Dr. Black's Instructions for the Parents of a Circumcised Infant

A clamp is used to pinch the foreskin for one minute to reduce blood flow. The extra skin can then be removed without excess bleeding.

Care of Circumcision

Circumcision performed by the clamp method leaves an open wound and requires close observation.

• Wash your hands carefully before any care is given to your baby's circumcision
• An initial Vaseline coated gauze dressing will be placed on a circumcision performed with a clamp. This dressing will remain on for the first 24 hours. if it fails off please replace with dry gauze.

Prior to Discharge

• If a dressing or the diaper sticks to the site of the circumcision, do not pull it off. This may cause bleeding. Gently soak the area with a clean, warm, wet washcloth to remove the dressing or diaper.
  
• In the event bleeding occurs apply gentle pressure to the area of bleeding on the penis. If bleeding does not stop in a very short time, bring your infant to me or your family doctor.
  
• After the first 24 hours a dressing is no longer required. Apply Vaseline liberally to the circumcision site with each diaper change to minimize irritation from diapers.
  
• Circumcisions must be observed carefully - watch for any signs of infection, such as redness, swelling, bleeding or a yellowish-green discharge (a white discharge is normal and is part of the healing process). If any of the above symptoms occur, please report them as soon as possible to me or your family doctor,
  
• The circumcised area must be kept clean and dry. Frequent diaper changes are recommended. Cleanse the area gently with water and mild soap. Always rinse the area well and dry. Re-apply diapers loosely to prevent irritation.
  
• Routine bathing is permitted. The baby may be placed in a bathtub once the umbilical cord stump has fallen off.
  
• Healing is usually complete in 10 to 14 days. If you have any questions or concerns about your baby's circumcision, do not hesitate to contact me or your family doctor.