Circumcision Brisbane

AFTERCARE INSTRUCTIONS FOR CHILDREN 1 - 15 YEARS OF AGE

AFTERCARE INSTRUCTIONS

  • Please follow the aftercare instructions for 7 days.
  • The anaesthetic will start to wear off 2 to 4 hours after a circumcision.
  • Every time the patient goes to the toilet for the first 24 hours check for bleeding. 
  • When you look it is normal for the covering gauze to be a little red from bleeding.
  • You need to remove the gauze to check for active bleeding, if the gauze has become soaked with fresh, red blood contact your treating doctor. (phone number is in your aftercare kit).

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.

 MEDICAL GLUE

  • 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/ scratch the glue off as this may open the wound and cause pain. Take extra precaution and pay extra 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, powder, lotion, or baby wipes on the wound line as this may cause pain, follow this instruction for seven days.

 REMOVING THE GAUZE

  • Apply Vaseline liberally and completely over the stuck surface.
  • Gently peel away surfaces that are no longer stuck.
  • Repeat the process as necessary until it has all been removed. 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.
  • If you need to get Dr Hunt to remove it please arrange an appointment with our receptionist.

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  immediately.

 
AFTERCARE APPOINTMENT  FACE TO FACE

  • We are happy to see you for an aftercare appointment or anytime Dr Hunt requests to see you.
  • We use an electronic method of performing the aftercare appointment which entails you sending photos directly to Dr Hunt.
  • 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, and we will book the appointment. This will be done two weeks after the procedure.

 

PHOTOS – 2 WEEKS AFTER CIRCUMCISION

  • When sending photos please ensure you do not include your face, Dr Hunt only needs to see the procedure site. When sending photos please include the child’s name. Please send the following photos
  • 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.


POLLOCK TECHNIQUE AFTERCARE INSTRUCTIONS

  • If glue was applied to the site to deter any bleeding and encourage skin closure, take extra precaution, and pay extra attention when cleaning and caring for the site over the coming week.
  • The glue will go extremely hard, do not attempt to pull /pick/scratch the glue off.
  • Continue to use the Vaseline and gauze around the head of the penis generously over the next week when you urinate.
  • 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.
  • 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 128or immediately call 000 in an emergency.


STAPLE TECHNIQUE AFTERCARE INSTRUCTIONS

  • 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.
  • Once the dressing has been removed use the Vaseline and gauze around the head of the penis generously over the next week after urinating.
  • Do not use water all over the bandage.
  • It will take approximately 4 weeks for all of the staples to fall out, if you have any after this point let Dr Hunt know and he may need to remove them 0448 792 128.

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. 

 

 

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.

 

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, his phone number is 0448792128.
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