Pulling skin back after circumcision

How to Care for Your Baby's Penis

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Ages & Stages

Ages & Stages

​The Circumcised Penis

If you chose to have your son circumcised, the procedure likley performed in the hospital before discharge, but is sometimes done afterward. Ritual circumcisions for religious reasons are usually performed in the second week after birth. 

After the procedure, a light dressing with petroleum jelly will have been placed over the head of the penis. The next time the baby urinates, this dressing usually will come off. Some pediatricians recommend keeping a clean dressing over the area until the penis is fully healed, while others advise leaving it off. The important thing is to keep the area as clean. If stool get on the penis, wipe it gently.

What to expect

The tip of the penis may look red for the first few days, and you may notice a yellow secretion. Both mean that the area is healing normally. The redness and secretion disappear gradually within a week.

When to call the pediatrician

If the redness persists or there is swelling or crusted yellow sores, there may be an infection. This does not happen often, but if you suspect an infection, consult your pediatrician.

After the circumcision has healed:                       

Usually, after the circumcision has healed, the penis requires no additional care. Occasionally a small piece of the foreskin remains. You should pull back this skin gently each time the child is bathed. Examine the groove around the head of the penis and make sure it's clean.

Note: If circumcision is desired but is not performed within the baby's first two weeks (perhaps for medical reasons), it is usually put off for several weeks or months. The follow- up care is the same whenever it is done. Should circumcision become necessary after the newborn period, general anesthesia is often used and requires a more formal surgical procedure with control of bleeding and suturing of skin edges.

The Uncircumcised Penis

In the first few months, you should simply clean and bathe your baby's uncircumcised penis, like the rest of the diaper area. Initially, the foreskin is connected by tissue to the glans, or head, of the penis, so you shouldn't try to retract it. No cleansing of the penis with cotton swabs or antiseptics is necessary.

The doctor will tell you when the foreskin has separated and can be retracted safely. This will not be for several months or years, and should never be forced; if you force the foreskin to retract before it is ready, you could cause painful bleeding and tears in the skin. After this separation occurs, retract the foreskin occasionally to gently cleanse the end of the penis​.

What to do as your son gets older:

As your son gets older, you'll need to teach him what he must do in order to urinate and wash his penis. Teach him to clean his foreskin by:

• Gently pulling it back away from the head of the penis.

• Rinsing the head of the penis and inside fold of the foreskin.

• Pulling the foreskin back over the head of the penis. 

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

Complete circumcision Care | Dayton Children's Hospital

Boys are born with a piece of skin that covers the head (or glans) of the penis. This is called the foreskin. A circumcision is when the foreskin is surgically removed.

Most of the time, a circumcision is done during the first 10 days after a baby is born (often within the first 48 hours). It will take place in the hospital or, for some religious ritual circumcisions, at home. If you decide to have your son circumcised, your pediatrician, family doctor or OBGYN will do the surgery before you bring your baby home. The doctor can tell you about the surgery and the possible risks.

If circumcision is done after the first 10 days, it can be harder and may need general anesthesia (medicine to make the baby sleepy and not feel as much pain). Sometimes doctors decide to do the surgery at a later date or not do it at all. Some reasons a circumcision might be done at a later date may be:

1. Premature babies or those who have special medical concerns may not be circumcised until they're ready to leave the hospital or will need circumcised in the future.
2. Babies who are born with physical abnormalities of the penis that need to be corrected surgically often aren't circumcised at all because the foreskin may need to be used as part of a reconstructive surgery.

the surgery 

One of the hardest parts of the decision to circumcise is understanding that it can be painful. The two main types of local anesthetic used to make it less painful for a baby are:

1. A topical cream (a cream put on the penis) that needs about 20 to 40 minutes to take its full effect
2. An injectable anesthetic that requires less time to take effect and may provide a slightly longer period of anesthesia

Sometimes acetaminophen is also given with the anesthetic. This helps lessen pain during the surgery and for several hours after. Giving a pacifier and swaddling a baby also can help lessen stress and pain.

caring for a circumcised penis

After your baby has a circumcision, you will need to keep the area clean. Gently clean with warm water — do not use diaper wipes. Soapy water can be used if needed.

If there is a dressing on the surgery site, put a new one on (with petroleum jelly) every time you change a diaper for the first day or two. Even after the dressing is no longer needed, put a dab of petroleum jelly on the penis or on the front of the diaper for 3 to 5 days. This can help your baby avoid pain from rubbing and sticking to the diaper.

Most of the time it takes between 7 to 10 days for a penis to heal. At first the tip of the penis may appear slightly swollen and red and you may notice a small amount of blood on the diaper. You may also notice a slight yellow discharge or crust after a couple of days. This is a normal part of healing.

If you notice any of the following problems, call your doctor right away:

• Bleeding that is not stopping
• More than a quarter-size amount of blood on the diaper
• Redness getting worse or not going away after 7 to 10 days
• Fever
• Other signs of infection, such as swelling or discharge getting worse, or pus-filled blisters
• Not peeing normally within 12 hours after the circumcision

However, with quick intervention, almost all circumcision-related problems are easily treated.

caring for an uncircumcised penis

In the first several years your son's foreskin will separate from the tip of the penis. Some foreskins separate soon after birth or even before birth, but this is rare. When it happens is different for every child. It may take a few weeks, months or years. Once this happens, the foreskin can be pulled back away from the tip of the penis. This is called foreskin retraction.

