NMC

MC of older boys and men

Ÿ Is a simple surgical procedure by competent doctor

Ÿ More complex

Ÿ Quick: takes several minutes

Ÿ Takes 30 minutes or more

Ÿ Cost is lower

Ÿ Much more expensive and often unaffordable

Ÿ Low risk of adverse events (0.4%), most minor

Ÿ Higher risk of adverse events (4% - 8%)

Ÿ Any bleeding is minimal and easily stopped

Ÿ Bleeding is more common, requiring cautery or other interventions

Ÿ Sutures not needed

Ÿ Sutures or tissue glue are needed

Ÿ Convenient since the baby sleeps most of the day

Ÿ Inconvenient owing to need for time off school or work

Ÿ Local anesthesia used if aged <2 months

Ÿ General anesthesia for age 2 months to age 9 years. For men local anesthesia may be used, although general anesthesia is sometimes preferred by the surgeon

Ÿ Healing is fast (1 - 2 weeks)

Ÿ Healing takes ≥6 weeks

Ÿ Cosmetic outcome usually good

Ÿ If stitches are used, stitch marks may be visible permanently

Ÿ No long-term memory of procedure

Ÿ Fear posed to the boy or man of undergoing an operation

Ÿ Does not disrupt breast-feeding or other day-to-day activities

Ÿ Abstinence from sexual intercourse required for the ≥6-week healing period