Post Operationinformation following infant male circumcision 1. My child has gauze wrapped around his penis. When should this come off?
If it does not fall off on its own the gauze should be removed in 48 hours. To remove the gauze it should be soaked with warm water and then carefully unwrapped. If bleeding occurs follow the instructions below.
2. What if there is bleeding?
A small amount of blood on the gauze or nappy is almost always present and is normal. If you see blood soaking through the nappy or making a spot greater in size than your two thumbs, you should seek medical attention. If an area begins to bleed when you are changing the nappy, hold direct pressure with gauze on the site for 5 minutes. This should stop the bleeding but if it does not do so you should continue holding pressure on the area and seek medical attention.
3. What do I need to do to take care of the area that is healing?
No special care is needed except placing petroleum jelly (Vaseline/A&D ointment) on the penis. Apply a lot, this will protect the area that is healing and prevent the penis from sticking to the nappy. Apply this with every nappy change for the first 3−5 days following the circumcision or longer if the penis still looks as if it is healing and may stick to the nappy. If an absorbable nappy is not available the infant may be left bare and the healing area should be kept as clean and dry as possible.
4. There is something on the penis that looks like pus. Should I be worried?
During the healing process a shiny white or yellowish film may cover part of the penis. This coating is part of the healing process and cannot be easily removed with a moist wipe. This is normal. However, if you see a yellowish discharge that you can wipe away, has a foul odour and is causing increasing redness and swelling, seek medical advice. A general rule is that the healing area will have some swelling and redness but should start to look better 48 hours after the procedure. Subsequently, the healing area should continue to look better every day. If your infant ever develops a fever, stops having wet nappies, stops eating or becomes inconsolable, or if the area appears to be infected or not healing, seek medical attention.
5. The foreskin looks as if it is coming back over the head of the penis. Is that OK?
Most babies develop a small area of fat at the base of the penis during the first year of life. This is normal and can cause some of the skin of the penis to get pushed up and cover part of the head of the penis. The penis may look buried or uncircumcised. It is important to gently retract the skin to the base of the head of the penis several times a day to prevent the foreskin from reattaching to the head of the penis. As your infant grows, this should get better with more of the tip of the penis showing all the time. Not all babies have this fat pad and so the look of the circumcision is not always the same in different children, even when the correct amount of skin is removed during the circumcision.
6. How long does it take to heal?
It may take several days for a circumcision to heal completely. During this time you should be gentle around the area and try to keep the area clean until it has completely healed. Most circumcisions will be fully healed by 2 weeks.
If you have any questions about the circumcision wound or the care of your infant, please call your local health-care provider. World Health Organisation; Manual for early infant male circumcision under local anaesthesia 2010. This is sample advice for general information only. Your doctor will give you advice that is more specific to the age of your child and the type of procedure done.