In response to this data, the AAP policy states that analgesia has been found to be safe and effective in reducing the pain associated with circumcision and should be provided if the procedure is performed. Analgesic methods include EMLA cream (a topical mixture of local anesthetics), the dorsal penile nerve block and the subcutaneous ring block.
Circumcision is generally a safe procedure, research suggests. Complications occur in 1 in 200 to 1 in 500 circumcised newborn males and are most often minor. The two most common are mild bleeding and local infection.
Helping develop the academy's new policy was a "significant amount of work" over a year and a half made easier by the congeniality and dedication of task force members, Lannon said. Such statements are helpful to both parents and physicians alike because they take into account the latest research on clinical practice. "That two members of seven-member task force were from UNC-Chapel Hill reflects the high esteem in which the university is held by the medical community and the academy," she said.