Postoperative care after adult circumcision, preputioplasty or frenuloplasty
After the circumcision, preputioplasty or frenuloplasty, your penis will be swollen and look very bruised. This is a normal effect of both the injected anaesthetic and the handling it necessarily receives during the operation. These will gradually reduce over 1-4 weeks.
If you normally wear boxers, you may find that they give insufficient support immediately post-operative. You may wish to consider some form of briefs which will hold your penis in position and thus reduce the frictional stimulation which it would otherwise receive if allowed to swing freely.
The doctor will bandage only the immediate area of the cut of circumcision. This bandage will normally be wound tightly around the penis. It serves two purposes, to protect the wound and to contain and reduce the swelling. Removal of the initial bandage is a compromise between maintaining the compression for as long as possible to reduce swelling as fast as possible and changing the dressing on the wound before it sticks too much to the healing skin. 2 to 3 days after the operation is generally regarded as the most opportune time to change the dressing. The bandage will, most likely, be well caked in blood (particularly the inner layers) and will need to be soaked off in the shower to avoid tearing the healing wound. A thin coating of an ointment, e.g. Vaseline or Fucidin, before applying the bandage will reduce the possibility of blood making it stick to the skin. Use Fucidin cream according to Dr Khan advice. If you choose not to use a bandage, then a gauze pad may be useful to prevent the stitches catching in your underwear.
Do not apply any antiseptic cream to your penis, nor add any antiseptic to bath water. Whilst they do help to kill germs, most are corrosive to new skin and actually slow down healing. In the rare cases where an infection develops, see a doctor as soon as possible. You can take Vitamin C and E regularly for 10 days, this will promote healing. After 2 weeks, you can apply bio oil to the wound for a few weeks
Everyone reacts differently in respect of pain. For most people circumcision will not be truly painful, but a degree of discomfort is to be expected during the first few days. If you choose to take pain killing tablets, then follow the instructions precisely. Do not take more than the recommended maximum dose. If you have a favourite brand of pain killer and the doctor has prescribed something else, be sure to ask about the effects of ‘mixing and matching’. Do not take Aspirin or any blood thinning medicine after your doctor (GP) advice since these thin the blood and have an anti-clotting action which can increase bleeding from a wound after the circumcision.
The Stitches and Glue
Circumcision with stitches (sutures in medical parlance) need to remain in place long enough for the cut edges to knit together but not so long as to allow the skin around them to fully heal. In practice this usually means they should remain for between 2 and 3 weeks. These soluble (or self-dissolving) stitches will fall off spontaneously in due course. Circumcision with glue usually comes off within 10 days. If there is any loose glue, you can cut this loose part of the glue but do not peel off rest of the glue from the wound.
You can travel home safely within 1-2 hours distance after the circumcision or any other foreskin procedure. Avoid long journey for 24 hours. Do not fly for 24-48 hours. Take a flight after 48 hours if your flight is more than 4 hours.
To reduce the effect of nocturnal erections pulling on the stitches or glue during the first few days after the circumcision, empty your bladder before retiring and a few times during the night. Do not lie on your back, but on your side. It may be helpful to draw your knees up a bit into a more foetal position.
Do not be over eager to have sex until your circumcision has healed, which will normally take up to 4-6 weeks. If you need relief during the healing process, then try techniques which stimulate places other than the glans and scar line. These can include squeezing the shaft alone, massaging the nipples or prostate massage. To avoid excessive friction on the healing scar line you may wish to consider the use of a condom. A condom should always be used for penetrative sex (even with a regular partner) until the scar line is completely healed and settled down, which may take two to three months to achieve.
Time off Work
There is no absolute need to take time off school or work after circumcision, but you may find it very hard to concentrate on work for the first few days and so may find it useful to take a week off. A week (or even two) off work is very desirable if you do heavy lifting or if your job keeps you seated and unable to move around freely for long periods. Do not schedule a circumcision immediately before major examinations if you wish to pass them, as you cannot get up and walk around to relieve any pressure on your penis. You should naturally avoid fast-moving or contact sports, cycling and swimming until your circumcision has fully healed for at least 2-3 weeks.
Note: The content on our information page is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Always seek the advice from Dr. Khan regarding any medical questions or conditions developed before or after circumcision, frenuloplasty or preputioplasty.
26 year experience Paediatric Surgeon/Urologist in adolescent and men circumcision at London Clinic and Thornhill Clinic, Luton
Monday: 8 am – 7 pm
Tuesday: 8 am – 7 pm
Wednesday: 1 pm – 7 pm
Thursday: 1 pm – 7 pm
Friday: 8 am – 7 pm
Saturdays: 10am – 7pm