circoncision ...???

Je ne juge personne et je crois que c'est un choix personnel.

Cependant; des nouveaux nés, dans mon domaine, j'en ai eu beaucoup comme patient. Laissez-moi vous dire que ça souffre un bébé. Pourquoi pensez-vous que vous devez ?chercher? un médecin qui accepte de faire la circoncision.

Je vous en conjure; si pour X raison vous décidez de faire circoncire votre petit. Assurez-vous qu'il y a des anesthésiant utilisés; et suffisamment.

Voici un article très intéressant que j'ai lu sur l'un des sites sur lequel je fais de la formation continue. Je vous fait un copier-coller car on doit être membre.

Abstract

Despite the 1999 American Academy of Pediatrics (AAP) policy statement indicating that routine neonatal circumcision is not medically necessary, circumcision continues to be the most frequently performed surgical procedure in the newborn period in the United States. Further, many health care practitioners routinely perform this procedure without the use of any or with inadequate or ineffective analgesia and anesthesia.

Multiple studies have evaluated the safety and efficacy of specific pharmacologic and nonpharmacologic interventions to relieve circumcision pain and discomfort. Penile nerve blocks, local anesthetics, various operative instruments, acetaminophen, sweet oral solutions, pacifiers, a physiologic restraining device, intrauterine sounds, and music all have been evaluated. This article synthesizes these studies and highlights their significance for current clinical practice. The article provides a detailed pictorial and video guide to circumcision with an emphasis on the use of multimodal strategies to ensure adequate anesthesia, analgesia, and infant comfort before, during, and after the procedure.

Introduction

Although United States law prohibits the performance of even minor surgical procedures on animals without adequate anesthesia, there is no federal or state legislation to prevent the performance of unanesthetized circumcision on the human infant.[1] Caregivers who have witnessed or performed unanesthetized circumcisions probably are familiar with the following phrases. "He doesn't like being tied down." "He's just hungry." "He will never remember it." One only needs to witness the procedure to recognize the reality of circumcision pain (Fig 1).

Pain during circumcision results in physiologic instability, affecting heart and respiratory rates, transcutaneous oxygen saturations, and cortisol levels.[2-6] Infants who experience painful circumcisions exhibit behavioral changes, including increased crying and irritability and poorer feeding and responsiveness to their mothers in the postoperative period.[7,8] Infants who were circumcised without analgesia have a stronger response to pain during a subsequent routine vaccination than uncircumcised infants or those who received analgesia for the procedure.[9] There is no longer any doubt that newborn infants are fully capable of nociception and that circumcision is extremely painful.

The necessity of routine neonatal circumcision is an extremely controversial topic. The dialogue, which is clouded by multiple interpretations of complex epidemiologic data, is also fraught with emotion. For parents, cultural and religious factors often have an impact on decisions regarding circumcision. Frequently, parents already have decided whether or not to circumcise their infant before any education from health care providers.[10,11]

Nurses have a professional responsibility to ensure that parents have made an informed decision about circumcision. This involves an objective discussion of pain and the effective pain management options that are available.[12] Parents should be aware that circumcision is an elective surgical procedure. Depending on locale, standard insurance or Medicaid may not pay for this procedure.[13] Nurses should be well versed in the benefits and risks of this procedure ( Table 1 ).[14-26] A complete analysis of the controversial issues surrounding circumcision is beyond the scope of this discussion.

The Imperative for Neonatal Pain Control

This article focuses on the control of pain and distress once a fully informed decision to circumcise has been made. Recently, there has been a surge of interest in neonatal pain, much of it inspired by professional and accrediting organizations.[27-29] In time, this focus on preventing and ameliorating neonatal pain may lead to changes in clinical practice. Despite this emphasis, infants still continue to be circumcised without the benefit of effective analgesia or anesthesia.