Most boys will be able to retract their foreskins by the time they are 5 years old, yet others will not be able to until the teen years. As a boy becomes more aware of his body, he will most likely discover how to retract his own foreskin. But foreskin retraction should never be forced. Until the foreskin fully separates, do not try to pull it back. Forcing the foreskin to retract before it is ready can cause severe pain, bleeding and tears in the skin.

smegma

When the foreskin separates from the head of the penis, skin cells are shed. These skin cells may look like white, pearl-like lumps under the foreskin. These are called smegma. Smegma is normal and nothing to worry about.

cleaning

If your son's foreskin separates before he reaches puberty, an occasional retraction with cleansing beneath will do. Once your son starts puberty, he should clean beneath his foreskin as part of his daily routine, just like washing his hair and brushing his teeth. Teach your son to clean his foreskin in the following way:
Step 1: Gently pull the foreskin back away from the end of the penis.

Step 2: Rinse underneath the foreskin with soap and warm water.

Step 3: Pull the foreskin back over the penis care for an uncircumcised penis

re-circumcision

When a child is circumcised, sometimes extra skin from the penis attaches to the head of the penis and attaches itself. This can occur because too much skin was left behind during the original circumcision (incomplete circumcision/extra foreskin). The extra skin can also be uneven with more skin on one side versus the other side. Often, a redo is done because the extra skin may lead to irritation or infection. Fortunately, this is a very minor surgery and correcting the circumcision does not take a long time.

same day circumcision

Our pediatric urologists perform same-day circumcisions for patients in the clinic.  Ask your provider if your child is a good fit for the same-day clinic circumcision program. 

questions or concerns? 

If you have additional questions, we're here for you. Fill out the form below and we'll get back to you. 

How circumcision of the foreskin with thickening is performed

Urogenital surgeon Menshchikov K.A. conducts circumcision of the foreskin according to the author's technique. The operation is not traumatic (no swelling, bleeding, scarring, severe pain), guarantees a minimum recovery period (10-14 days). And it has a pleasant cosmetic effect - thickening of the penis with the foreskin.

Outpatient. in a modern operating room. The price includes: frenuloplasty, intravenous anesthesia, absorbable suture material, day hospital (2-4 hours), consultations of an anesthesiologist and an operating urogenital surgeon. nine0003

The information below will be useful to those who have decided or are just thinking of getting circumcised.

Quick navigation through the section:

Circumcision method Menshchikov K.A.

Clamp (method 2)

Dorsal incision method (method 3)

Which method is better and why?

Circumcision styles and options

Foreskin circumcision

Foreskin circumcision

Price: RUB 29,000

All prices

Phone: +7 (495) 162-0327

Address: MO, Pyatnitskoye highway. , 89
m. "Tushino"

El-clinic surgery

Urogenital surgeon: Menshchikov K.A.

Consultation with an anesthesiologist, intravenous anesthesia, frenuloplasty and day hospital are included in the price

Only for patients 18+

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Boys and men over 18 years old come to us for circumcision with thickening with phimosis, paraphimosis, chronic balanoposthitis, excessive foreskin and for personal reasons.

Frenuloplasty is mandatory and is included in the cost of the operation.

Cosmetic effect. The shaft of the penis is thickened by preserving the connective tissue of the foreskin and distributing it along the shaft of the penis under the head.

Various combinations of degrees of freedom and skin tension and suture height are possible. nine0003

Duration of the operation — 1 — 1.5 hours

Advantages of the Menshchikov technique K.A.:

• recovery time — 14 days
• term of sexual abstinence - 14 days
• without edema
• thickening of the shaft of the penis due to the inner layer of the foreskin

Circumcision is performed by a urogenital surgeon Konstantin Menshchikov

How is the foreskin circumcision performed

Step 1.

Intravenous anesthesia is used. After the injection, the patient falls asleep and does not feel anything during the operation. The anesthesiologist monitors the patient's condition at all times.

The diagram shows the penis with the foreskin. The head is closed.

Step 2. Separation of the outer layer of the foreskin from the inner

The surgeon makes a very thin incision on the skin under the head with a radio wave scalpel. The incision is so thin that it allows you to separate the outer layer of the foreskin from the inner. The outer layer is removed. fully. A layer of the so-called connective tissue of the foreskin is preserved. nine0003

Step 3. The inner layer is pushed into the incision, a new frenulum is formed. The remaining layer of the connective tissue of the foreskin is distributed along the shaft of the penis. Then the skin is again pulled over the shaft. Such a circumcision gives a pleasant cosmetic effect: the diameter of the penis increases due to the layer of connective tissue.

A new strong and elastic frenulum is formed.

Step 4. Cosmetic suture

The surgeon sutures with absorbable material. A new frenulum is fixed with a suture and the incision of the outer layer of the skin is closed. The seam in the bridle area is additionally reinforced with biological glue. This eliminates bleeding and divergence of sutures in the first days after the procedure.

The operation ends with the application of a postoperative comfortable non-adhesive dressing. The anesthesiologist takes the patient out of drug sleep.

What will the penis look like after circumcision? nine0059

After such a circumcision, the diameter of the penis increases due to the distribution of the connective tissue of the foreskin along the shaft of the penis.

Circumcision does not affect the length of the penis. After the operation, the sensitivity of the head will be increased, which will be normalized within a few weeks.

A circumcised penis makes it easier to maintain hygiene and control the duration of sexual intercourse.

A neat cosmetic suture is applied with an absorbable, almost transparent material. What distinguishes a cosmetic seam from a regular one, read here. nine0003

VIDEO. Foreskin circumcision operation BEFORE and AFTER

VIDEO. Circumcision BEFORE AND AFTER

PATIENT REVIEWS

Classic Circumcision Techniques

The most popular circumcision techniques are described below. Information about them is given for review and comparison. However, Menshchikov K.A. refused to use them due to longer healing and worse cosmetic effect. nine0003