Circumcision Brisbane

BABY CIRCUMCISION AFTERCARE INSTRUCTIONS 0 - 12 MONTHS OF AGE

If you require urgent aftercare support and are unable to reach our doctor, we strongly recommend you dial 000 in an emergency or attend your nearest Accident & Emergency department.

IT IS COMMON FOR THE PATIENT TO EXPERIENCE A BURNING / STINGING SENSATION FOR APPROXIMATELY 60 MINUTES AFTER THE PROCEDURE. THIS IS NORMAL AND WILL RESOLVE

STEP BY STEP AFTERCARE INSTRUCTIONS

  • The following aftercare instructions need to be followed for 7 days
  • The anaesthetic will start to wear off 2 to 4 hours after a circumcision

 

BLEEDING

  • If there is bleeding from the head of the penis (more than a few drops) immediately apply pressure to the area as the nurse demonstrated at the appointment.
  • Whilst applying pressure using the 3 minutes holding on, 3 seconds holding off contact Dr Hunt 0448 792 128 or immediately call 000 in an emergency.

 

GLUE

  • Water dissolves medical glue so do not get water on the wound line.
  • Glue was applied to the site to deter bleeding and encourage skin closure. 
  • The glue will go extremely hard, do not attempt to pull / pick/ or scratch the glue off as this may open the wound and cause pain. 
  • Take extra precaution and pay attention when cleaning and caring for the site over the next 7 days.
  • If you find some of the glue is stuck causing it to be a little difficult to remove, you can use lukewarm water to allow you to carefully remove the compression bandage as the water dissolves the glue. 
  • Do not use water all over the bandage, water dissolves the glue.
  • Do not use creams, powders, lotion or baby wipes on the wound line as this may cause pain for seven days.
  • At every nappy change apply the Vaseline and gauze around the head of the penis generously.

 

REMOVING THE GAUZE

  • Apply Vaseline liberally and completely over the stuck surface.
  • Close the nappy and allow 10-15 minutes for the bandage to soften.
  • Gently peel away surfaces that are no longer stuck. 
  • Repeat the process as necessary. 
  • It is okay to do this a little at a time over the course of the day – it always comes off.

 

STICKING BANDAGE

  • There will be a long gauze strip wrapped around your son’s penis. This strip may fall off within the first 24 hours. If it falls off early, do not worry, this is normal, just leave it off. 
  • Place the gauze given to you at the appointment (with some Vaseline on it) on the penis for the remainder of the 24-hour period.
  • If after 24 hours the gauze strip is still in place, it will have to be removed.
 

INFECTION

Although rare, there have been reported cases of infection. Common signs of infection include a pus like discharge, a foul smell, excessive swelling or redness, local warmth, a fever, or a rash anywhere in the area of the penis. With any of these signs, or if your son has not urinated in over 12 hours, contact Dr. Hunt 0448 792 128.
 

 

FACE-TO-FACE AFTERCARE APPOINTMENT

  1. If you prefer to return to the rooms for an aftercare appointment, please let us know before you leave on the day of the procedure.
  2. An appointment will be scheduled two weeks after the procedure unless Dr Hunt has requested to see him sooner.
  3. We are happy to see you for an aftercare appointment two weeks after the procedure or anytime Dr Hunt requests to see you.
  4. We have an electronic method of performing the aftercare appointment, which entails you sending the following photos directly to Dr Hunt 0448 792 128.

 

PHOTOS TO BE SENT TWO WEEKS AFTER CIRCUMCISION

When sending photos please ensure you do not include your son’s face and include his name.

  • Photo 1: Looking from the top of the penis.
  • Photo 2: Looking from underneath the penis.
  • Photo 3: Looking to the left of the penis.
  • Photo 4: Looking to the right of the penis.

Text all four photos to 0448 792 128 or email to info@gentleproceduresbrisbane.com.au

 

PAIN RELIEF OPTIONS AFTER A CIRCUMCISION

PANADOL

  • For any baby under 4kg, you cannot administer Panadol, lots of cuddles and kisses.
  • For babies over 4kg use Panadol as instructed on the packet.
  • Do not use Nurofen as this medication thins the blood and can create more bleeding.

 

NUMBING CREAM

  • If you believe your son is in any discomfort you can use the numbing cream. 
  • The numbing cream must be applied under the Vaseline to ensure it works.
  • Place a small amount on the wound line.
  • You can use the numbing cream 3 times over 24 hours. This cream is an anaesthetic, do not use any more than what is documented and discussed at the appointment.
 

Healing Post Circumcision

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.

 

First, the cut edge seals and bleeding ceases within minutes, hours, or even over an entire day. The area just behind the glans (mainly 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 healthy 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.

This image shows initial application of the gauze with Vaseline. Replace it if it falls off in the first 24 hours. The image also shows the long gauze and bandage around the penis that will be removed in 24 hours. If it falls off earlier, you may leave it off.
Here you see a part of the mucosa attaching to the head of the penis. This is an example of mucosal adhesion that requires a simple adjustment by our doctors.

Circumcision Scar 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. Scarring from infant circumcision is rare, even if there is swelling in the first week. 

CONCEALED PENIS

When the length of the penile shaft is no greater than its diameter or when there is a good amount of pubic fat, the penis will tend to retract inward.  This is normal. 

This characteristic is only a concern for the first month or two since the healing circumcision can adhere to the surrounding skin resulting in a “concealed penis”.

If your son fits this profile, you can reduce the chance of concealed penis by applying a very thin layer of Vaseline to the entire glans, once a day, until the glans takes on a healed appearance (about 1-2 months). 

To expose a glans that has retracted inward, place gentle downward pressure on either side of the base of the penis.

Consult Dr. Hunt if the penis cannot be fully exposed, or if any connecting skin bridges form between the shaft skin and the head of the penis 0448 792 128.

You will notice a mucosal ring at the base of the penis head. Sometimes it is more prominent on one side than the other. This is normal and no cause for concern. 

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