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Circumcision is one of the common but sensitive operations in babies and children, and parents often worry about its pain. Choosing the right place to inject circumcision anesthesia and using the correct techniques can minimize the pain. One of the new methods for this is the use of Xylapi ointment (EMLA) before injecting the anesthetic needle, which makes the child not even feel the pain of the needle. Dr. Kambiz Herman Moghadam in Tehran provides a calm and stress-free experience for the child and parents by using this method. Why is anesthesia important in circumcision? Local anesthesia in circumcision is important for several reasons: 1. Complete reduction of pain during surgery 2. Prevention of sudden movements of the child 3. Creating more peace for parents and doctors If the anesthesia is injected correctly and in the right place, the child will have a much more comfortable experience. Anesthetic injection site for circumcision The anesthetic injection site is usually chosen around the base of the penis, where the skin joins the body. This place allows the anesthetic to reach the main nerves and completely block the sensation of pain. Two common methods for injecting anesthesia are: ### 1. ring block In this method, the anesthetic drug is injected in the form of a complete ring around the base of the penis to numb the entire operation area. Advantages: - Complete coverage of anesthesia - Reducing the possibility of remaining pain - Suitable for circumcision of babies and children ### 2. Dorsal Nerve Block In this method, anesthesia is injected in the passage of the back nerves of the penis (at the 10 and 2 o'clock position). Advantages: - Lower dose of anesthetic - Fast and accurate effect - Suitable in certain situations Use of Xylapi ointment before injection One of the concerns of parents is the pain caused by the insertion of the anesthesia needle. Dr. Kambiz Herman Moghadam uses Xylapi ointment before injection to eliminate this pain. This ointment is rubbed on the child's skin about 20 to 30 minutes before injection and causes the skin to become numb. As a result, the child does not feel the pain of the needle during injection. ### Advantages of using Xylapi ointment: - Avoiding the initial pain of the needle - Reducing child stress - Creating a calm and fearless experience Procedures of anesthesia in Dr. Herman Moghadam's office 1. Washing and complete disinfection of the area 2. Apply Xylapi ointment and wait until the effect is complete 3. Injection of anesthesia at the precise location (with one of the circular or nerve block methods) 4. Ensuring complete anesthesia before starting the circumcision Duration of anesthetic effect Local anesthesia is usually effective between 30 and 90 minutes, and this time is enough to complete the operation. After that, the doctor may prescribe an oral pain reliever or numbing ointment to reduce post-operative pain. Care before and after anesthesia injection **Before the operation:** - Inform the doctor about drug allergies - Examining the child's general health **After the operation:** - Checking the injection site for bruising or swelling - Using clean and dry diapers - Taking medicines recommended by the doctor Why is it important to choose an experienced doctor? The injection site for circumcision anesthesia should be chosen carefully and with complete knowledge. If the injection is done in the wrong place or method, the possibility of remaining pain or complications increases. Dr. Kambiz Herman Moghadam, with high experience in infant circumcision and using painless methods such as Xylapi ointment, performs this process with the highest precision and the least discomfort. summary The injection site of circumcision anesthesia is one of the key factors in reducing pain and success of the operation. Using Xylapi ointment before injection, as done by Dr. Cambys Herman Moghadam, is a new and effective way to make this process painless. By choosing an experienced doctor, you can be sure that your child will have a safe, comfortable and stress-free experience.