The 1999 American Academy of Pediatrics (AAP) policy statement on neonatal circumcision states that routine circumcision for male infants is not medically necessary. It also emphasizes that "analgesia is safe and effective in reducing the procedural pain associated with circumcision and, therefore, adequate analgesia should be provided if neonatal circumcision is performed." In addition, ". . . the subcutaneous ring block may provide the most effective analgesia."[14]


Anesthesia for Neonatal Circumcision: Physician Knowledge, Training, and Practices

The decision to disregard national guidelines and defer anesthesia and analgesia for infant circumcision may be linked to physician knowledge, experience, and training. Two national surveys examined teaching practices specific to newborn circumcision anesthesia and analgesia in pediatric and family practice and obstetric residency training programs in the United States.[30,31] The first survey found that 26% of the programs did not provide instruction on pain control.[30] The second survey (n 1,778) examined self-reported clinical practices surrounding the use of circumcision anesthesia among pediatricians, family practice physicians, and obstetricians by using a questionnaire. They found that 71% of pediatricians, 56% of family practice physicians, and 25% of obstetricians used anesthesia ( Table 2 ). Of those who chose not to use anesthesia, 54% cited "concern over adverse drug effects," and 44% responded that "the procedure does not warrant anesthesia."[31]

Anesthetic Options

Unfamiliarity with the safety, efficacy, and ease of administration of penile blocks may be a barrier to their use. The 2 most frequently used variations of penile nerve blocks for infant circumcision are the dorsal penile nerve block (DPNB) and the subcutaneous ring block (SQRB). The DPNB was first described in this country in 1978.[32] Several studies have determined that this block is effective in relieving both the stress and pain of circumcision, demonstrating the following[3,4,33-35]:

Significantly smaller decreases in transcutaneous oxygen saturation levels
Decreased crying times
Smaller increases in heart rates
Lower elevations in serum cortisol levels
These studies and others have also concluded that the DPNB is safe and without significant complications.[3,32-34,36-39] When complications do occur, they are minor and temporary. They include edema; bleeding from injection sites, which can be controlled with pressure; or small ecchymoses or hematomas at the injection sites. All resolve spontaneously over a few days.[5,6,33]

The SQRB was first described in medical literature in 1987 as a technique to reduce postcircumcision pain in children and adults.[40] The ring block has since been recommended as a safe and effective technique for circumcision.[5,41] One study concluded that compared with any other intervention, the use of SQRB may be the most effective in preventing pain during circumcision. The SQRB provided more complete anesthesia during all phases of circumcision compared with the DPNB and may be technically easier to administer[5](Fig 2).


(Enlarge Image)
Figure 2.
Heart rate differences at various surgical stages of circumcision. Reprinted with permission.[5]JAMA, Vol 278, Page 2161, Copyright 1997, American Medical Association.

The efficacy of both these nerve blocks depends on a clear understanding of the anatomy and proper technique. See Figures 3A-C for a review of the relevant anatomy. The anesthetic must be instilled accurately into the appropriate tissue surrounding the 2 dorsal penile nerves that provide sensory innervation to the foreskin, glans, and shaft of the penis. These nerves, located between Buck's fascia and the corpora cavernosa, traverse the dorsal surface of the shaft at approximately 10 and 2 o'clock. At the root of the penis, the nerves lie about 3 to 5 mm beneath the skin. As they progress distally toward the glans, they are more superficially located at 1 to 3 mm beneath the skin.[36] To perform the DPNB, a local anesthetic is injected subcutaneously below Buck's fascia at the 10 and 2 o'clock positions, 0.5 to 1 cm distal to the base of the penis.[36,42] To perform the SQRB, the anesthetic is injected subcutaneously, above Buck's fascia, circumferentially on the shaft of the penis near its base[41] (Fig 4A and B).

