Circumcision, Infant

Care After

A circumcision is a surgery that removes the foreskin of the penis. The foreskin is the fold of skin covering the tip of the penis. Your infant should pee (urinate) as he usually does. It is normal if the penis:

  • Looks red or puffy (swollen) for the first day or two.

  • Has spots of blood or a yellow crust at the tip.

  • Has bluish color (bruises) where numbing medicine may have been used.

HOME CARE

  • A petroleum jelly gauze may be put on the penis after surgery. Replace this gauze with each diaper change for 1 to 2 days, or as told. After the first 2 days, put petroleum jelly on the penis for 3 to 5 days. This keeps the penis from sticking to the diaper.

  • Do not put any pressure on his penis.

  • Feed your infant like normal.

  • Check his diaper every 2 to 3 hours. Change it right away if it is wet or dirty. Put it on loosely.

  • Lie your infant on his back.

  • Give medicine only as told by the doctor.

  • Wash the penis gently:

  • Wash your hands.

  • Take off the gauze with each diaper change. If the gauze sticks, gently pour warm (not hot) water over the penis and gauze until the gauze comes loose.

  • Clean the area by gently blotting with a soft cloth or cotton ball and dry it.

  • Do not put any powder, cream, alcohol, or infant wipes on the infant's penis for 1 week.

  • Wash your hands after every diaper change.

  • If a plastic ring circumcision was done:

  • Gently wash and dry the penis as above.

  • You do not need to put on petroleum jelly.

  • The plastic ring will drop off on its own after 5 to 8 days.

  • If a clamp method was used:

  • There may be some blood stains on the gauze.

  • There should not be any active bleeding.

  • The gauze can be removed 1 day after the procedure. When this is done, there may be a little bleeding. This bleeding should stop with gentle pressure.

  • After the gauze has been removed, wash the penis gently. Use a a soft cloth or cotton ball to wash it. Then dry the penis. You may apply petroleum jelly to his penis many times a day during diaper changes until the penis is healed.

  • Do not give your infant a tub bath until his umbilical cord has fallen off.

GET HELP RIGHT AWAY IF:

  • Your infant is 3 months or younger with a rectal temperature of 100.4° F (38° C) or higher.

  • Your infant is older than 3 months with a rectal temperature of 102° F (38.9° C) or higher.

  • Blood is soaking the gauze.

  • There is a bad smell or fluid coming from the penis.

  • There is more redness or puffiness than expected.

  • The skin of the penis is not healing well in 7 to 10 days or as told.

  • Your infant is unable to pee.

  • The plastic ring has not fallen off by the eighth day after the surgery.

MAKE SURE YOU:

  • Understand these instructions.

  • Will watch your condition.

  • Will get help right away if your infant is not doing well or gets worse.