
Process: Aftercare Followup Guide

Guide 4 : AFTERCARE NOTES FOR PARENTS FROM DR HARRIS
Following circumcision surgery by Dr Harris, it is essential to follow the written aftercare instructions by Dr Harris to ensure proper healing and prevent complications.
Maintain good feeding, high fluid intake for hydration, and getting adequate sleep and rest are important for a smooth recovery.
Surgically this includes wound management, prevention of infection and pain management.
Wound Care:
- Ensure the wound is dry and clean:
Follow Dr Harris’s written instructions on how long to keep dressings on and how to clean the wound. Generally, you can bat three days after the circumcision surgery..
- Change dressings as instructed:
Use soap and water to clean your hands and follow proper techniques for changing dressings to avoid infection.
- Wound appearance
Follow Dr Harris’s opinion and advice regarding the wound appearance.
The wound of a baby after traditional circumcision looks different to that of a baby after surgical circumcision with stitches. Initial healing over 21 days. Please reassure anyone who has not seen this appearance previously and contact me.
- Monitor for signs of infection:
Monitor to observe any area of swelling, erythema (red) or pus exudate discharge. Redness, swelling, increased pain, or discharge could indicate infection. Contact Dr Harris if you experience any of these.
- Don’t touch the wound:
Avoids bacteria and infection.
Pain Management:
- Take Dr Harris prescribed pain medication:
Follow Dr Harris’s opinion and advice regarding dosage and frequency
From the change of dressing (day after the circumcision surgery) Dr Harris will advise a dollop of vaseline on the tip with each nappy change, for the first three months.
IF YOU HAVE ANY CONCERNS WHATSOEVER DO NOT HESITATE TO CONTACT DR HARRIS
Frequently Asked Questions
Will Dr Harris advise me about the aftercare followup of my baby after the circumcision procedure?
Dr Harris will advise you about continued aftercare followup for your baby following the circumcision procedure.
How will I give my consent?
Your consent for the operation of circumcision process is written consent with both parents signing the consent form giving Dr Harris permission for your baby to undergo circumcision procedure.
When will I be asked to give consent to circumcision procedure?
Dr Harris we will ask both parents to give permission by both parents signing the consent form.
Who will give consent to circumcision procedure?
Your consent for the operation of circumcision process is written consent with both parents signing the consent form giving Dr Harris permission for your baby to undergo circumcision procedure.
Why do you not use stitches for baby circumcision?
The wound of a baby after traditional circumcision looks different to that of a baby after surgical circumcision with stitches.
There are two types of wound healing and both may be seen in the wound:
- Primary intention: the two edges of cut skin lie adjacent to each other and heal by joining together again.
- Secondary intention: Area where the cut edges do not come together leaving raw exposed gaps between them. Here the raw surface exudates (a surface exudate) which will gel to form a protective layer over the wound beneath which healing takes place. This exudate will be beige in colour, thin or thick in consistency, not to be confused with pus or infection. Exudate is normal healing of this type of circumcision wound since there are no stitches. The time taken for the wound to heal completely depends on the age of the child and the size of the raw area, but initially is 3-6 WEEKS. The joining skin (“rim, ridge, tyre, band”) takes much longer. The unusual appearance amazes/concerns those doctors and nurses who have not previously seen this traditional method (no stitch) of normal wound healing (exposed raw flesh on the penile shaft, NOT pus/wound infection) around the skin margins. Please reassure anyone who has not witnessed this normal healing process.
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