Minimizing Lidocaine Infiltration Pain

One argument against using a penile nerve block is that performing a block may be more painful than the circumcision itself. The local infiltration of lidocaine, the most commonly used anesthetic for neonatal circumcisions, is known to cause some discomfort. Researchers have attempted to discover ways in which this discomfort can be diminished, with mixed results. Buffering the lidocaine with sodium bicarbonate[43-45] or diluting it with normal saline or water[46,47] are 2 methods that have been prospectively evaluated. A recent study with 20 adult volunteers found that warming the buffered lidocaine before use was the most effective way to decrease the associated discomfort.[48] Application of this technique to infants has not been evaluated for safety and efficacy.

The speed of lidocaine injection may contribute to the pain associated with tissue infiltration. One technique believed to diminish the pain of lidocaine injection is to administer the solution very slowly.[42,49] One author, in a step-by-step article on performing a DPNB, recommends that the needle on the syringe be filled with the lidocaine solution. He states a baby "is more likely to cry if there is air in the tip of the needle."[42] The use of a fine 27-gauge or 30-gauge needle may also be preferable, given the potential to minimize "the mechanical trauma of injection."[36]

Contrary to concerns about block-associated pain, studies have found that "the injection itself did not increase stress reactions nor did it offset the beneficial effects of anesthesia."[3,5] In clinical practice, the pain of administering a penile block seems to be minimal. When administering an SQRB, only the initial penetration of the skin and formation of the first bleb results in pain. Each remaining bleb initiates in the distal edge of a previous bleb, an area that already has been anesthetized. With the DPNB, the infant will feel the penetration of the skin twice, because the anesthetic must be injected into 2 previously unanesthetized areas.

A 0.5% or 1% lidocaine solution without epinephrine is the anesthetic most commonly used for both of these penile blocks. The lidocaine must not contain epinephrine because its injection into an area with end arteries, such as a finger, toe, nose, ear, or penis, may cause ischemia and result in tissue necrosis. The amount of lidocaine used for both the DPNB and SQRB is generally less than 1 mL. This is well within the acceptable dosage range for newborns.[37,41,50] There have been no reported systemic effects associated with lidocaine use for circumcisions.[36,37,51,52] The maximum dose of 1% lidocaine without epinephrine (1% lidocaine equals 10 mg/mL) in the newborn period is 4.5 to 5 mg/kg/dose per 2-hour period.[50,53] Penile nerve blocks do not affect voiding.[34] No long-term adverse effects on urologic or sexual function in older men have been found.[36]

Time Management Practices

The time associated with administering penile nerve blocks is sometimes cited as a disincentive to their use. The equipment needed for a penile block is simple and can be quickly assembled (Fig 5). See video clip 2. Both the SQRB and DPNB can be administered in less than 60 seconds, and the waiting time for their effect is approximately 3 and 5 minutes, respectively.[36,41,42] A practical approach to conserving time is to initially prepare the area to be injected and then administer the block. While waiting for the block to take effect, the circumciser can don sterile gloves and surgically prepare and drape the entire area. By the time this is done, the circumcision can be started, thus reducing overall waiting time.

The Safety and Effectiveness of Topical Anesthetics

In general, procedures with pain generated from superficial tissue planes respond well to topical anesthetics, whereas those that are more invasive and involve deeper tissue planes may have less effective or inadequate pain control from topical anesthesia. Several studies have evaluated the use of topical anesthesia for circumcision. The majority of research has been conducted with a lidocaine-prilocaine cream (Eutectic Mixture of Local Anesthetics [EMLA]; AstraZeneca Pharmaceuticals LP, Wilmington, DE). EMLA has been approved for one-time use in infants ?37 weeks gestation.[50]

EMLA has been shown to be effective in diminishing the pain of circumcision,[54-58] but it is not as effective as a penile block with 1% lidocaine.[5,6,57,59] EMLA seems to effectively decrease pain during needle penetration of the skin when performing a penile block, but does not decrease the pain during infiltration of the lidocaine solution.[60] As expected, it also does not seem to relieve deeper tissue pain during the release of adhesions of the foreskin from the glans of the penis, or the pain from excision of the foreskin itself.[5]

