Post-Operative Myths
We strongly recommend applying drops of olive oil to the dressing every two hours on the day of surgery, as it promotes good healing, then bathing the circumcised penis on the second day. Hence, the oil is not sticky and makes it easy to remove the dressing gauze. The oil is mainly an added precaution against infection. Still, being greasy, it also acts as a cushion between the head of the penis and the nappy /underlying cloth to minimize rubbing.
The oil should be applied all around the dressing gauze, around the head of his penis. The dressing is to be taken off the next day straight away. Occasionally, it may also hold on longer. However, it doesn’t matter how long it takes, and you simply continue applying the oil for a day or two till the gauze comes off. Then bathe the circumcised penis in the warm salt bath on the second or third day, then take off the dressing in warm water if not already fallen off.
Occasionally the dressing fells off immediately post-surgery. That is quite okay. The dressing is just a protective layer. If the dressing fell off, bathe the circumcised penis in a warm salt bath for wound refreshment.
The patient/parent may prefer to use saline, savlon antiseptic bath.
The tip of the penis may likely be sore at first and look red, swollen, or bruised. There may also be mild oozing. It is possibly related to the local anaesthetics’ injection and handling of the penis during the surgery. All these bruises should settle down quickly within a few days. However, please be mindful that the frenulum at the ventral side may take longer to heal completely.
Be mindful of putting some ice pack or gentle pressure on the penis if there is mild oozing for twenty min or so.
Having your child checked postoperatively within one week is paramount to address any concerns, ensure complete recovery and wound healing, and avoid unforeseen complications, i.e., buried penis or paraphimotic penis.
If You have any concerns, please feel free to contact us; our experienced Staff and the Circumcision Doctor, Dr. Saddik, would be more than happy to assist you.
It is okay to wash the penis during the healing process. The Patient/Parent should apply petroleum jelly with each underlying cloth change. The patient/Parent can use oil or petroleum jelly to keep it from sticking to the nappy/underlying cloth. It is encouraged to keep the penis clean and often change the baby’s nappy or underwear for older children/adults. Once the penis is healed, wash it as you would during routine bathing.
You can apply antiseptic ointment or petroleum jelly for a few days postoperatively while it’s a bit raw to ensure it doesn’t get infected. Then it is simply a matter of keeping it clean and dry.
After the circumcision, the first few weeks of the healing process:-
After the circumcision has healed, it is usually necessary to separate the shaft skin from the head of the penis. If that is not done, smegma can accumulate under the adherent skin.
Therefore, the patient needs to return for review after the circumcision has healed.
Check for fresh bleeding, and if this occurs in the first 24 hours, please get in touch with the clinic immediately. Bleeding after the first 24 hours is usually only a drop or two and of no consequence. However, the penis usually does get red and swollen, which is part of the healing process. The circumcised penis will have two layers of dressings.
The bandages will stay longer for a circumcised penis, which is no problem. If the dressing has not dropped off after a day or two days, The Circumcision Doctor, Dr. Saddik, may remove them if you have trouble removing them.
Leave the dressing around the shaft of the penis for 24 hours and use a sponge to clean the baby. After 24 hours, give the baby a warm bath with salt and gently remove the gauze. After removing the dressing, the circumcised penis is gently washed with soft, warm salt water.
The Circumcision Doctor, Dr. Saddik, is always available to review your baby as often as you feel necessary. If you have any worries, don’t hesitate to contact us.
For about one (1) week after the procedure, you will need to place a dab of Vaseline at the tip of your baby’s penis at each nappy change. Other than that, treat your baby as usual. It is essential to bring him back after the circumcision has healed (about four weeks after the procedure). Don’t neglect this. Use pain relief medication such as paracetamol for infants, only if needed. If the wound bleeds during the first 24 hours after the procedure, apply pressure with an ice pack in a clean cloth for 20 minutes and contact the clinic on the number shown in “contact us.”
1. Managing the dressing
Use ‘olive oil or Vaseline at every chance of passing urine by placing a few drops of olive oil on the tip and around the penis’s dressing to avoid the underwear / nappy sticking to the end of the penis’s glans’ or the dressing becoming challenging to fall off.
If the dressing falls off earlier on the same day of the operation, it is okay. The dressing is just an extra layer of protection.
Circumcision Doctor Dr. A. Saddik advises fresh up the wound with a warm salt bath and then applying Vaseline on the glans of the penis around the new cut and the bed of the underwear/ nappy to avoid excessive friction or sticking.
Don’t worry about the dressing remaining stuck onto the glans of the penis; leave it on till it falls off the next day when a bath in warm salt water.
