Circumcision is the removal of some or all of the foreskin (prepuce) from the penis.
For infant circumcision, clamps, such as the Gomco clamp, Plastibell, and Mogen are often used. Clamps cut the blood supply to the foreskin, limit any bleeding and protect the glans. Before using a clamp, the foreskin and the glans are separated with a blunt probe and/or curved hemostat.
* With the Plastibell, the foreskin and the clamp come away in three to seven days.
* With a Gomco clamp, a section of skin is first crushed with a hemostat then slit with scissors. The foreskin is drawn over the bell shaped portion of the clamp and inserted through a hole in the base of the clamp and the clamp is tightened, "crushing the foreskin between the bell and the base plate." The crushing limits bleeding (provides hemostasis). While the flared bottom of the bell fits tightly against the hole of the base plate, the foreskin is then cut away with a scalpel from above the base plate. The bell prevents the glans being reached by the scalpel.
* With a Mogen clamp, the foreskin is grabbed dorsally with a straight hemostat, and lifted up. The Mogen clamp is then slid between the glans and hemostat, following the angle of the corona to "avoid removing excess skin ventrally and to obtain a superior cosmetic result," than with Gomco or Plastibell circumcisions. The clamp is locked shut, and a scalpel is used to cut the foreskin from the flat (upper) side of the clamp.
USA cost per newborn is typically $165. Postneonatal circumcision, however, is 10 times as expensive.
A neonatal circumcision will generally cost between $89-204, being cheaper in the mid-west and more expensive on the east coast. From 1999 to 2007, of the 52 states in the USA, 16 have ceased to allow Medicaid payments for circumcisions other than those needed to treat a medical condition.
| Price Report |
|
Low Price:
|
|
$ 80.00 |
|
High Price:
|
|
$ 1,420.00 |
| |
|
|
Circumcision w/regionl block
CPT Code 54150 |
|
$127.70 |
Circumcision 28 days or older
CPT Code 54161 |
|
$186.50 |
This article is licensed under the GNU Free Documentation License. It uses material from the wikipedia article http://en.wikipedia.org/wiki/Circumcision
 |
Subscribe to this comment's feed