S.G., a 12-year-old Jewish Russian immigrant, was preparing for his bar mitzvah. He had not been circumcised on the eighth day after his birth, as is Jewish tradition, because he had been unable to practice his religion within the former soviet system. On recommendation of his rabbi, his family brought him to a urologist for referral and surgery. On examination, the phallus and meatus were normal and without lesions. S.G. had no signs of discharge, phimosis, or balanitis. Surgery for an adult circumcision was scheduled along with the attendance of a mohel, a Jewish ritual circumciser.
S.G. was positioned in the supine position after administration of general anesthesia. His penis and scrotum were prepped with an antimicrobial solution and draped in sterile sheets. The surgeon and mohel scrubbed in and donned sterile gowns and gloves. The mohel chanted several prayers in Hebrew before and after making the first small cut below the foreskin, enough to draw blood. The urologist completed the resection of the redundant foreskin and approximated the circumferential incisions with fine-gauge absorbable suture material. After the incision was dressed with petrolatum gauze, and S.G. recovered enough to be returned to his room, the mohel met with him and his family to continue the sacred rite with prayer and ceremonial wine.
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