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ISSN 0973 - 0958
Absence of Testis from
Scrotum
Circumcision in Children
Acute Swelling and Pain
in Scrotal Region
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CIRCUMCISION IN CHILDREN
Problem & Precautions: The prepeucial skin is lose unhealthy, and very vascular, hence cutting and suturing always causes a swelling in the post operative period. This looks ghastly and worries the parents - but this disappears by itself within a few days and nothing specific needs to be given for this. I usually do not give any dressing and the child is
allowed to pass urine, some blood may ooze from the suture site the first day, which later dries up and forms a scab. These scabs too are to be left alone and will fall off by themselves. A clot may sit right on the urinary opening and partially block it so the child passes urine from the side of the hole with multiple streams again worrying the parents - but these streams will disappear as the clot falls off to a single stream. After a circumcision, I avoid any pants being worn for 8 days. The area of operation is very sensitive and anything that touches or rubs against that part gives exquisite pain to the boy. Thus the child either wears a Lungi or a girl's dress/ nighty for the first 7 days. After 4 days the boy is given a regular bath and is made to sit in a tub of hot water to give fomentation to the part. With the hot water fomentation, the edema subsides, the sensitivity goes away, the scabs loosen and along with the sutures fall off by themselves. This hot hipbath is given with hot water at least 15 minutes each time and 3-4 times a day and is followed by application of an antibiotic ointment locally each time. This is continued till all the scabs and sutures have fallen off the local part is dry. The entire process of normalization may take up to 10 days though the healing is over in 4 days.
Last Updated: 27th January 2009
Difficulty in Passing Urine
The parents in younger children may notice this or the older ones may be able to vocalize and tell their parents. The boy may be straining to pass urine, have a thin stream of urine, which may fall close to his feet. The child may cry when passing urine, may pull at the penile skin after passing urine, or have a habit of rubbing the penile tip skin off and on.
During the course of the day the parents may notice that the child continuously has his hand on his penis. All these are signs of irritation, infection, inflammation of the prepucial skin, which is long standing. The parent may notice a ballooning of the prepucial skin before the urine stream comes out.
During the course of the day the parents may notice that the child continuously has his hand on his penis. All these are signs of irritation, infection, inflammation of the prepucial skin, which is long standing. The parent may notice a ballooning of the prepucial skin before the urine stream comes out.
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