Normal Circumcision Healing The scab at the incision line comes off in 7 to 10 days. If a Plastibell (plastic ring) was used, it should fall off by 14 days. 10 days is the average. While it can't fall off too early, pulling it off can cause bleeding.
It can look a little like a skinned knee while it is healing. It may also appear somewhat swollen. The Plastibell ring will fall off by itself. When this happens can vary from 1 to 8 days.
The penis will have a plastic ring around it. The ring will fall off on its own in 5 to 7 days. There are no stitches with this procedure. There may be some swelling that will go away in about 4 days.
You should give your son sponge baths until the plastic ring falls off. If, however, your son has a bowel movement and stool gets on the penis, you may briefly rinse him off in the tub. Once the ring falls off, you may resume his regular bath routine.
The complications are, for example, infection, bleeding or hematoma, excess mucosa, bell disposition (entrapping the ring), and delayed falling.
The Plastibell has the advantage of continuing hemostasis after the procedure is over, as the suture remains in place for a few days. The disadvantage is that there is a foreign body at the site, which could become dislodged or infected.
After the Plastibell has fallen off, apply petroleum jelly to the entire tip of penis. Gently retract the remaining skin and put petroleum jelly into the groove just beneath the tip. You may need to use a Q-tip to do this. Petroleum jelly will help your child's penis heal properly.
The ring should fall off by itself in 10 to 12 days. A thin, yellow film may form over the area the day after the procedure. This is part of the normal healing process. It should go away in a few days.
It may have a yellow ooze over it which is part of normal healing. Don't wipe it away. Use a Vaseline and gauze bandage every diaper change for 1-to-2 days.
The Plastibell technique is one of the most common methods of newborn circumcision.
Wash the area daily with warm water and pat it dry. Don't use hydrogen peroxide or alcohol, which can slow healing. You may cover the area with a thin layer of petroleum jelly, such as Vaseline, and gauze bandage if it weeps or rubs against clothing. Change the bandage every day.
From our experience, we have seen the Plastibell method work best when a child is circumcised between the ages of one and four months old. This is the age that has been most comfortable for mother and child both during the operation and in the recovery period. The IMC has recommended this age for over a decade.
FAQ's PlastiBell circumcisions
What if the ring is hanging on by small amount of skin? Leave the ring in place and it will eventually fall off. By pulling off the ring you may cause significant bleeding.
Plastibell has the best outcome in infants. Older children are at risk of bleeding and delayed separation of the residual plastic ring. Close follow-up should be enforced following Plastibell circumcision.
In this technique, a tight ligature is tied around the foreskin, drawn over a grooved plastic ring commonly known as the 'Plastibell', and the skin distal to the ligature is excised. The ligature results in a circumferential line of ischemic necrosis and the Plastibell falls off within the course of a few days.
What if the plastic ring falls off early? With younger babies the ring can fall off within 2 or 3 days after the circumcision. This is not a problem as long as there is no bleeding. After the ring falls off please apply Vaseline on the penis during nappy changes.
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.
Washing: For the first eight 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). Once the eight hours have passed, at each diaper change you can squeeze some water from a washcloth over the tip of the penis.
discharge that includes pus (cloudy, yellowish/white, foul-smelling fluid) hot skin and/or spreading redness around the wound site. fever.
Advanced laser circumcision is safe for all age groups. It is minimally-invasive in nature and there are no major wounds or stitches to take care of. Thus, it is absolutely reliable technique of circumcision for infants.
Due to advantages like being quick, easy to perform, a less traumatic technique with minimal blood loss, lower complication rates and high cosmetic satisfaction, circumcision performed with ring instruments is a very popular and frequently chosen method.
The plastibell system is designed to remove the correct amount of skin. Even so, concerns can arise that not enough skin has been removed. This is usually due to the pubic fat pad that develops at the base of the penis and pushes the shaft skin onto the head of the penis. The fat pad resolves around age 4.
Your baby may seem fussy while the area heals. It may hurt for your baby to urinate. This pain often gets better in 3 or 4 days. But it may last for up to 2 weeks.
A yellowish-white film will appear on the tip of the penis until the healing is complete. This is normal. Do not use baby wipes on the penis until the circumcision has healed.