent adhesions. Penile adhesions are more likely to form if the diaper is damp and sticky.

Can a baby be circumcised twice?

The foreskin is the skin on the head of a penis. Prepuce is another name for foreskin. When the penis is not erect, the foreskin completely covers the head of the penis, resulting in a redundant prepuce. If the additional foreskin can’t be properly brought back from the head of the penis, it might cause health concerns in some boys and men. The foreskin may need to be surgically removed in this scenario.

What role does circumcision play?

Circumcision (surgical removal of the foreskin) is a decision made by the parents of a newborn son, or by the older son himself. For some, circumcision is a contentious process. Parents and/or males should discuss circumcision or revision with the surgeon before making a choice.

In the United States and the Middle East, the majority of male babies are circumcised (rates are much lower in Latin America, Europe, and Asia). The majority of these treatments are carried out correctly. However, not all of the foreskin is removed every time. Because your child’s penis is not entirely circumcised or uncircumcised, it will appear strange. You (the parents) or your son (if he is older) may decide to get a second circumcision to improve the appearance of the penis or to avoid (or reduce the risk of) some of the difficulties that uncircumcised males can face. The following are some of the issues:

Urinary tract infections and sexually transmitted infections are examples of infections.

What does a second circumcision involve?

A second circumcision is commonly referred to as “Revision of circumcision.” It is uncommon, although it is sometimes required.

According to studies, if a child has too much foreskin following a first circumcision, it is advisable to correct it as soon as possible. If the condition is not addressed, it will usually worsen. Boys aren’t like that “grow into” a foreskin that is longer than typical

Can you get a circumcision reversed?

If you were circumcised as a youngster, you may be able to restore your foreskin. It’s a technique for regrowing your foreskin. Foreskin restoration can be accomplished using a variety of methods, including surgery and skin stretching instruments.