Aftercare

Newborns & Babies

0-2 years

Aftercare

AFTERCARE INSTRUCTIONS
Fucidin Ointment Apply 3 times a day every day till the ring falls off
Salt Water Bath Start on day 2 post op and continue every day till ring falls off
Regular nappy changes Change nappies regularly. Use the same size.

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Babies below the age of 2 months should not be given any paracetamol or ibuprofen. For those aged above the age of 2 months, an age-appropriate dose of paracetamol or ibuprofen can be administered. Most infants will be slightly unsettled for the first 24 hours. The nest thing to do is to remain calm and ensure the baby is well-nourished with food and attention.

After the circumcision, we will normally apply a single piece of gauze covering the operative site. Once your son has had a wet nappy this piece of gauze can be removed and does not need to be replaced. We will keep you at the clinic for 20 minutes after the procedure to ensure there is no bleeding and it is important to keep an eye out for the first 6 to 12 hours after the procedure.

It is normal to have a slight ooze on the first day. However, if your son continues to bleed beyond 6 hours and/or has a bloodstain larger than a 50 pence coin, please contact the clinic at any time of the day. If in any doubt do not hesitate to call the clinic.

After the operation, your son’s whole penis may be swollen and look slightly bruised. This is a normal effect of both the local anaesthetic injection and the placement of the ring. This will gradually reduce over the next few days.

After leaving the clinic please pick up Fucidin ointment from your local pharmacy. You need to apply this to the wound site three times a day until the ring falls off. Regular application of Fucidin ointment (antibiotic cream) will help to prevent infection and will soften the skin to help the ring fall off quicker.

We advise parents to use the same size nappies they normally do. There is no need to use looser nappies. We advise that you only use disposable nappies until the ring has fallen off. Check your baby’s nappy area regularly and change the nappy at the earliest opportunity if wet or dirty. You can continue to use wet wipes but avoid applying any barrier creams to the circumcision site. A smearing of petroleum jelly, e.g. Vaseline or Olive oil around the ring site will prevent his penis sticking to the nappy.

Avoid bathing on the first day but bathe him thereafter at least once a day until the ring comes off. Bathe your son in a small bath of warm water and add between a quarter and a half tablespoon of salt to the bath. Submerge your baby’s penis in the salt bath for 3 to 4 minutes. Avoid any soaps or detergents.

There is a common misconception amongst parents that their babies will struggle to pass urine once the ring is on. This is absolutely not the case. Your son should be able to pass urine normally with the ring in place. We advise parents to ensure they have observed their children having a wet nappy within the first 6 hours after the procedure has been completed.

If an infection is to occur, signs are unlikely to be visible until the 3rd or 4th day after the circumcision. You need to look out for evidence of increasing swelling, increasing redness, any discharge from the wound and/or if he develops a fever or appears to be in more pain then he was previously.

If you are concerned about infection, please call the clinic. If we feel that there is evidence of infection we will prescribe antibiotics for your son. For any concerns you have regarding your son’s circumcision it is essential that you contact us without hesitation.

The ring is likely to fall off within 6 to 7 days after the procedure, however, it is not unusual for the ring to take up to 10 days to fall off. In the rare instance that the ring does not fall off within 10 days after the circumcision, please inform the clinic as it may be necessary to manually remove the ring.

Please do not interfere with the circumcision site other than to make sure it is kept clean. A dark brown or black area around the plastic ring is perfectly natural and will disappear after the ring has fallen off. The skin under the string may also become soft and yellow, like the umbilical cord stump. There may be a little pink or red staining of the nappy for a few hours after the circumcision and again when the ring separates. Do not attempt to pull it off, even if it seems loose.

Once the ring has fallen off the circumcision site should heal up within another 7 to 10 days. After the area has healed, it is good practice to push back what remains of the foreskin and put a generous amount of vaseline around the groove of the penis. Repeating this at every nappy change will ensure the edge of the cut foreskin does not start to stick back to the head and form adhesions. If adhesions do develop, you will need to bring your son back to the clinic to have them released.

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