Clinical Reference Systems: Pediatric Advisor 10.0
Circumcision Care and Problems
A circumcision is the removal of the normal male foreskin.
The incision is initially red and tender. The tenderness
should be minimal by the third day. The scab at the
incision line comes off in 7 to 10 days. If a Plastibell
ring was used, it should fall off by 14 days (10 days on the
average). While it cannot fall off too early, don't pull it
off because you could cause bleeding.
Any cuts, scrapes, or scabs on the head of the penis may
normally heal with yellowish-colored skin if your baby has
been jaundiced. This bilirubin in healing tissue is
commonly mistaken for an infection or pus.
- Plastibell ring type
Gently cleanse the area with water three times a day or
whenever it becomes soiled. Soap is usually
unnecessary. Petroleum jelly or an antibiotic ointment
should be applied to the incision line and head of the
penis after cleansing to keep it soft during healing.
- Incision type (no plastic ring is present)
Remove the dressing (which is usually gauze with
petroleum jelly) with warm compresses 24 hours after the
circumcision was done. Then care for the area as
described for the Plastibell.
CALL YOUR CHILD'S PHYSICIAN IMMEDIATELY IF:
Your child has been circumcised recently and:
- The urine comes out in dribbles.
- The head of the penis turns blue or black.
- The incision line bleeds more than a few drops.
- The circumcision looks infected.
- Your baby develops a fever.
- Your baby is acting sick.
CALL YOUR CHILD'S PHYSICIAN DURING OFFICE HOURS IF:
- The circumcision looks abnormal to you.
- The Plastibell ring does not fall off within 14 days.
(Note: It can't fall off too early.)
- You have other concerns or questions.