Circumcision Doctor Dr. A. Saddik does not use a plastibell ring, so It is Okay to have a bath on next day and take the dressing off.
2. When should I get the first bath after the surgery?
Circumcision Doctor Dr. A. Saddik advises that on the first day of the surgery, you do not worry about the warm salt bath unless the dressing fell off, so you may like to refresh the wound with a warm salty bath.
Circumcision Doctor Dr. A. Saddik advises having a bath the next day and removing the dressing wrapped around the penis.
Occasionally the dressing is challenging to remove; circumcision Doctor Dr. A. Saddik strongly advises applying for excessive olive oil works as natural skin moisture, and more prolonged soaking in the bath will help the dressing to fall off.
If you still have difficulty removing the dressing, Circumcision Doctor, Dr. A. Saddik advises you to attend the clinic. Circumcision Doctor Dr. A. Saddik will remove it for you after 2-3 baths from your end.
Please, DO NOT call Circumcision Doctor Dr. A. Saddik on his mobile for sticking dressing. It is not an acute or surgical complication. Instead, follow the above instruction.
3. Pain relief
Circumcision Doctor Dr. A. Saddik advises using simple analgesics such as Paracetamol, pain stop, and simple anti-inflammatory Nurofen according to the direction Circumcision Doctor Dr. A. Saddik and of your age.
Please, DO NOT call Circumcision Doctor Dr. A. Saddik on his mobile for sticking dressing. It is not an acute or surgical complication. Instead, follow the above instruction.
4. Bleeding
Circumcision Doctor Dr. A. Saddik advises you to check your underwear/ nappy for any signs of active or continuous dripping bleeding for the first 48 hours after the surgery, or you can look at the front of the underwear/ nappy from the outside.
It is okay to have a mild oozing of the fresh cut, and You may notice the covering dressing is slightly a little bloody. However, that is not a concern as far as no active continuous dripping bleeding.
If active bleeding from the penis occurs, treat it the same as you would for the tip of a finger by applying gentle pressure by your thumb and index fingers at the base of the penis for 3-5 minutes, then use an ice pack on the top of the wound for next 15-30 minutes.
Please Don’t panic; mild oozing bleeding may be part of the healing process. It is reasonable for you to apply the above pressure technique twice, first for five minutes and then for 10 minutes, before contact us, as most bleeding stops with simple compression pressure and ice packs.
Please note that if the penis is dripping fresh blood continuously and you cannot stop the bleeding with pressure and ice and excessive bleeding or continuous active bleeding following the surgery, that is NOT NORMAL. Should you become concerned or any of this unexpected adverse effect occurs, you must immediately contact Circumcision Doctor Dr. A. Saddik on his mobile. Circumcision Doctor Dr. A. Saddik is available 24/7; if there is no response, call an ambulance on 000.
Circumcision Doctor Dr. A. Saddik strongly advises adults and older teenagers to apply an ice pack at sleep to avoid discomfort, painful erection, and development of swelling of the penis, which is known as a secondary hematoma.
5. Urinary retention
It is infrequent and usually resolves spontaneously with proper hydration, possibly related to tightening dressing or perceived pain/fear of passing urine. It determines within the first 12 hours.
6. Concealed Penis
It occasionally occurs in chubby kids/adults with a significant amount of public fat, and the penis tends to be embedded, hidden, or sunken inward. It has only become a concern if the surrounding healing foreskin can adhere, resulting in a concealed penis or what is known as secondary phimosis.
Circumcision Doctor Dr. A. Saddik advises you to place gentle downward pressure on either side of the base of the penis while bathing your child daily in a salt bath and clean around the glans from any adhesions of smegma/ debris to expose the glans that has retracted inward.
Circumcision Doctor Dr. A. Saddik advises the application of a thin layer of a medicated prescribed cream to the entire glans once daily until it takes on a healed appearance. Circumcision Doctor Dr. A. Saddik is always happy to support you in the healing process.
Don’t hesitate to contact Circumcision Doctor Dr. A. Saddik if the penis cannot be fully exposed or the foreskin around the penis has closed.
7. The healing processes
Age influences the speed of the healing process; every individual is different and distinctive. But healing is usually rapid and occurs gradually, like any cut. Usually, a few days for babies to a maximum of 1-2 weeks for teenagers and adults. If you have sutures during surgery, these sutures are dissolvable and may take a few weeks to dissolve completely, depending on your age.
There will be a red band of raw tissue around the glans or a yellowish, patchy area, a type of scab. It is normal healing tissues, not signs of infection, and part of the healing process.
