Dr. Perlstein received his Medical Degree from the University of Cincinnati and then completed his internship and residency in pediatrics at The New York Hospital, Cornell medical Center in New York City. After serving an additional year as Chief Pediatric Resident, he worked as a private practitioner and then was appointed Director of Ambulatory Pediatrics at St. Barnabas Hospital in the Bronx.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
A circumcision is a surgical procedure that removes the foreskin (the loose tissue) covering the glans (rounded tip) of the penis. Circumcision may be performed for religious or cultural reasons, or for health reasons. Newborn circumcision is thought to diminish the risk for cancer of the penis and lower the risk for cancer of the cervix in sexual partners. It is also believed to decrease the risk of urinary tract infections in infants and lower the risk of certain sexually transmitted diseases, especially HIV.
Is a circumcision safe?
Circumcision is generally a safe surgical procedure if the following conditions are met:
The circumcision is performed carefully, using strict aseptic (sterile) technique;
the circumcision is performed by a trained, experienced practitioner;
the circumcision is performed only on a healthy, stable infant; and
there is no medical reason not to have circumcision performed (see below).
How is a circumcision done?
The circumcision may be performed using surgical clamp techniques or with a special disposable plastic device called a Plastibell. The results are equally good.
What should one expect after the circumcision?
Following completion of the circumcision, the practitioner may apply gauze impregnated with petroleum jelly. You should follow any instructions regarding the care of the infant given to you by the practitioner, and these might include the following:
Generally it is recommended that the area be cleaned several times a day with warm water.
At each diaper change, you can apply a small amount of unscented petroleum jelly, or your doctor might recommend application of an antibiotic ointment as well.
It may take up to seven to 10 days for the incision scab to slough off.
After the scab falls off, no further care is required except for normal hygiene.
At the first well-baby visit following hospital discharge, the penis should be carefully examined by the doctor and the parents given more information concerning further care.
Urinary tract infection (UTI) is an infection of the kidney, ureter, bladder, and/or urethra. Not
everyone with a UTI has symptoms. Common symptoms include a frequent urge to
urinate and a painful, burning when urinating.
Cervical cancer is cancer of the entrance to the womb (uterus). Regular pelvic exams and Pap testing can detect precancerous changes in the cervix. Precancerous changes in the cervix may be treated with cryosurgery, cauterization, or laser surgery. The most common symptom of cancer of the cervix is abnormal bleeding.
Stress occurs when forces from the outside world impinge on the individual. Stress is a normal part of life. However, over-stress, can be harmful. There is now speculation, as well as some evidence, that points to the abnormal stress responses as being involved in causing various diseases or conditions.
Sexually transmitted diseases, or STDs, are infections that are transmitted during any
type of sexual exposure, including intercourse (vaginal or anal), oral sex, and
the sharing of sexual devices, such as vibrators. Although treatment exists for many STDs, others currently are
usually incurable, such as those caused by HIV, HPV, hepatitis B and C, and HHV-8.
Signs and symptoms of penile cancer include a lump on the penis and redness, irritation, or a sore on the penis. Risk of penis cancer is higher in uncircumcised men, due to a higher risk of HPV infection. Other risk factors include being over 60, having phimosis, having poor hygiene, using tobacco products, and having many sex partners. Prognosis and treatment depend upon the tumor's location and size, the stage of the cancer, and whether the cancer was recently diagnosed or if it recurred.
Penis disorders (male reproductive problems) include priapism, Peyronie's disease, balanitis, phimosis, paraphimosis, and penile cancer. Read on for causes, symptoms, diagnosis, and treatment. These disorders can affect a man's fertility and sexual functioning. A variety of treatments are available for these disorders.
Sexual health information including birth control, impotence, herpes, sexually transmitted diseases, staying healthy, women's sexual health concerns, and men's sexual health concerns. Learn about the most common sexual conditions affecting men and women.
Children's health is focused on the well-being of children from conception through adolescence. There are many aspects of children's health, including growth and development, illnesses, injuries, behavior, mental illness, family health and community health.
Bernard-Soulier disease is a rare inherited bleeding disorder caused by a defect in the platelet glycoprotein complex 1b-IX-V. Symptoms and signs include bruising, nosebleeds, gum bleeding, and problems with anything that induces bleeding, such as surgery, ulcers, trauma, and menstruation. Treatment involves avoiding medications that interfere with clot formation, such as naproxen, ibuprofen, and aspirin. People with Bernard-Soulier syndrome should avoid contact sports.
What are STDs and how can their spread be prevented?
Sexually transmitted diseases (STDs) are infections that
are transmitted during any type of sexual exposure, including intercourse
(vaginal or anal), oral sex, and the sharing of sexual devices, such as
vibrators. In the professional medical arena, STDs are referred to as STIs
(sexually transmitted infections). This terminology is used because many
infections are frequently temporary. Some STDs are infections that are
transmitted by persistent and close skin-to-skin contact, including during
sexual intimacy. Although treatment exists for many STDs, others currently are
usually incurable, such as HIV, HPV, hepatitis B and C, and HHV-8.
Furthermore, many infections can be present in, and be spread by, patients who
do not have symptoms.
The most effective way to prevent the spread of STDs is abstinence.
Alternatively, the diligent use of latex barriers, such as condoms, during
vaginal or anal...
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