The video describes how to prepare for the circumcision, what to expect at the clinic, and includes our aftercare instructions.
Our staff is always available to answer your questions.
We will review printed aftercare instructions with you as well.
Post Circumcision Concerns and Questions
We understand that parents will have concerns and questions in the days after a baby boy’s circumcision. Please see the detail below for information on how to care for your baby post-circumcision, and do not hesitate to contact us with any concerns that you feel require Dr. Islam’s attention.
How to care for your son in the first 24 hours following the circumcision:
Keep your son snugly swaddled (especially his legs). The more he kicks his legs, the less comfortable he may be. After the first day, you no longer need to swaddle him, but can continue to do so if he finds it comforting.
This image shows initial application of the gauze with Vaseline. Replace it if it falls of in the first 24 hours. The image also shows the long gauze and bandage around the penis that will be removed in 24 hours, or if it falls off earlier you may leave it off.
There will be a square white gauze with Vaseline placed over the head of your son’s penis. Leave the gauze in place and remove it only after 24 hours. If it has fallen off, just replace it with a fresh 3×3 gauze with some Vaseline on it and put it over the penis then close the nappy.
Please check your baby’s nappy every hour for the first 24 hours to look for any abnormal bleeding.
If the white gauze over the penis is soiled with urine don’t worry just leave it alone. If it is soiled with stool, remove the gauze gently and rinse his bum with warm water and replace the gauze with Vaseline on it..
TThere will also be a long piece of gauze wrapped around your son’s penis. Leave this gauze in place for 24 hours as well. If it falls off earlier, don’t worry just leave it off. If it is dry or stuck when you are trying to remove it after 24 hours, you may need to pull slightly harder and expect that there may be a little bleeding when you do this. This is normal and you may need to apply some direct pressure on the head of the penis as we taught you in the clinic. You may use some warm water to wet the dressing to help remove it. If there is some bleeding, maintain firm pressure for 3-5 minutes.
No gauze bandages are required after the first 24 hours, just ointment.
For the following weeks after circumcision, put a generous amount of Vaseline on your finger and rub it over the incision site placing a thick layer of ointment over the entire head of the penis.
Here you see a part of the mucosa attaching to the head of the penis. This is an example of “bridging” that requires a simple adjustment by our doctors.
It is important to push the skin down off the head of the penis if it has moved up a little to ensure it heals properly just behind the back rim of the head. Do not do any pushing on the skin for the first two days because it will be swollen from the surgery. It is important to avoid mucosal adherence (see image) and/or skin bridging which results from the mucosa and/or skin respectively attaching to the head of the penis. If you are unsure of the appearance of your son’s penis, bring him to see our doctor, and we will adjust the skin for you if required.
Most babies like to nurse in a quiet environment following the circumcision. A baby who cries for more than a few minutes is usually suffering from air swallowed during the circumcision and needs to be burped.
Most babies sleep quite well following the circumcision. The best sleeping position for your baby is on his side, supported by a blanket roll.
Healing is promoted by keeping the area clean and dry. Warm water and a cotton-ball or washcloth are preferred for cleaning the area around the penis. Avoid moistened towelettes, alcohol, powders, and lotion since these may cause irritation. Don’t give your son a bath before the doctor has said that it is ok to do so (generally after 3 – 4 days).
Disposable diapers are strongly recommended for the first week since they tend to be less irritating, and they help keep the area dryer and cleaner.
It is better both before and for about three days following the circumcision to restrict the handling of your baby to just a few people. Also, avoid unnecessary travel as car seats can be irritating to the new circumcision.
Healing Post Circumcision
Healing is usually rapid and occurs in several stages. Remember that a circumcision is like any other cut. There are many factors that influence healing; but most importantly, every child heals differently.
First, the cut edge seals and bleeding ceases within minutes, hours, or even over the course of an entire day. The area just behind the glans (especially the underside) will become swollen. This inflammation will subside within a week or two. In the first two days, there may be an off-white or yellowish, patchy appearance of the glans. These patches are a type of scab and are associated with normal healing.
After a few days, the area where the skin was cut look green and yellow. This is NOT pus. It is healing tissue. It can look this color for up to two weeks after the circumcision.
You will notice yellow patches on the head of the penis as it heals. This is a normal part of healing.
The head of the penis can often be purple, blue or red after circumcision. This is normal.
Circumcision Scar? – Appearance of the Baby’s Penis
A common concern for parents is aesthetics. Remember that penises come in all shapes and sizes. While most penises “look normal” within days of the circumcision, some do not take on a “completely normal appearance” until after the penis starts to grow. Furthermore, although the penis may appear smaller after circumcision, it is not! This appearance is mostly due to the relaxation of skin surrounding the penis, which prior to circumcision holds the penis more erect.
After a few days to week, some parents notice swelling of the mucosal tissue behind or under the head of the penis and believe it looks “like a blister”. This type of swelling is normal. It is not a blister, and it will gradually subside. Scarring from infant circumcision is rare, even if there is swelling in the first week.
You will notice a mucosal ring at the base of the penis head. Sometimes it is more prominent on one side than the other. This is normal and no cause for concern.
On occasion, a poor aesthetic result occurs when too little or too much skin is removed, or more likely when the cut edge of the skin attaches too high or too low along the length of the penis. The latter is sometimes caused by the presence of a hydrocele or penile erections. In nearly all these cases, the penis will heal properly, and, in time, take on a normal appearance. If you are concerned in anyway about the appearance of your son’s penis, please call our Melbourne clinic to consult with Dr. Islam immediately.
The Pollock Technique™ is associated with good cosmetic outcomes. Scarring on the penis is very uncommon, but do share any concerns you have in the weeks after your boy’s procedure.
Frenulum – Band of skin underneath the penis
ometimes parents come to us worried about a band on the bottom of the penis fearing that it needs to be cut. This band is called the frenulum which carries the frenular artery and is normal (see image).
It is similar to the band under the tongue (the part that is cut in some babies with tongue-tie).
You may notice a band on the bottom of the penis after circumcision. This is normal and no reason for concern.
Due to the evolving situation with COVID-19 Gentle Procedures Clinic in Melbourne has suspended all surgeries until at least September 18th.
We will resume procedures September 18th, based on the guidance of the Victoria Department of Health and Human Services.
Consultations and follow-up visits continue at our Berwick clinic location only.