Circumcision is an operation to remove the skin covering the glans (the head of the penis). Circumcision is usually performed under a general anaesthetic. It is usually performed for a phimosis (tight foreskin that does not retract) but may also be suggested in cases of recurrent urine infections. It can also be performed for cultural or religious reasons but please note that insurance companies do not offer coverage in these cases.
The procedure
During the operation, the foreskin is removed and the skin closed together again either with an absorbable stitch/suture or skin glue. Your child will be able to go home the same day.
After discharge
Your child will be discharged home post-operatively with either no dressing or a small dressing on the wound and some antibiotic ointment. This is a non-stick ointment that has an antibiotic within it. It also helps to stop the wound from your surgery sticking to your underwear.
- Your child can shower the day after the operation, and showering daily is recommended to keep the wound clean, but a bath should be avoided for 3 days.
- Apply the antibiotic ointment to the wound lightly twice a day. Continue to use this each day until the tube runs out (usually 5-7 days).
- Children can return to normal activities and no special restrictions are needed (although swimming should be avoided for the first 3 weeks to avoid an infection).
- The wound will be uncomfortable for approximately 7 to 10 days. Passing urine is usually not at all painful.
- It takes approximately two to four weeks for the sutures to fully dissolve.
- Firm, supportive underwear while the stitches are in place is often helpful.
Complications
If you are concerned about redness, swelling or a discharge from the wound, contact us as an infection may be present. Talk to one of our nurses in the first instance, or for urgent after hours advice you can contact the on call urologist through our main phone number.