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.
Applying the Vaseline
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 five to ten days for babies, although it can come off sooner, it can hold on longer for older boys (seven to fourteen days). It doesn’t matter how long it takes, you simply continue applying the Vaseline for a day or two after the ring comes off.
After the circumcision has healed
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 â€“ 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.
Scar contracture can occur after the platibell has fallen off and before follow up appointment. It is common in some ethnic groups and in the babies who have buried penis, but in some cases cannot be predicted. To prevent an issue arising from this, we ask that after that after the plastibell has come off, that you push the skin back down the shaft on the regular basis. If the head cannot be seen, despite your efforts, please contact us during office hours. We can either give you instructions over the phone or get you to come in earlier than your scheduled appointment in order to manage this.
It is most important to bring him back after the circumcision has healed (about two to three weeks after the procedure). Do NOT neglect this.
If you have any concerns or worries, please phone 07 3349 6444 during business hours. After hour there is always a doctor on call for emergency purpose only. Information on guideline for after hour concerns will be given to the parents after their son’s procedure is done.