Most studies evaluating EMLA report no side effects.[54,55,57,61,62] There have been reports of temporary blanching and redness of the skin. Redness and blanching may be normal skin blood flow effects caused by the vasodilation and vasoconstriction of skin blood vessels associated with the topical application.[50] Blistering also has been reported. There have also been rare reports of methemoglobinemia with the use of EMLA.[6,39,63,64]

A practical disadvantage of EMLA and other topical anesthetics is that they must be applied to the skin of the penis with an occlusive dressing for 60 to 90 minutes before a procedure.[5,6] The analgesic impact of EMLA is enhanced when used in conjunction with other interventions to reduce pain, such as the use of a pacifier dipped in sucrose.[55] However, EMLA is not recommended as the sole method of anesthesia for neonatal circumcision. If an effective penile block is used, the use of EMLA is probably not warranted. If a penile block is not performed, EMLA used in conjunction with sucrose and acetaminophen may modulate, but will not alleviate the pain associated with circumcision.


Analgesic Options: Evaluating the Effectiveness of Acetaminophen

The efficacy of acetaminophen (Tylenol; McNeil Pharmaceutical, Raritan, NJ) to relieve pain during and after circumcision has been evaluated in 2 prospective, randomized, double-blind, placebo-controlled clinical trials of healthy male newborns (total combined, n = 104).[8,65] Both investigations showed acetaminophen administered at the usual dose of 10 to 15 mg/kg/dose by mouth 1 to 2 hours before circumcision is not effective for pain control during the procedure.

The findings related to effective relief of postoperative pain were mixed. The 1994 study did not show effectiveness in the immediate postoperative period, but higher comfort scores were noted 6 hours after circumcision.[65] In the 2001 study, infants who received acetaminophen had a significant decrease in the amount of crying time associated with diaper changes 1 hour after circumcision.[8] Acetaminophen also improved mother-infant interaction during the first feeding after circumcision. Its use "permitted the newborns to demonstrate clearer cues and respond more to their mothers, who in turn were more responsive to them."[8]

Postoperative pain control is an important component of care. Acetaminophen has been shown to be safe and effective for the relief of mild to moderate pain in the newborn period.[66,67] Prescribers should be aware that the theoretic potential to induce methemoglobinemia exists, and concurrent use of acetaminophen and EMLA could potentially increase the risk of developing this condition.[68]



Evaluating the Effectiveness of Nonpharmacologic Interventions

Multiple studies evaluating the effectiveness of nonpharmacologic interventions for the reduction of circumcision pain have been performed. In general, these measures have been found to be ineffective when used alone, but have shown effectiveness as adjunctive measures.

Sucrose and Pacifier Use

There has been extensive testing of sweet-tasting oral solutions administered during painful procedures in the neonatal period. Of these, sucrose has been the most widely studied and seems to provide the most consistent analgesia. It is theorized that sucrose and sweet-tasting solutions produce analgesia through both endogenous opioid and nonopioid pathways because of their sweet taste.[69-72] The analgesic effect of sucrose has been reversed with naloxone (Narcan; Endo Laboratories, Inc, Chadds Ford, PA) in studies with rat pups.[73] Although not as effective as a penile nerve block, oral sucrose water, generally at a 24% to 25% concentration, seems to provide significant adjunctive pain relief to infants undergoing circumcision.[44,55,57,69,74]

The use of pacifiers to calm newborn infants is universal; their soothing effect seems to be mediated by nonopioid systems.[75,76] Several studies have shown a synergistic effect with the combined use of a pacifier and sucrose to reduce circumcision pain.[74-76] The method of sucrose administration varies; pacifiers were dipped in sucrose or alternatively up to 2 mL of sucrose was administered to the anterior portion of the tongue, with or without the addition of a pacifier.[71] In practice, sucrose solution often is given in small amounts throughout a procedure. See Sidebar 1 for practical tips on sucrose preparation and administration.


