Circumcision Discharge Information

Dressing:
The dressing can be removed in 48 hours if it does not fall off sooner on its own. If it does come off, put on an antibiotic ointment (Bacitracin, Neosporin or triple antibiotic ointment twice a day and cover or wrap it with a 2x2 or 4x4 gauze pad. This will keep the underwear/diaper from having a few drops of blood on them. It is normal for a few drops of blood/drainage to occur. If it is excessive, please call immediately.

Swelling:
We often inject local anesthetic or “numbing medicine” around the base of the penis. It can be swollen and even black and blue. This is normal and should resolve with time.

The stitches/sutures will dissolve with time. They will often start to come off between 5-14 days after the surgery. If there is any skin separation, wash it off with sterile/distilled water gently with a gauze pad to be sure it is clean and then place antibiotic ointment around the incision and wrap it with the gauze pad.

Medication for children:
Use pediatric Motrin (Ibuprofen) every six hours for the first 24 hours.  Dose according to your child’s weight based on the bottle/label. The next day, use Ibuprofen/Motrin every six hours as needed. If a narcotic such as Tylenol with codeine (or Tylenol #3) or Vicodin (hydrocodone) is given, take every 4-6 hours for more severe pain. It is not uncommon for a child to use no narcotics, nor is it uncommon to use a few doses the first few days in order to sleep better or be more comfortable. Remember that all narcotics can cause constipation.

Medication for adults:
Try Tylenol or Ibuprofen according to the dosing on the label. You will also be given a narcotic such as Tylenol #3, Norco or Vicodin. You can take 1- 2 pills every 4-6 hours as needed for pain. Be careful as all narcotics can cause constipation.

Diet:
Eat what you feel like. Sometimes after surgery patients are not hungry or don’t eat much. As long as you are able to eat/drink some, this is fine.

Fever:
Call if there is a fever over 100 degrees.

Bathing:
You may shower 48 hours after the procedure. If the dressing has not come off by then, it can gently be removed and water often helps to get the dressing off.

Follow up:
Please call the day of surgery or the next business day to schedule an appointment for 4 weeks.

If you have any questions or concerns, please call for further information/instructions.

Sincerely,

Urologic Specialists of Northwest Indiana