AFTER CARE INSTRUCTIONS

The newly circumcised penis generally heals within one week. But keep in mind that everyone heals differently.

 

THE FIRST DAY

 

Initially there will be Vaseline gauze covering the penis after the circumcision. This serves to prevent the fresh wound from sticking to the diaper. After this gauze is removed, no more gauze is to be used. Vaseline ointment should be applied to the penis with each diaper change. Although bleeding generally ceases within minutes after the circumcision, occasionally the bleeding will continue. If there is continued oozing of blood, apply direct pressure using a sterile gauze for a period of 10-15 minutes. Try to avoid checking the bleeding while applying the pressure. If the bleeding is persistent, or if one square gauze is completely soaked, or if the diaper begins filling with blood, call DR. Weinberg. Soon after the circumcision or up to a day later, the area just below the head of the penis will become swollen. The swelling typically subsides within a week or two. It is very important that during the first number of days after the procedure, there is swelling and you must make sure that the skin does not adhere too high on the glans. Gently pull down on the skin each time you change the diaper to prevent this from happening.

 

AFTER THE FIRST DAY

 

One or two days following the circumcision there may be an off white or yellowish, patchy appearance of the head of the penis (also called the glans) or just below it. These patches are a type of scab and are associated with normal healing. The glans may also appear to be deep red or purplish and have a shiny or glossy appearance. The rim of the head of the penis (also called the corona) will eventually have a deeper purplish or reddish color than the rest of the head.

 

AFTER THE FIRST WEEK

 

The yellow crusting and glossiness typically resolve after a week or two. Until that time the Vaseline should continue with diaper changes. Pediatricians typically recommend that babies be sponge bathed until the umbilical cord falls off. This typically occurs at about 2 weeks of age but may be after only one week or as late as one month. Once the cord is off and the penis doesn’t have the yellow crusting or the red glossy appearance, you may immerse your baby to bathe him. Until that time, be sure to clean off any stool that may have deposited on the penis.

Certified Mohel-Howard Weinberg MD