Alternative Positioning

Circumcision boards are commonly used to immobilize infants for circumcision or other procedures. Infants may cry and exhibit significant distress when they are unwrapped and placed on this device. A circumcision board takes an infant, whose natural state is one of flexion, and forces the infant into an unnatural state of immobilized extension.

A specially designed, padded, physiologically supportive chair has been evaluated for infant circumcisions (Pedicraft, Jacksonville, FL). This chair enables the infants to sit in a flexed, comfortable position (Fig 6). The infants circumcised on this device (n 80) showed a 50% reduction in behavioral distress compared with those circumcised on the more common circumcision board.[45] However, in the absence of this chair, simple padding of the usual restraining board and swaddling of the upper part of the body are measures that are easily accomplished and will add to an infant's comfort (Fig 7). Swaddling of an infant's arms with hands positioned near the mouth, instead of restraining them in the usual extended position, facilitates self-regulation and self-consoling behavior.[77] View video clips 4 and 5 for a demonstration of comfortable and developmentally appropriate restraining techniques for newborn circumcision

Sound

In 1989, the effect of sound on circumcision pain was investigated in a randomized controlled study of term infants (n = 5 undergoing unanesthetized circumcision. Infants were assigned to 1 of 3 intervention groups: routine care, classical music, or intrauterine sounds. Neither the music nor the intrauterine sounds effectively offset circumcision-related pain.[78] A second study, reported by the same research team in 1991, was a controlled trial of term infants (n = 121) also examining the impact of sound on circumcision pain. Infants were randomized to 6 different groups: classical music, intrauterine sounds, pacifier, music and pacifier, intrauterine sounds and pacifier, and a control group with no nurse present and no pacifier or sound interventions used. Analysis of the infants' behavioral and physiologic parameters showed that classical music and intrauterine sounds did not reduce the pain of circumcision.[79] In contrast, a more recent small, randomized, double-blind, experimental study of term infants (n = 23) concluded that music may have a positive effect on diminishing pain during circumcision.[58] None of these studies evaluated the effect of sound in combination with an effective penile block. Although sound has the potential to provide additional comfort, it is unlikely to stand alone as an effective intervention for an invasive surgical procedure.

Feeding Versus Witholding Food

Infants are routinely fasted for varying periods of time before circumcision.[41,52] It is likely that this practice originated from the theoretic risk of vomiting, which may be seen, in response to pain, during an unanesthetized circumcision.[5] The safety of discontinuing this practice, now that adequate analgesia and anesthesia are available, has been prospectively evaluated in a study of 80 infants. There was "no forced fasting period preoperatively," the mean time since last feeding being 1.19 hours, and no negative sequelae were reported.[45]

Infants cry when they are hungry. Withholding food adds to an infant's discomfort during circumcision. Neurologically intact infants have numerous innate reflexive mechanisms to protect their airway during vomiting, and in this population, vomiting rarely leads to aspiration.[80,81] For these reasons, it may be safe to discontinue the practice of withholding food before circumcision. Further study is required to evaluate this practice. Infants should be observed closely during the procedure for vomiting. If it occurs, the procedure should be interrupted and the infant's mouth and nose cleared with a bulb suction device; the procedure can likely be resumed.

Evaluating the Impact of Instrument Choice on Pain

A number of different instruments can be used to perform circumcision, and there are advantages and disadvantages for each instrument.[52] In a recent survey, the Gomco clamp (Allied Healthcare Products, Inc, St. Louis, MO) was preferred by 67% of physicians, whereas the Plastibell (Hollister, Inc, Libertyville, IL) was used by 19% and the Mogen clamp (The Mogen Instrument Company, Brooklyn, NY) by 10%[31] (Fig . The circumciser should be proficient and comfortable with the use of the instrument chosen for the procedure. The cosmetic outcome should also be considered, but is beyond the scope of this article.

