CIRCUMCISION

Circumcision is carried out for narrowing of the foreskin, which prevents free traction (phimosis) or when it retracts and gets stuck behind the head (glans) of the penis. it is usually caused by scar tissue following infection. The abnormal skin is excised (removed) and sometimes it is necessary for it to be sent to a pathologist for examination the patient will be told if that has been done.

Post Operative Care of Circumcision

This wound is closed with dissolvable stitches which will drop out between 7 and 10 days, so there is no need for stitches to be removed.

At the end of the procedure an antibiotic ointment is applied to the wound and mesh gauze loosely placed around the wound. There may be a gauze dressing encircling the penis, that should be removed 4 hours post-operatively and a very light gauze dressing put in place. Generally that is done before the patient leaves the Day Surgery.

For pain relief Panadol or Panadeine is usually all that is required. Aspirin should be avoided.
There may be some bruising which will settle in 7 to 10 days’ time.

If there is bleeding from the wound, direct pressure should be applied by placing a gauze dressing over the bleeding point, holding it in place with the thumb and index finger for a period of 5 minutes as timed by the clock before inspecting to ensure that the bleeding has stopped.

If the period of time is interrupted then the 5 minutes must be restarted. Should that not cause the bleeding to stop then the Doctor should be notified.

The patient should attempt to keep the wound dry for at least 2 days post operatively before having a shower or bath.

Adult patients should avoid having intercourse until they have been reviewed post operatively.
Boys may find that they get uncomfortable erections during their sleep and it is advisable to wear loose clothing. Sometimes some minor bleeding may occur after an erection and should be managed as above.

If the wound becomes increasingly painful then the patient should notify the Doctor.