Aftercare

Toddlers & Children

3-8 years

Aftercare for Toddlers & Children

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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Your son will receive a local anaesthetic nerve block to numb the penis before his circumcision. This nerve block should last for at least 60 to 90 minutes. For this period he will not feel any pain.

All toddlers and young boys can be given an age-appropriate dose of paracetamol or ibuprofen. They will be apprehensive about the circumcision site. Try to ensure they do not touch the wound.

After the circumcision, we will normally apply a single piece of gauze covering the operative site. It is very important to keep an eye on any bleeding in the first 6 to 12 hours after the procedure. We will keep you at the clinic for 20 minutes after the procedure to ensure there is no bleeding.

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 irrespective of the time of the day. If in any doubt do not hesitate to call the clinic. The highest risk of bleeding post-operatively is in the first 6-12 hours although this is normally extremely rare.

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 every day until the ring falls. Regular application of Fucidin ointment (antibiotic cream) will help to prevent infection and also soften the skin to help it fall off quicker.

Avoid bathing on the first day but bathe him thereafter at least once a day every day until
the ring comes off. Bathe your son in a bath of warm water. Ensure you add a couple of
tablespoons of salt to the bath and submerge your son’s penis for 3 to 4 minutes. Avoid
any soaps or detergents.

There is a common misconception amongst parents that their children 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.

Often with toddlers and young children, they are afraid to pass urine as they believe they may get some pain or that indeed the ring will stop them. As a result, they voluntarily try to stop themselves from passing urine. It is very important you reassure them and encourage them to pass urine as soon as they feel the urge to.

It is important to be aware of the signs of infection. 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. Following discussion, if we feel that there is evidence of infection we will prescribe antibiotics for your son to start. For any concerns you have regarding your son’s circumcision it is essential you contact us.

The ring is likely to fall off within 10 days after the procedure. It is not unusual for the ring to take up to 14 days to fall off. If the ring does not fall off within 14 days of his circumcision it is very important that you inform the clinic as it may be necessary to manually remove the ring. This is extremely rare.

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.

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