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Post-Operative Instructions

What you need to know

Make sure to check your baby’s diaper every hour for the next 24 hours to look for any abnormal bleeding. Excessive bleeding or swelling following a circumcision is NOT NORMAL. Should this, or any other unexpected complications or concerns arise, please contact our office.

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MOGEN CLAMP

Leave the gauze in place and remove it after the 24 hours. If it has fallen off before that, do not panic; simply replace it with a fresh 3×3 gauze pad dabbed with a small amount of Vaseline and place it over the penis, then close the diaper. For the following four days, use your finger to gently reapply a small amount of Vaseline over the incision site. To do this, put a small amount on your finger and rub it over the site placing a thin layer of ointment over the entire head of the penis.  No gauze bandages are required after the first 24 hours, just ointment.

To Remove The Gauze Bandage:

  1. Apply Vaseline liberally and completely over the stuck surface.
  2. Close the diaper and allow 10-15 minutes for the bandage to soften.
  3. Bathe your baby in warm water for about 10-15 minutes.
  4. Gently peel away surfaces that are no longer stuck. Repeat the process as necessary.
  5. If the bandage won’t come off, call our office to book an appointment ASAP so we can remove it for you.

 

PLASTIBELL

A dark brown or black area around the plastic ring is perfectly natural. This is dead skin and it will fall off along with the ring. The skin under the string may also become soft and yellow (like a baby’s umbilical cord stump), this is not pus. The ring will fall by itself in the next 4 to 8 days but if the ring falls before 4 days, it is normally not a problem. Once this happens, it will take an other 2-3 days for the skin to heal. Meaning, during that time, you will have to apply polysporin on your baby’s penis.

If there is active bleeding or if the ring has not fallen after 8 days, call us immediately. Do not attempt to pull the ring off of your baby even if it seems loose, because it can sometimes hang by the last vestige of dead skin. Again, it is very important that you leave it be. Please note that an older boy must be warned against attempting to speed up the release of the bell by pulling at it, even when almost off. It may be necessary to prevent a baby or young child having access to his penis during healing by the use of suitable clothing.

 

Sticking Bandage:

There will be a long gauze bandage (1/2×8 inches) wrapped around your son’s penis. This bandage should fall off within the first 24 hours (when it does, do not attempt to replace it). If it falls off early, do not worry, this is normal, just leave it off.

To Remove The Gauze Bandage:

  1. Apply Vaseline liberally and completely over the stuck surface.
  2. Close the diaper and allow 10-15 minutes for the bandage to soften.
  3. Bathe your baby in warm water for about 10-15 minutes.
  4. Gently peel away surfaces that are no longer stuck. Repeat the process as necessary.
  5. If the bandage won’t come off, call our office to book an appointment ASAP so we can remove it for you.

General care following the circumcision:

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  • If you want, you can sponge bathe your baby following the circumcision, but do not totally submerse him in water for 2 days after his surgery.
  • Remember, it is normal for your son to be a little irritable for the first 24 hours following his circumcision!
  • Most babies like to be nursed in a quiet environment following the circumcision. A baby who cries for more than a few minutes is usually suffering from air swallowed during the circumcision and needs to be burped.
  • Healing is promoted by keeping the area clean and dry. Warm water and a cotton-ball or washcloth are preferred for cleaning the area around the penis. Avoid moistened towelettes, alcohol, powders, and lotion since these may cause irritation.
  • Disposable diapers are strongly recommended for the first week since they tend to be less irritating and tend to help keep the area dry and clean.
  • It is better for about three days following the circumcision to restrict the handling of your baby to just a few people. Also, avoid unnecessary travel as car seats can be irritating to the a baby adjusting to a circumcision.

Healing:

Healing is usually rapid and occurs in several stages. Remember that a circumcision is like any other cut. There are many factors that influence healing; but most importantly, every child heals differently.

It is important to push the skin down off the head of the penis if it has moved up a little. This is to ensure it heals properly, just behind the back rim of the head. Do not do any pushing on the skin for the first two days because it will be swollen from the surgery. If you are unsure of the appearance of your son’s penis, bring him to see to the clinic and we will adjust the skin for you if he thinks it is required.

First, the cut edge seals and bleeding ceases within minutes, hours, or even over the course of an entire day. The area just behind the glans (especially the underside) will become swollen. This inflammation will subside within a week or two. In the first two days, there may be an off-white or yellowish, patchy appearance of the glans. These patches are a type of scab and are associated with normal healing.
After a few days the area where the skin was cut look green and yellow. This is NOT pus. It is healing tissue. It can look this colour for up to two weeks after the circumcision.

You will also notice that the glans appear red and glossy, sometimes purple. This is because the skin covering the glans of an uncircumcised penis is mucous membrane (like the skin inside your cheek). Once exposed, the mucous membrane will toughen (or keratinize), and, in time, take on a normal appearance. It takes about a month for the penis to take on a normal, healed appearance.

Appearance:

A common concern for parents is aesthetics. Remember that penises come in all shapes and sizes. While most penises “look normal” within days of the circumcision, some do not take on a “completely normal appearance” until after the penis starts to grow. Furthermore, although the penis may appear smaller after circumcision, it is not! This appearance is mostly due to the relaxation of skin surrounding the penis, which prior to circumcision holds the penis more erect.

After a few days to a week, some parents notice swelling of the mucosal tissue behind or under the head of the penis and believe it looks “like a blister”. This type of swelling is normal. It is not a blister, and it will gradually subside.

On occasion, a poor aesthetic result occurs when too little or too much skin is removed, or more likely when the cut edge of the skin attaches too high or too low along the length of the penis. The latter is sometimes caused by the presence of a hydrocele or penile erections. In nearly all these cases, the penis will heal properly, and, in time, take on a normal appearance. If you are concerned in anyway about the appearance of your son’s penis, please call for a consultation immediately.

 


Disclaimer: As with any medical treatment, results will vary among individuals, and there is no implication that you will receive the same outcome as patients herein. There could be pain involved. These concerns should be discussed with your health care provider prior to any treatment so that you are properly informed. The information in this website is offered for educational purposed only and does not imply or give medical advice. The photos used may be models and not patients.