1, exudation: after circumcision, due to the preoperative foreskin and glans adhesions have fresh trauma will occur fluid exudation (similar to the exudation after skin abrasion). This kind of exudation may exist at the beginning of 1-2 weeks, and the duration depends mainly on the degree of preoperative adhesions. The exudate starts as a colorless liquid and as it accumulates it changes to a yellowish pus-like state, so many parents may think that the wound is infected with pus, but it is not. The exudate must be wiped clean by parents or children themselves after thoroughly moistening with furacilin cotton balls or silver ion spray, otherwise the gradual accumulation of exudate crusts day after day will not only increase the difficulty of cleaning, but also cause blockage of the urethra, painful urination, difficulty in urination and even bleeding from the wound due to crusting. So, exudate as clean as possible (to not bleed as the bottom line of strength).
2, edema: all children with circumcision will have foreskin edema after circumcision, and the edema will subside on its own. The postoperative edema reaches its peak on the third day after surgery and takes 2 weeks-4 weeks to disappear, and some children will take longer. In short, the edema will disappear on its own and does not require special medication.
3, bleeding: bleeding after circumcision is also very common, bleeding at that time to within a few hours after surgery is mostly due to the distribution of small blood vessels in the foreskin due to individual differences; bleeding about 1 week after surgery is mostly due to wound oozing crust cracking, post-operative metal/plastic ring collision, penile erection wound splitting, etc. If circumcision bleeding occurs, first of all, do not panic, the vast majority of exudative bleeding can be stopped by the body’s own strong coagulation mechanism on its own (unless children with coagulation disorders such as hemophilia). If the bleeding is active and gradually flows out of the wound, first apply gentle pressure to the wound with a clean towel or gauze and come to the hospital. The doctor can treat the wound or inject hemostatic medication as appropriate. Severe bleeding requires re-surgical debridement followed by suturing.
4. Difficulty in urination: After circumcision, some children have difficulty in urination or even refuse to urinate because of fear or mental tension after surgery and wound pain. Because circumcision does not involve urethral operation, it will not damage the urethra. Difficulty in urination is also often due to psychological reasons. Parents should actively encourage the child to urinate, cover the abdomen with warm towels, gently relieve muscle spasm with hands, and stimulate the urination reflex with a laxative. If the above methods are not effective, please come to the hospital for catheterization in time.
5, pain: after circumcision children will have several days of wound pain, pain relief in addition to the anal pain medication provided during surgery can also use mental comfort, divert the attention of the child and other methods. The pain is more frequent at night, in addition to the rhythm of nerve sensitivity is also related to the night after the child sleep, activity is reduced, attention is not distracted to the pain is more sensitive. Before going to sleep, anal analgesics can be applied appropriately, and attention must be paid to the interval of at least 12 hours between each dose.
6.Metal/plastic ring: Most of the children are ligated with a ring, and when the metal/plastic ring comes off after surgery is one of the concerns of parents. The time for the ring to fall off varies from person to person, with the majority of children falling off in 2-4 weeks, and very few children not falling off for about 1 week or more than 1 month. It is worthwhile to explain that regardless of whether the ring comes off late or not, it should be allowed to come off as naturally as possible. The area where the ring touches the skin will have reactive redness and swelling, which usually does not require special treatment, but simply needs to be cleaned along with the care. If the ring becomes lodged in the glans (similar to the case of a ring with a small finger inserted), please come to the hospital immediately. After the ring comes off, please visit the hospital for a review.
7, sutures: In addition, some children have wounds suitable for sutures, generally do not need to remove the sutures, 2-3 weeks most of them will be absorbed by themselves.