If a gauze was used and doesn't fall off on its own, remove it after 48 hours. Begin retracting (pulling back) the foreskin between 4 to 10 days after the circumcision (see instructions in next section).
Most boys' foreskins do not pull back (retract) before the age of 5, but sometimes it's not possible until they're 10 or older. The end of a boy's penis may bulge or balloon when they pee, particularly if their foreskin is tight.
But over the first few years of life, the foreskin gradually pulls back more easily. By the time a boy is 5 years old, his foreskin usually can be pulled all the way back. Some boys' foreskins cannot be pulled all the way back until they are 10 to 17 years old.
Usually, after the circumcision has healed, the penis requires no additional care. Occasionally a small piece of the foreskin remains. You should pull back this skin gently each time the child is bathed.
But foreskin retraction should never be forced. Until the foreskin fully separates, do not try to pull it back. Forcing the foreskin to retract before it is ready can cause severe pain, bleeding, and tears in the skin.
Gently pull the skin on the shaft of the penis backward towards the stomach. This will make the foreskin open up. You will be able to see part of the glans. The glans is the tip of the penis.
However they vary widely in outcome. The present study shows in a large cohort of men, based on self-assessment, that the foreskin has erogenous sensitivity. It is shown that the foreskin is more sensitive than the uncircumcised glans mucosa, which means that after circumcision genital sensitivity is lost.
With non-vascularized adhesions the foreskin naturally adheres to the head/glans of the penis and sometimes happens again after circumcision. This type of adhesion often resolves without treatment because of natural exfoliation of the skin.
This can occur because too much skin was left behind during the original circumcision (incomplete circumcision/extra foreskin). The extra skin can also be uneven with more skin on one side versus the other side. Often, a redo is done because the extra skin may lead to irritation or infection.
The most common reason for a circumcision revision is that too much of the foreskin is left following a circumcision. This is called redundant foreskin. It can cause scar tissue to form as an infant grows and develops more fat in the area around the penis.
Phimosis is a condition in which the foreskin can't be retracted (pulled back) from around the tip of the penis. A tight foreskin is common in baby boys who aren't circumcised, but it usually stops being a problem by the age of 3. Phimosis can occur naturally or be the result of scarring.
The sleeve surgical technique, in which the foreskin is removed from its pulled-back position, is most commonly used when males have too much foreskin. Other techniques may be used depending on the reason for the revision and the boy's/man's age. A urologist will be able to decide the type of revision that is best.
Your child's glans may have off-white or yellowish patches in the first few days after surgery. These are a type of scab and are completely normal. Two or three days after the circumcision, the skin may look green and yellow. This is a sign of normal healing, not pus.
When not enough of the foreskin is removed during the original circumcision, it results in a condition known as redundant foreskin. It is also considered the outcome of an “incomplete circumcision.” When the penis is flaccid, the foreskin will still cover the glans, so the organ appears as if it is uncircumcised.
Foreskin restoration is something that you can do if you were circumcised as a child. It is a method or practice to regrow your foreskin. There are a few different options for foreskin restoration including surgery and skin stretching tools.
The tip may be sore, and the penis itself may look red and swollen. You may see a yellow crust on the tip as well. This is normal and should go away on its own in a few days. It will take a week to 10 days for your son's penis to heal completely.
Penile adhesions in circumcised boys occur when the penile shaft skin sticks, or adheres, to the glans of the penis. The glans is the bulbous structure at the end of the penis. Skin bridges are a thicker, more permanent attachment.
The NMC group included 72 patients (29.0%) who were circumcised during the newborn period; the non-NMC group included 176 patients (71.0%) who were circumcised after the newborn period. There was no significant difference in height, weight, and second to fourth digit ratio between both groups (Table 3).
Incision care
Wash the area daily with warm water and pat it dry. Don't use hydrogen peroxide or alcohol, which can slow healing. You may cover the area with a thin layer of petroleum jelly, such as Vaseline, and gauze bandage if it weeps or rubs against clothing. Change the bandage every day.
Gently, not forcefully, pull the foreskin away from the tip of the penis. Rinse the tip of the penis and the inside part of the foreskin with soap and water. Return the foreskin back over the tip of the penis. Before urinating, always pull the foreskin away from the tip of the penis and return it afterward.
Revisions are also done if there is so much skin that it doesn't look circumcised or if the skin left behind is uneven. The child will not “grow into” the extra skin so we often make the recommendation for revision if there is a lot of extra skin and the adhesions keep coming back.
Recovery and Outlook
Recovery from circumcision takes about eight to 10 days. While the penis heals, it may look swollen and red.
Dryness around or under your foreskin is often caused by a yeast infection, also called thrush. Foreskin yeast infections are a result of overgrowth of a fungus known as Candida albicans. You can get it from having unprotected sex with someone who already has an infection.
Morris' systematic review carried out in Australia [23] on early MC, with a total of 40,473 men, showed that medical circumcision (MC) does not adversely affect sexual function, sensitivity or pleasure.