Beyond physician preference and cosmetic outcome, pain is a discriminating variable when evaluating circumcision instruments. Three studies have evaluated circumcision associated pain with the use of either the Mogen or the Gomco clamp.[57,82,83] A 1999 randomized, controlled, nonblinded clinical trial (n = 48 healthy, full-term infants) compared circumcision pain in infants anesthetized with a DPNB and circumcised with a Gomco or a Mogen clamp. The Mogen clamp was associated with the least discomfort and shortest application time (mean time for Mogen was 81 seconds v 209 seconds for the Gomco)[82] ( Table 3 ). A similar 2000 study (n = 86) reported wider differences in circumcision times; the mean duration for circumcision with the Mogen was 55 seconds and 577 seconds with the use of the Gomco (P  

les filles jai pas partie ce sujet pour savoir si cetais une mutilation ou pour parler de percage doreilles ou quoi que ce sois.je voulais avoir les experiences des mamans qui avaient fait faire la circoncision a leur petit gars.je sais pas pq cest rendu un debat comme ca et pourquoi le sujet derape,mais juste vous dire que ca minteresse pas.je veux juste lexperience de celle qui lon vecu cest tous.

merci bcp de votre opinion mais jen ais pas besoin.je sais que des personnes sont pour et dautre non comme moi je suis pour certaine choses et non pour dautres.merci quand meme mais si vous voulez partir un debat svp allez dans la section aproprier et partez vous un sujet la dessus. merci bcp !!!! 

La circoncision...

Je ne vois pas pourquoi, sauf raison médicale, on devrait faire la circoncision des garçons à la naissance, sauf pour raison médicale. C'était très à la mode il y a 30 ans, les petits garçons étaient circoncis à la naissance pour éviter d'éventuels problèmes, mais avec une bonne hygiène, très peu de gars ont des problèmes liés au prépuce.

Mon conjoint est français et par là-bas, très peu de gars sont circoncis, alors c'est hors de question que l'on fasse circoncire notre bébé si c'est un garçon. Des odeurs pour les non-circoncis ? À mon avis c'est simplement un manque d'hygiène. 

Je crois que tout le débat est plus culturel/familial qu'autre chose. Ça dépend d'où on vient. Comme je l'ai dis dit plus haut, très peu d'enfants au Québec sont circoncis. Si tu es le seul à avoir eu recours à cette chirurgie, hé bien dans ton cours d'éducation physique au secondaire, tu risques davantage de sortir de la masse... Si en France c'est le contraire, peut-être que j'aimerais mieux le faire. Car je ne crois pas que les gars qui sont circoncis en souffre.

Pour ce qui est d'être plus joli... peut-être. Mais ça me rend un peu mal à l'aise. Ça me fait penser aux deux femmes qui avaient passé à la télé lors de la Commission Bouchard-Taylor, et qui affirmaient faire enlever les petites lèvres de leurs bébés filles parce que c'était plus jolie rendu à l'âge adulte. Oui, c'est vrai que c'est moins jolie de longues petites lèvres qui pendouillent à n'en plus finir... mais... ça me crée un malaise quand même... Faut croire que la tolérance envers ce geste vient avec le contexte socio-culturel.  

Si j'aurais attendue un garcon, Circoncit que mon conjoint le veuille ou non... pourquoi? Car dans ma famille les hommes ont tendances a avoir des problèmes urinaires et des infections très tôt... mon frère en avait 4-5 par année et était heureux d'être circoncit!

Pour ma fille je lui ferez percer les oreilles dans son premier mois de vie... pk? Je m'en souviens pas de celui, mais mon 2eme trop a 12 ans ma foutue la peur des aiguilles... maintenant je tremble et pleure devant une aiguille! Ainsi que ces une traditions dans la famille... j'ai eux mes premières boucle d'oreille a 12 jours, juste a temps pour le baptême!


