How do I manage my baby boy after circumcision?
In most parts of Nigeria, male newborns are circumcised either for religious or cultural reasons, some as early as within the first week of life. During circumcision the foreskin is removed either using the traditional guillotine method or the more recently introduced Plasti-Bell method
Here is how to ensure you are keeping baby clean and comfortable in the days after the circumcision. We expect most circumcisions to heal without problems within 7 to 10 days. We are here to advise if you have any further questions or concerns.
Keep the Area Clean:
Always wash your hands before handling the area to reduce the risk of introducing bacteria.
Gently clean the penis with warm water at every diaper change. Avoid using baby wipes or products with alcohol or fragrance, as these can irritate the area.
If stool gets on the penis, wash it off gently with water and mild, unscented soap, then pat dry.
Protect the Healing Area:
Apply a generous amount of petroleum jelly (like Vaseline) or antibiotic ointment (sometimes they will prescribe penicillin ointment in the hospital) to the tip of the penis at each diaper change or at least every 2-4 hours for at least 5–7 days. This prevents the penis from sticking to the diaper and reduces pain and irritation. You should use a clean cotton swan or your washed dried finger(s) to spread a thin layer after gentle cleaning.
If a gauze dressing was used, replace it with each diaper change for the first 24 hours, then continue with just petroleum jelly.
Diapering and Clothing:
Use loose-fitting diapers and clothing to minimize friction and pressure on the healing area. Consider using a diaper one size larger if needed.
To minimise the risk of infection change diapers promptly after baby passes stool or unrinates to minimise exposure to bacteria and moisture both of which can increase the risk of infection
Fasten diapers loosely to allow airflow and reduce discomfort; alternatively or in addition, let the area air dry or gently pat dry with a soft towel. Do not rub.
Bathing:
Stick to sponge baths until the penis has healed and the umbilical cord stump has fallen off. Avoid soaking the area in water until then.
Monitor for Normal Healing:
Some redness, slight swelling, and a yellowish scab are normal signs of healing.
A small amount of blood on the diaper is also normal in the first day.
Watch for Signs of Infection or Complications:
Come back to the primary health center or wherever the procedure was carried out if you notice any of:
-Persistent or heavy bleeding
-Increased redness, swelling, or foul-smelling discharge
-Fever or signs of pain that do not improve
-Difficulty urinating or fewer wet diapers than usual
Comfort Measures:
Feeding after the procedure can soothe your baby. We advise paracetamol after the procedure to help calm your baby if he is fussy
Follow-Up:
Attend scheduled follow-up appointments to ensure proper healing.