After the Circumcision
Advice to parents – What next?
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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 the Vaseline for a day or two after the ring comes off.
Check for fresh bleeding, and if this occurs in the first 24 hours, please phone immediately because it just should not happen.
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.
Many boys can develop a layer of “puppy fat” in front of their pubic bone. This “puppy fat” pushes the shaft skin forward so that it overhangs or covers the head of the penis.
The penis is anchored to the pubic bone and can get “covered” by the fat layer.
If that should happen with your boy, there will be a necessity, every day, when you bathe him, to push that shaft skin back firmly towards his pubic bone. This is for two reasons:
- If you can’t see it, you can’t clean it. Smegma will accumulate in the groove behind the head of the penis.
- Also, if those skin edges are allowed to remain in contact, undisturbed, for more than 24 hours, they can readhere.
Don’t be scared of it. You won’t have to do it forever. Most boys tend to lose that “puppy fat” with running around, riding bikes and simple exercise!