Pour moi ce n'est pas de la mutilation. Pour un garcon, je veux juste lui éviter les mêmes problèmes qu'a sont pères ou son oncle. Pour ma fille, ces lui donner une base pour faire ce qu'elle veut de son corps... mais as 18 ans seulement... Si elle veut ce faire tatouer avant, elle devras me prouver que ca fait longtemps qu'elle veut le dessin et aussi me prouver qu'elle ne le regretteras pas... de toute facon maintenant les percings tu l'enlève et il y en as pu 2-3 mois après! Je ne pourrez jamais me plaindre de ce qu'ils font de leur corps si je suis moi-même tatouer et que j'ai les oreilles percée depuis maintenant plus de 23 ans!  

mon avis perso

Je vais vous donner mon opinion d'européenne pure France...

J'ai l'impression qu'il y a beaucoup d'ignorance sur ce sujet ici.
On est en 2010 les filles!
C'est une pratique très courante outre-atlantique et recommandée par les médecins pour des raisons d'hygiène. Il y a là-bas des listes d'attente épouvantables.
Il est vrai que certaines personnes le feront pour des raisons esthétiques, culturelles ou religieuses.
Il est vrai aussi qu'il y a des ratés, mais ça reste extrêmement extrêmement rare en service hospitalier, ou clinique.
Vous en connaissez, vous, des choses infaillibles?: une chirurgie facile qui rate jamais? une voiture neuve qui tombe jamais en panne? Une nouvelle paire de chaussure dont le talon se casse? Oui, ça arrive mais c'est raaaaaaaaaaaaaare.
Mes frères, mes neveux, mes cousins (catholiques ou athées)ont tous été circoncis et ils en sont ravis. Comme dirait mon frère: c'est propre, les filles aiment et ça fout moins la honte sous les douches des vestiaires. LOL

pour clore le sujet: qu'on le fasse ou pas, c'est un choix personnel mais qu'on arrête de montrer des images dégoûtantes pour lancer un débat alors qu'il n'y a pas de débat: Si c'était dangereux et polémique les hôpitaux n'en pratiqueraient pas. POINT FINAL

 

Sajale: mon chum est circoncis et pas mon fils. Ils ont toujours vecu comme ca alors ils ne peuvent pas en etre malheureux, ils ont rien connu d'autre! 

merci pour les reponces les filles.

par raport au percage doreils et a la circoncision je trouve que cest 2 sujets completement different parce que le percage doreilles plus tard il peu decider lui meme si il met la boucle doreille ou non mais la circoncision il peu pas trop decider de remetre la peau si elle est enlever.

ma decision est prise,je vais le faire circoncier a quelques jours de vie.

et je doit etre cruel en maudit parce que je vais le faire percer a 2 mois dune oreille.hihi un petit mulatre avec un beau petit diamant a loreil.il va etre toute cute mon petit homme.mes filles aussi on ete percer aux oreilles a 2 mois. 

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Je mets les 2 dans le meme panier car ce n'est pas mon corps mais bien celui de mes enfants. Si ils veulent le modifier plus tard, ce sera leur choix. La circonsion n'est pas obligatoire et comme plusieurs d'entre vous le mentionne, c'est par raison D'ESTHETISME que la majorite d'entre vous pense le faire! Ben coudonc, le penis de mon fils sera laid!

Moi je n'ai pas vu que mon bonhomme à souffert. Il a pleuré oui quand ont la piquer pour le geler, c'est sure. Il pleure encore lors des vaccins. Et 5 minutes après il avait fini de pleurer, ont la circoncis et il n'a pas eu de reaction, encore la c'estsure il était geler.

Lorsque nous somme revenue à la maison jamais qu'il n'a souffert non plus.

Alors j'imagine qu'ils ne doivent pas sentir la douleurs comme lorsqu'ils sont plus vieux. Comme j'ai dit mon oncle l'a fait faire à 40 ans, et oui lui à souffert et pendant des semaines.

De toute façon peut importe le choix que je fais, ça ne regarde que moi. Comme la voisine si elle décide de le faire ou non, ce n'est pas mes affaires et non ça changera rien dans ma vie