Aftercare for older boys and adult men (2023)

For older boys and adult men (patients over 13 years old)

This information is intended as a general guide to the preparations you need to make for your elective exam.adult circumcisionand the aftercare of his newly circumcised penis. The guidelines also apply to circumcision of pubertal and post-pubertal adolescents, but not to infant or child circumcision.

Preparation

During holiday periods, our sessions fill up months in advance. If time is important to you, e.g. Make sure you make your initial contact with your doctor well in advance to accommodate available holiday dates. You can always schedule an appointment several months in advance, even if earlier dates are available.

The center requires you to make an appointment. At this point, the doctor will make sure you know what it is and gather some medical details to rule out any obvious contraindications.

Be sure to tell your doctor if you are allergic to anesthetics or antibiotics; if you have diabetes; if you are taking prescription medication; or if you have recently received any other medical treatment.

This is also the time to talk to your doctor about the specific results you need, such as a "tight" or "loose" circumcision, "high" or "low" scar line placement, bridle removal, or retention. Please note that the terms "high" and "low" may mean something different to you compared to the medical profession. So be specific and show him where to place the scar line. (link to circumcision styles)

Please ask any other questions you may have about the proposed circumcision.

pubic hair

Pubic hair doesn't need to be completely shaved, but trimming it very short is a good idea. This helps with asepsis during surgery and prevents hair from getting painfully caught in the bandage afterwards. Trim pubic hair a few days before surgery to allow the trimmed ends to soften again. In areas such as the thighs and pubic area, routine shaving should be discontinued at least two days prior to surgery. This is to prevent irritation or damage to the skin that could lead to infection. Wash/shower or bathe at home with your usual products.

Sex

After the circumcision there will be a period of up to six weeks when you will not be able to have sexual intercourse.

Alcohol

Do not drink alcohol, with or without food, prior to surgery as it can dehydrate you and reduce the effectiveness of the local anesthetic.

Hygiene

On the morning of the circumcision, take a nice bath or shower, paying special attention to your genitals. Pull the foreskin back as far as possible and clean well underneath. Empty your bowels and bladder immediately before the operation.

post-treatment

After the surgery, your entire penis will be swollen and look very bruised. This is a normal effect of both the injected anesthetic and the handling you will necessarily receive during the surgery. These will gradually taper off over the next week or two.

underwear

If you normally wear boxer shorts, they may not provide adequate support immediately after surgery. You may want to consider some type of underwear that will hold your penis in place and therefore reduce the frictional stimulation you would otherwise get if you let it swing freely.

The association

After the procedure, only the immediate area of ​​the cut is bandaged. This bandage is usually wrapped tightly around the penis. It has two purposes, to protect the wound and to contain and reduce swelling.

Initial dressing removal is a compromise between maintaining compression for as long as possible to reduce swelling as quickly as possible and changing the wound dressing before it becomes too adherent to the healing skin.

1-2 days after surgery is generally considered the best time to change the bandage in case of adhesive circumcision. In the case of circumcision with stitches, it is advisable to keep the bandage for 3-4 days. The bandage will likely be heavily covered in blood (especially the inner layers) and will need to be soaked in the shower to avoid tearing the healing wound. If the bandages fall off first, don't worry as long as you don't bleed.

Add enough lukewarm water to a bath to completely cover your crotch as needed. Add a few handfuls of salt to promote healing. DO NOT add any antiseptic solution. Sterilize the small scissors by soaking them in an antiseptic solution, then quickly rinse them with clean water (they won't touch the wound, so they don't need to be completely sterile). After soaking, cut the elastoplast towards the tip of the penis. This shows the gauze coming out of the penis. Avoid cutting the other points.

The bandage should now be removed from the wound. (It's a good idea to have a small plastic bag handy to throw away the used bandage.) Slowly unroll the bandage, pausing each time you need a little force to untie it, don't Water soak up the clotted blood and proceed. Be sure to remove ENTIRE dressing, including any extraneous gauze that may have become lodged in the wound. Do not peel off the adhesive.

Once the bandage is removed, wipe away the bloody water and replace it with more warm salt water. Soak the exposed penis for a few minutes (not long, but long enough to remove any accumulated blood), then pat dry with gauze and apply a fresh bandage to protect the wound while it is in case of Circumcision stitches continue to heal. A thin layer of a mild ointment, such as petroleum jelly, before applying the bandage reduces the chance of blood adhering to the skin. Repeat the process about every 48 hours until the middle of the second week, after which the light bandage can be left in place or removed as desired. If you choose not to wear a bandage, gauze can be helpful to prevent stitches from getting caught in your underwear.

There is no need to apply circumcision tape if there is no bleeding.

promotion of healing

Don't put antiseptic cream on the penis and don't put antiseptic in the bath water. While they help kill germs, most are caustic to new skin and actually slow healing. In the rare event that an infection develops, seek medical attention as soon as possible.

Soaking the wound in a cup of cold boiled water with a teaspoon of salt for 10 to 15 minutes several times a day can be beneficial and very soothing.

Analgesics

Everyone reacts differently to pain. For most people, circumcision will not be very painful, but expect some discomfort for the first few days.

If you decide to take pain medication, follow the directions carefully. Do not take more than the maximum recommended dose.

If you have a favorite brand of pain reliever and your doctor has prescribed something different for you, ask about the effects of the combination of medications.

Don't take aspirin or aspirin-based products because they thin the blood and have an anticoagulant effect that can increase bleeding from a wound. Check with your doctor first if you regularly take aspirin for heart problems.

Points

The stitches (sutures in medical parlance) need to stay in place long enough for the raw edges to come together, but not long enough for the surrounding skin to fully heal. In practice, this usually means that they should stay 1-2 weeks. Leaving them on longer increases the risk of leaving small holes (or "puncture tunnels") in the skin.

Although the doctor usually uses threads that dissolve (or dissolve themselves), they still need to be removed after 2 weeks if they have not dissolved. You can go to your own doctor to have the stitches removed, or you can do it yourself (even easier, have your partner or friend do it for you).

Sterilize fine-tipped scissors and flat-tipped tweezers. Wash your hands and penis well. Carefully cut a tip near the knot and pull it out by holding the knot with the pliers. Don't be surprised if the stain bleeds a little. Alternately remove stitches and stop when the two edges of the circumcision line separate, this indicates healing has not progressed far enough. If everything is in order, you can remove the remaining threads or leave them in for a few more days if you wish.

erections

To lessen the effects of nocturnal erections that pull at the strings for the first few days, empty your bladder before bed and sometimes at night. Do not lie on your back, but on your side. Elevating your knees slightly into a more fetal position can help.

Sex

Don't be too eager to have sex until your circumcision has healed, which usually takes up to six weeks.

To avoid excessive friction at the scar line, you may consider using a condom. A condom should always be used during penetrative sex (even with a steady partner) until the scar line has fully healed and stabilized, which can take two to three months.

free time from school or work.

It is not absolutely necessary to miss school or work after circumcision, but it can be very difficult to concentrate on work for the first few days, so taking a week off can be helpful. A week (or even two) of rest is highly desirable if you lift heavy objects or your job requires you to sit for long periods and not be able to move freely.

Don't schedule a circumcision right before important tests you want to pass, as you won't be able to get up and walk around to relieve the pressure on your penis.

Of course, you should avoid contact or vigorous exercise, cycling, and swimming until your circumcision is fully healed.