Obstetrics & Gynecology: Circumcision Care
A vaseline dressing will be applied to the circumcision area for
the first 24 hours. This should be changed when soiled. After the
first 48 hours it is not necessary to use vaseline or other ointments.
Call a nurse to change the first diaper after the circumcision
is done. A wet diaper will sting and should be changed promptly.
A small amount of watery pink or red drainage is normal. More than
a few drops of blood should be checked by the nurse.
Remove the diaper carefully to prevent injury to the circumcision
area in case the skin sticks to the diaper. Do not pull or stretch
the skin on the penis.
After the First Day
A yellowish film may form over the end of the penis. This is the
normal healing process and attempts to remove this film should
not be made. Clean the circumcision area carefully with water as
necessary. DO NOT USE ALCOHOL.
Frequently Asked Questions:
- What is a circumcision?
The circumcision is a surgical procedure done to remove the foreskin
that covers the glans (head) from the penis. There are three potential
medical advantages to circumcision: prevention of cancer of the
penis, phimosis, and urinary infections.
- Is it done with anesthesia?
There are different techniques to anesthetize the penis. Your
doctor will always use one of them. The most commonly used is the
penile block with Lidocaine.
- What are the methods used for circumcision?
The Gomco technique involves using a metal thimble-like apparatus
to safely separate the foreskin and protect the head of the penis,
while the excess foreskin is trimmed off.
The Mogan technique uses a metal plate device with a narrow window
to safely separate the foreskin and protect the head of the penis
when trimming off the excess foreskin.
- What problems can arise after a circumcision?
- Painful tip of penis
- Bleeding from the foreskin edge
- Are these problems serious?
No, these are common effects of the circumcision and are quite
minor. Even if they are present, your baby may not seem bothered
by them at all. Keep in mind that if something bothers you, you
should call the clinic for advice or make arrangements to bring
your son to your pediatrician for an evaluation, to make sure everything
is all right.
- How do I clean the healing area?
Gently fold back the foreskin when bathing your baby. Use a gentle
soap and plenty of warm water to rinse off the lather. Carefully
wash out any creamy-white debris that appears tucked inside the
folds of the foreskin. Be sure to gently pull back the foreskin
and clean behind it. The newly cut edge of the foreskin will have
a tendency to stick back to the head of the penis if this is not
done. Boys that had the Gomco or Morgan technique done should have
this care done as soon as the little scabs fall off (about a day
or two after the procedure).
- For what reasons should I follow-up, call the clinic, etc.?
If you notice any signs of poor healing or infection, such as
those listed above, you should call your baby’s doctor for
an appointment or stop by for an evaluation.