Having your son circumcised in a hospital—complete with a surgeon and anesthesiologist—sounds a bit extra, right? Especially when circumcisions or “tuli” in Tagalog (that is, the removal of the foreskin of the penis) are conducted every summer for free in barangays.
Performed without anesthesia by a “manunuli,” or person with no formal training in medicine, a traditional circumcision typically has a boy chewing guava leaves (noted for their antibacterial and wound-healing properties) while the “manunuli” uses a sharp knife to slice the upper skin of his young patient’s penis, exposing the glans. The chewed guava leaves are then applied onto the fresh cut that is wrapped in a bandage, and the boy is sent off, with instructions to wash the wound in the nearby river.
Considered a rite of passage into manhood for boys usually between 8 and 12, the approach comes with potential health risks, says Dennis M. Galimpin, MD from top hospital in the Philippines Makati Medical Center (MakatiMed). As such, there’s a good reason why MakatiMed regards a hospital operating room as the best place to get circumcised.
It’s a sterile environment. Circumcisions performed outside of a medical setting may not adhere to the same standards of hygiene, pain management, technique, and postoperative care as those performed by qualified medical professionals in a sterile environment.
“From sterilized surgical instruments to oxygen on standby, a hospital operating room has everything needed and more, even for a routine and safe procedure,” shares Dr. Galimpin. “Should any complications arise, like excess bleeding, they can be addressed immediately.”
It’s managed by medical experts. Board-certified pediatricians and general surgeons are in the roster of MakatiMed’s specialists. “They have the knowledge, skills, and experience to perform the procedure using precise techniques that minimize complications like infections and improper healing,” notes Dr. Galimpin. “They can recommend what’s best for the age of your son and overall health condition, answer your questions regarding the procedure and its aftercare, and make sure your boy’s okay before he’s allowed to go home.”
It’s private. Community circumcisions are conducted en masse. Meaning, he’ll also be within earshot of the screams of fellow patients. While some are unaffected by this kind of environment, others may find the experience overwhelming, especially if they’re about to enter puberty.
“If your son isn’t used to this kind of scenario, he will definitely feel uncomfortable,” says Dr. Galimpin. “Having him circumcised in a hospital operating room ensures that his procedure will be done with utmost privacy and professionalism, reducing his discomfort and anxiety.”
MakatiMed recommends discussing the procedure with your son first, instead of simply deciding on his behalf. While community circumcisions may be a cultural tradition for some Filipino families, it’s crucial to prioritize your son’s well-being and personal preferences.
“Since it’s his body, ask your son to decide how he wants to go about it,” suggests Dr. Galimpin. “Speaking up, taking charge of his health, and understanding the pros and cons of his decision are the true signs of manhood.”