Circumcision/Penis Surgery Post-Operative Instructions

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DISCHARGE INSTRUCTIONS
Pediatric Urology – Dr. Stec
Circumcision / Circumcision Revision / Chordee Repair
Page 1 of 1
Form Origination Date: 6/11
Version: 2
Version Date: 03/13
Patient Name
MRN
PATIENT IDENTIFICATION LABEL
MEDICATIONS:
You can give your child acetaminophen (Tylenol ) every 4-6 hours if he is irritable or has a fever. Please call if your child a
fever over 101.5°F (38.6°C). If you received a prescription pain medicine, use it for the first 24 hours, only if you think he
needs it. Older children (typically older than 5 years) may need it longer (3-5 days). The prescription pain medicine has
Tylenol  in it. Do not give both over-the-counter Tylenol  and prescription pain medication. Follow the manufacturer’s
recommendations for the child’s weight, and do not exceed maximum amount from all sources in 24 hours.
WOUND CARE:
1. At diaper changes, apply a large amount of petroleum jelly (Vaseline ) or antibiotic ointment to the head of the
penis.
2. Do not put your child in the bath or shower for 48 hours; Sponge bathe him during this time.
3. If your child has a bandage, it can be removed after 48 hours. Soak the bandage with water in the tub or shower
when you bathe your child. When the bandage gets loose, it should slide up and off the penis like a sleeve. This may
take several baths and is OK if it takes several days. If the bandage gets stuck down around the base of the penis, it
will get tight and needs to come off immediately.
4. If your child has a super glue type dressing, it will flake off over time.
5. It is OK if the bandage falls off early, just clean the head of the penis as directed.
6. If the dressing becomes soiled, use hydrogen peroxide and / or baby wipes to clean the area. Apply Vaseline  or
antibiotic ointment as usual. It is OK if it doesn’t come totally clean. Do the best you can.
7. After the bandage is off, clean the penis with mild soap and water or hydrogen peroxide around the stitches. Pat dry
gently or use a blow dryer on low heat, then apply petroleum jelly (Vaseline ) or antibiotic ointment. Do this twice a
day for two weeks.
8. Redness, swelling, and / or bruising are normal and will gradually get better. The swelling may get worse for a short
time after the bandage comes off, after which it will gradually get better.
ACTIVITY:
1. No straddle toys / bikes / straddle swings for 3 weeks. Car seats and strollers are OK.
2. No swimming for 2 weeks.
3. Teenagers should not drive for 2 weeks.
SPECIAL INSTRUCTIONS:
FOLLOW-UP CARE:
You will follow-up in Pediatric Urology Clinic on
(date)
(time) (approximately 4 weeks after
the procedure) for a wound check. You will receive your appointment prior to leaving the recovery room.
QUESTIONS OR PROBLEMS
If you have any non-emergent questions during daytime hours, please call the pediatric urology office at (843) 792-7687. If
you have an emergency or after-hours issue, please call the MUSC operator at 843-792-2123. Have the operator page the
pediatric urology resident on call.
These discharge procedures have been explained
to the patient and / or responsible person.
I understand the above instructions.
Nurse
Patient / responsible person
Date
Original to Medical Record
ch_pedsurology_pedsuroldcinstruct_circumcision
Copy to Patient
OTE 700710 03/13