Advice to parents - What next?
You can bathe him as you would normally, even as soon as you get home if you wish. It is a good idea to leave him without a nappy after his bath to let the air get to it and dry it out and then you should apply some Vaseline.
Apply the Vaseline twice daily.
The Vaseline being greasy acts as a cushion between the head of the penis and the ring to minimise rubbing. The Vaseline should be applied down the inside of the ring, round the head of his penis and round the outside as well. Use a cotton bud to spread the Vaseline inside the ring. The ring will separate of its own accord. This usually takes between three and seven days, although it can come off sooner, it can hold on longer. It doesn’t matter how long it takes, you simply continue applying theVaseline for a day or two after the ring comes off.
After the circumcision has healed it is usually necessary to separate the shaft skin from round the head of the penis. If that is not done, smegma can accumulate under the adherent skin. That is why it is so important that he should return for review after the circumcision has healed.
Smegma is a mixture of old mucus and dead skin cells. It always accumulates under the foreskins of uncircumcised boys. It acts as a focus for infection, but even more importantly it is the presence of smegma when they are young that predisposes to cancer of the penis later in life. The biggest single advantage in having him circumcised is that it is now easy to keep clean, and when he is old enough to shower himself, it should be totally self-cleaning.
Check for fresh bleeding, and if this occurs in the first 24 hours, please phone immediately because it just should not happen. Bleeding after the first 24 hours is usually only a drop or two and of no consequence.
The penis usually does get red and swollen. That is of no concern – it is just part of the normal healing process. That redness and swelling peaks when the ring is about to separate off and settles rapidly after the ring is off.
It is most important to bring him back after the circumcision has healed (about two – three weeks after the procedure). Do NOT neglect this.
If you have any concerns or worries, please contact us.