Circumcision is a common surgical procedure that removes the foreskin from the penis. While generally considered safe, understanding the normal healing process and recognizing potential complications, such as infection, is important for proper care.
Normal Healing After Circumcision
After a circumcision, the treated area will exhibit several expected changes as it heals. Initially, the tip of the penis may appear red and somewhat swollen. This swelling is most noticeable around the incision line and the head of the penis, gradually resolving over days to weeks. For babies, recovery occurs within 10 days, while for adults, it can take two to three weeks, with full healing extending to six weeks.
A thin, yellowish or whitish film may develop on the head of the penis during the first few days. This is a normal part of the healing process and is not pus or a sign of infection. Minor clear discharge and slight scabbing are common. Small blood spots on the diaper or underwear are expected in the first few days.
Identifying Signs of Infection
Recognizing infection indicators is important for timely intervention. Spreading redness that extends beyond the immediate incision site and worsens over time, potentially moving up the shaft of the penis, is a key sign. Swelling that increases or does not improve after several days can also suggest an infection.
Discharge from the wound is another key indicator. While a yellowish film is normal, discharge that is cloudy, yellowish/white, green, or has a foul odor indicates infection. Increased pain, especially if sudden, throbbing, or significantly worsening from initial mild discomfort, also points to infection. A fever above 101.5°F (38.6°C) within a day after the procedure indicates infection. Other signs include:
Skin discoloration
Tenderness on or around the wound
Persistent bleeding
Difficulty urinating
General irritability
Lethargy, especially in infants
When to Seek Medical Care
Seek prompt medical evaluation if any signs of infection appear. Contacting a healthcare professional is advisable if redness or swelling around the circumcised area worsens after three to five days, or if it does not improve. The presence of pus-like, foul-smelling, or yellowish-green discharge from the penis necessitates medical attention.
Seek medical attention for any fever above 101.5°F (38.6°C), especially if it occurs soon after surgery. Persistent bleeding that does not stop with gentle pressure, or more than a few drops of blood, also requires medical attention. If there is difficulty urinating, no urination within six to twelve hours after the procedure, or if the urine stream is weak or dribbling, seek medical advice.
Preventive Care Measures
Implementing proper care measures after circumcision helps minimize the risk of infection and supports healthy healing. Maintain cleanliness of the surgical site by gently washing the area with warm water and mild soap as directed by a healthcare provider. Pat the area dry carefully rather than rubbing.
Applying a thin layer of petroleum jelly or a recommended ointment to the penis with each diaper change helps prevent the wound from sticking to the diaper and promotes a moist healing environment. Prompt diaper changes keep the area clean and dry, reducing bacterial introduction. Wearing loose, breathable clothing, such as cotton underwear, prevents chafing and irritation of the healing area. Avoiding strenuous activities and sexual activity for several weeks after the procedure prevents wound disruption and infection.