Circumcision After Care
What to expect after the procedure:
After circumcision, your baby's penis may look red and swollen. You should expect some oozing and bruising, this is a part of the normal healing process. If there is oozing, you can use clean gauze to apply gentle pressure for 3 minutes.
A wet scab will form usually one day after the surgery. The appearance will look white and soft/mushy. Leave it alone.
Your baby may be fussy while the area heals. It may be painful for your baby to urinate. This pain usually gets better in 1-2 days.
The swelling and bruising will start to improve after about 7 days.
You may bathe the baby after 7 days with soap and water.
Circumcision Care:
For the first 48 hours, keep the original bandage placed by the doctor on the penis or until the bandage falls off.
If original bandage placed by the doctor becomes soiled with feces, gently unwrap the dressing, rinse the area with warm water, air dry completely and start the petroleum jelly and gauze sandwich.
*if bandage becomes soiled with urine, it is okay to leave it alone because urine is considered sterile.
You can give your baby a sponge bath after the day of surgery.
Do not use soap, alcohol or hydrogen peroxide to clean the circumcision area.
Apply plenty of petroleum jelly (Vaseline) on the circumcision area using two pieces of gauze with each diaper change for 7 days after the procedure.
With every diaper change, gently push down on the base of the penis to ensure the foreskin does not adhere to the rim of the penis until fully healed.
How to Make a Petroleum Jelly Sandwich
Wash your hands before opening your baby’s diaper
If this is the first gauze change from the original dressing, gently unwrap dressing from around the penis, if it does not easily come off, use warm water to loosen the gauze.
Remove two pieces of gauze from packaging and place a large dollop of Vaseline on each.
Gently press the two pieces of gauze together with the penis in the middle with only the petroleum jelly touching the penis.
Medications:
If your baby appears to be uncomfortable or in pain, you should give children’s acetaminophen (Tylenol). Follow the dosage instructions on the bottle. DO NOT GIVE your newborn baby ibuprofen (Motrin).
CHILDREN’S TYLENOL (160mg/ 5mL)
6-11lbs → 1.25ml
12-17lbs →2.5ml
Administer every 4-6 hours for the first 24 hours after the procedure.
Call your doctor now at (425) 610-9426 or seek immediate medical care if:
Your baby has a fever over 100.4°F(38°C).
Your baby does not have a wet diaper within 12 hours after the circumcision.
If there is heavy bleeding
Your baby has signs of infection such as severe swelling, spreading redness, a red streak on the shaft of the penis, or a thick, yellow discharge.
Frenectomy After Care
Our goal is to have the frenum heal by secondary closure. In order to achieve great secondary healing, we must be consistent with manual stretching exercises to minimize re-attachment of the frenum. Please begin exercises ONE DAY AFTER lip and tongue-tie release.
Upper Lip and Cheek Exercises
Nitrile gloves or thoroughly washed clean hands recommended prior to start.
Position infant lying down with head towards you and feet away.
Place fingers under the fold of the upper lip and lift UP and OUT as far as possible using gentle controlled force. You should see a white-ish diamond shape form. Mild bleeding may occur during the first couple of days. This is not a concern.
Tongue Exercises
Nitrile gloves or thoroughly washed clean hands recommended prior to start.
Position infant lying down with head towards you and feet away.
Place index fingers at the base of the underside of the tongue just above the white diamond. Gently lift up the tongue to stretch the diamond and hold for 10 seconds. Mild bleeding may occur during the first couple of days. This is not a concern.
Frequency
Ideally 4-6 times a day.
Continue exercise for at least 4 weeks.
When not doing exercises, play in your child’s mouth with clean fingers. Examples are tickling/tapping lips and gums.
Things to consider
A wet scab will form usually one day after the surgery. The appearance will look white and soft/mushy. The color may change to yellow or even somewhat green. This is all normal and IS NOT an infection. As the healing progresses, the wet scab will get smaller. It is very important to be continuing the exercises so that the frenum does not reattach.
If needed, give CHILDREN’S TYLENOL (160mg/ 5mL)
6lbs → 1.25ml
7lbs → 1.5ml
8lbs → 1.75ml
9lbs → 2.0ml
10lbs → 2.25ml
11lbs → 2.25ml
12-14lbs → 2.5ml
15-17lbs → 3.0ml
Lips/tongue may appear to look swollen 1-2 days following the surgery. This is also not concerning. Things will look better in 7-10 days and should completely heal around 14 days. Even after complete secondary healing, please continue lip and tongue stretches/exercises for at least 4 weeks.