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POST OPERATIVE INSTRUCTIONS - CIRCUMCISIONPediatric Surgery - Pediatric Urology
Fernando A. Ferrer, MD
Christina Kim, MD
Day Surgery Unit - (860) 545-9910
Post Operative Instructions:
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Apply diaper loosely or snugly, depending on your child’s
urologist
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Your child may take a shower or sit in a clean warm bath
after 48 hours or sooner depending on his urologist’s
reommendations.
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Observe the end of the penis for color; the tip should be
pink. It is normal for the penis to appear swollen and black
and blue after surgery. This will decrease after the first
few days, after which a whitish coating or yellowish “slime”
may appear around the area; this frequently looks like a bad
blister after the skin comes off. This is not an infected
but is part of the normal healing process and will go away.
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Apply an antibiotic ointment like Bacitracin, Polysporin
or Neosporin, to the penis with each diaper change, or at
least three or four times a day , or with each diaper change
until the skin is no longer moist or appearing like the bad
peeling blister.
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If there is a dressing, do not be concerned if the
dressing falls off. This is not a problem.
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There may be some small amounts of drainage from the
penis, especially with increased activity. However, active
continuous bleeding should be reported to the doctor by
calling the office or answering service at (860) 545-9520.
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Call the doctor at (860) 545-9520 if any signs of
infection occur, such as increasing, spreading redness, a
fever of 101.5° or greater, or increasing pain.
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Stitches, if present, will dissolve on their own or pop
off over the first week or so after surgery. You may notice
some redness along the incision at that time. This is
normal.
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Strong pain medicine ,like codeine or another narcotic,
may be prescribed for your son. Generally, most boys do
well with only a few doses of this medicine. Many will only
require some medication like Tylenol (acetaminophen) or
Motrin( ibuprofen) to take care of the pain. If the
narcotic medicine is used, your son may become constipated
and If Tylenol with codeine has been prescribed for
discomfort, give this medication with food as it may
irritate the stomach. Also, give your child extra juices or
finger foods, such as raisins, fruits, vegetables, and
salads, which will help prevent constipation from the
codeine.
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Call the Urology office to schedule a surgical follow-up
appointment within 2 to 3 weeks of surgery.
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Your child may return to school or day care but should be
restricted from riding toys, bikes, and participating in gym
and sports until recommended by his doctor or until after
the surgical follow-up visit.
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