CARING FOR THE CIRCUMCISION AT HOME
MEDICATION: We suggest you use acetaminophen (Tylenol/Tempra) regularly for the first 24 hours. He may need some on the second day as well. Every baby is different. By the third day, the Tylenol can be stopped.
BLEEDING: It is normal to see a small amount of blood in the diaper and it is normal to see a small clot on the tip of the penis. It is not normal to see fresh blood dripping from the penis. If this happens, put some vaseline in the diaper and hold your baby firmly against you for 15 minutes. If the bleeding restarts after the pressure is released, you are advised to seek medical attention immediately.
INFECTION: The length of the penis will be bruised and swollen. There may be a blister at the bottom of the penis from the injection. This is all normal. The top of the penis will be red and raw. There will be white sticky wet scab, and yellow discharge. After 24 hours, things will slowly start to improve. If there is worsening, with more redness, swelling, or pain, you are advised to seek medical attention. If your baby has a fever, is overly sleepy, isn’t feeding, or has much less wet diapers, you should take him directly to the hospital. Infections are very rare.
BATHING AND DIAPER CHANGES : Avoid baths for the first 3 days. Change your baby’s diaper as often as usual. There will be a gauze placed around the cut mark. Once the gauze falls off you can squeeze some water from a washcloth over the tip of the penis at each diaper change. Wipe everywhere else with a washcloth or a baby wipe. Use Vaseline with each diaper change for one week. Point the penis down and apply the diaper firmly (not loose and baggy). If stool (poop) gets on the tip of the penis, wipe it off gently with a cloth or a wipe. If the gauze does not fall off by 24 hours, you can remove it. If it seems stuck, you can soak your baby in a warm bath to remove the gauze. For the first six hours after the procedure, keep your baby in the diaper as much as possible, and do quick diaper changes to prevent bleeding (no water squeezed over tip). There is no need to air dry. Air drying slows healing.