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CIRCUMCISION

WOUND:
In most cases your incision will have multiple sutures that run along the course of your
incision. Expect some redness around the sutures. If there is generalized redness,
especially with increasing pain or swelling, let us know. The penis will very likely get
'black and blue' as the blood in the tissues spreads. Sometimes the whole penis will
turn colors. The black and blue is followed by a yellow and brown color. In time, all this
coloration will go away.
ACTIVITY:
Your physical activity should be restricted the first forty-eight hours. During that time
you should remain relatively inactive, moving about only when necessary. During the
first few days following surgery you should avoid lifting any heavy objects (anything
greater than fifteen pounds), and avoid strenuous exercise. If you work, ask us
specifically about your restrictions, both for home and work. We will write a note to your
employer if needed.
Ice packs can be placed on and off over the penis for the first 48 hours to relieve the
pain and keep the swelling down. 15 minutes on and 15 minutes off is a reasonable
schedule. Another way of accomplishing this with less mess is to use frozen peas or
corn in a ZipLoc bag. They can be used, re-frozen and used again.
DIET:
You may return to your normal diet within twenty-four hours following your surgery. You
may note some mild nausea and possibly vomiting the first six to eight hours following
surgery. This is usually due to the side effects of anesthesia, and will disappear quite
soon. Clear liquids and a very light meal the first evening following surgery are
recommended.

HYGIENE:
You may shower 48 hours after surgery. Tub bathing should be restricted until after the
sutures are removed and the wound has healed. If your incision is draining after the
sutures are out, do not sit in a tub bath without approval from the physician.
MEDICATION:
You will be sent home with some type of pain medication. In most cases this will be a
narcotic pain pill. DO NOT DRINK ALCOHOL, SIGN LEGAL PAPERS, OR DRIVE
WHILE TAKING NARCOTICS (Demerol, Tylenol with Codeine, Percocet, etc.) If
the pain is not too bad, you may take either Tylenol (acetaminophen) or Advil
(ibuprofen) which contain no narcotic agents, and have fewer side effects. If the pain
medication you receive does not control the pain, contact your physician. Some
narcotic pain medications cannot be given or refilled by a phone call to a pharmacy.
PROBLEMS YOU SHOULD REPORT TO US:
a. Fever of 101.0° Fahrenheit.
b. Moderate or severe swelling under the skin incision or involving the penis.
c. Drug reactions such as hives, a rash, nausea or vomiting.
d. Pain uncontrolled by pain medications.

FOLLOW-UP:

Call Washington Urology at 703-717-4200 to schdule a follow up for your surgery as
well as for any questions related to the procedure.

Source: http://www.washingtonurology.info/Portals/0/Images/CircDischarge.pdf