Occasionally, the frenulum, the triangular area at the ventral side beneath the penis, may become swollen and look like a yellow blister. However, the frenulum usually heals within a few weeks and closes naturally.
The gains may appear different than the shaft of the penis and look purple. Once the mucous membrane is keratinized, take the standard colour of the glans. It is like the umbilical stump. It is normal and will heal naturally.
Please do not panic if it appears too little or too much skin is removed, or the cut edge of the shaft attaches to the shaft of the penis is too high or too low. In nearly all these cases, the penis heals appropriately and takes on a regular appearance.
Please, contact us if you have any concerns during regular business hours to address any postoperative care.
The Circumcision Doctor, Dr. Saddik, is available 24/7 for urgent, not for routine postoperative care.
- Place a few drops of olive oil along the dressing gauze and the glands every few hours to avoid the dressing sticking to the glands.
- Older children, Have good hydration, a light, easy soupy diet, and good rest on the first day of operation. Simple Pain killers may be given if needed. For babies, regular feedings as usual.
- Next morning, bathe in warm salt water and gently gauze off. The gauze must be taken off the next day. Occasionally gauze may fall off on the same day.
- Then apply any skin moistures like Vaseline along the cut/sutures line with every nappy/underwear change or medicated cream like Kenacomb/Bactroban if the needs arise as per Dr. Saddik’s instruction.
- Daily warm salt (saline) bath twice daily with applying the cream.
- It is normal to have some swelling, bruises, or mild blood oozing along the suture line, but not to be concerned.
- The sutures are self-dissolvable within three weeks. It would feel itchy as it dissolves totally.
- Review in one week is a MUST or earlier if you are concerned.
- If any concerns, call Dr. SADDIK at 03 93860900 or mobile at 041121230 (after hours only).
CONSENT& OPERATIVE CARE SHEET – CIRCUMCISION
- Please read the enclosed information about circumcision carefully, and if you have any questions, please raise them with Dr.
- Saddik will advise you at the initial consultation of any ‘out-of-pocket expenses that may be incurred.
- Saddik will provide you with information regarding pain management should the patient require it. The dose of medication will depend on the patient’s weight, age, and size, according to Royal Children’s Guidelines.
- We kindly request that you bring with you the following for the patient’s comfort:
- Disposable nappies; and/or suitable underwear, and 2. A clean
- Upon arrival at the clinic, Dr. Saddik will examine the patient and ensure the procedure may be performed. Dr. Saddik will give a local anesthetic injection before the procedure. Each patient is assessed differently, and light-conscious sedation or anesthetics may be required. Factors including age and weight may affect
- During the procedure, you will be asked to wait in the waiting room. Trained staff will assist Dr. Saddik in the treatment room. Parents or guardians are not permitted in the treatment room during the
- Your child will be observed and monitored post-procedure to ensure the patient is fed and void. There is no to minimal bleeding, reasonable pain control, no reactions to anesthetics, and an opportunity for parents/guardians to ask any further questions. You will be offered a separate room for the patient and your comfort. We would encourage the patient to have a meal post-procedure to ensure no
- Kyrollos Family Clinic ensures that following the procedure, the patient and parents/guardian are happy and that the patient is pain-free, nursed, fed, and with no complications with complete recovery.
- Before departure from the clinic, we will ask you to complete a short survey about the service. Your feedback is welcome to help us improve our Dr. Saddik will see the patient within a week of the procedure
· Dr. Saddik can always be contacted via the mobile number (0411121230) in case of emergency ONLY NOT FOR ROUTINE POSTOPERATIVE CARE. Otherwise, contact the surgery during business hours at 9386 0900.
- If you have any concerns in the post-procedure and recovery period, don’t hesitate to contact the clinic or Dr. Saddik directly and arrange a follow-up
I / We (print name)
Understand the details of the operative care sheet.
Signature
Date
PATIENT CONSENT FOR MINOR SURGERY
I/We
- Give consent to Dr. Ashraf E Saddik to perform the following procedure……..
- Acknowledge that Dr. Saddik has explained to me the nature and effects of the procedure and provided me with detailed information and operative care
- Consent to administering the appropriate anesthetic, analgesia, and/or light-conscious sedation and postoperative pain relief as
- Consent to Dr. Saddik to perform the surgery and proceed with any further treatment that may be
- Understand that the prepayment deposit is non-refundable.
PATIENT’S SIGNATURE or PARENT’S/GUARDIAN SIGNATURE
DATE
WITNESS NAME (PRINT)
The (Guardian / Parents / Father / Mother)
Of the patient named
Aged Months/years, hereby consent to undergo the procedure on their behalf.
