Vivek M. Rege
Circumcision - Treatment
There is no ideal age for circumcision, depending upon the presence of the problem, if the indication exists; the age or weight of the child is no bar to having the boy circumcised. This is a small minor operation and is always done on a Day care basis. The surgery is done under complete general anesthesia, which is extremely safe even in a small infant. The boy comes to the hospital in the morning, undergoes surgery, and walks home the same evening. The procedure is simple - both the outer and inner layer of the folded prepeucial skin are cut leaving 2 cut edges of the skin which are then brought together with multiple interrupted absorbable sutures. These sutures fall off on their own after 7 - 9 days no sutures need to be removed or cut.

The prepucial skin is lose unhealthy, and very vascular, hence cutting and suturing always causes a swelling in the post operative period. This looks ghastly and worries the parents - but this disappears by itself within a few days and nothing specific needs to be given for this. I usually do not give any dressing and the child is allowed to pass urine, some blood may ooze from the suture site the first day, which later dries up and forms a scab. These scabs too are to be left alone and will fall off by themselves. A clot may sit right on the urinary opening and partially block it so the child passes urine from the side of the hole with multiple streams again worrying the parents - but these streams will disappear as the clot falls off to a single stream. After a circumcision, I avoid any pants being worn for 8 days. The area of operation is very sensitive and anything that touches or rubs against that part gives exquisite pain to the boy. Thus the child either wears a Lungi or a girl's dress/ nighty for the first 7 days. After 4 days the boy is given a regular bath and is made to sit in a tub of hot water to give fomentation to the part. With the hot water fomentation, the edema subsides, the sensitivity goes away, the scabs loosen and along with the sutures fall off by themselves. This hot hipbath is given with hot water at least 15 minutes each time and 3-4 times a day and is followed by application of an antibiotic ointment locally each time. This is continued till all the scabs and sutures have fallen off the local part is dry. The entire process of normalization may take up to 10 days though the healing is over in 4 days.

Post Circumcision
Post Circumcision

Circumcision Circumcision 12/08/2000
<< Circumcision - Introduction Circumcision - Patient Education >>
ask a doctor
Ask a Doctor
Disclaimer: The information given by is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0