Dr. Reed, Do you have special recommendations for adult circumcision aftercare? I don’t want to spoil a good result. Scott
Adult circumcision aftercare advice should not be glossed over. Firstly, early mobility is the great enemy of penile healing. Remember it’s simple hydraulics. Your heart is center stage and every thing below that if you are vertical is a potential reservoir for fluid collection. If you are sitting up in bed, you are vertical. You’d be surprised how many patients have told me or on forums talk of a hematoma after surgery. A hematoma is a collection of blood that may need to be drained or takes a while to reabsorb. It also puts pressure on the incision from within and impedes circulation. Optimal circulation is essential to wound healing.
We will keep you in the recovery room for about 2 hours, and you should plan on being in a bed within 10 to 15 minutes after discharge, getting up only to use the commode and eating. Yes you can turn side to side, because that does not alter the relationship of your heart to your penis.
This means you’ll have any prescription meds filled out beforehand. The nedt day I will see you and slit the outer dressing so your penis has a chance to swell somewhat which is normal without constriction of the blood flow. Think arteries, blood coming in and veins, blood needs to come out.
Plan on convalescing for a few days before returning to an office environment. If you are doing stressful physical labor, hold off returning to work for a good 10 days. Sutures out in 12 to 14 days, steri-strips reapplied to avoid cross hatch marks. Of course no penetrating sex for 8 weeks, as an incision does not regain full tensile strength for 7 to 8 weeks. Leave the steri-strips on for another 7 to 10 days, if possible. Don’t apply ointments over them, as that will “loosen” the adhesive.
Call your doctor with any concerns 24/7. We will provide you with 3 emergency telephone numbers for after hours use.
Harold M. Reed, M.D.
The Reed Centre for Cosmetic Circumcision | Miami