Instructions for After the Berit
- I will apply a gauze with antibiotic ointment at the time of circumcision.
It will fall off into the diaper, sometimes within a few hours, sometimes
overnight. If it is still in place the morning after the berit, gently
remove it. Soaking it with water makes it come off more easily. Once
the gauze has fallen off or been removed, apply Neosporin or other antibiotic
ointment to the penis at each diaper change for one week. No other bandage
is needed after the initial dressing comes off.
- The edges of the incision may be swollen, and there may be a yellow
scab around the edge, or on the head of the penis. This is part of the
normal healing process, and it does not need to be removed.
- A small amount of bleeding is not unusual. If there is a lot of bleeding
(spurting, or soaking diaper), press the penis up against the lower
abdomen and apply direct pressure for 15 minutes. Don’t remove
the dressing to peek during this time. If severe bleeding continues,
call or page me.
- In some babies, especially if they are chubby, the penis may retract
below the level of the surrounding skin. If this happens, gently push
the skin down on either side of the penis with your thumbs, with each
diaper change. It’s very important that the head of the penis
remain visible for proper healing.
- If the skin is sticking to the head of the penis, gently push it down
using a moist Q-tip.
- Most healing is complete in about a week. However, healing may take
several weeks, and the penis may be swollen or discolored during this
- Diapering and gentle cleaning can be done as usual, but avoid powder
for the first week. You can bathe the baby two days after the circumcision,
or as suggested by your pediatrician based on the umbilical cord, whichever
- Never hesitate to call or page me for any urgent concerns.
To ask Dr. Duel a question, send an inquiry or otherwise, please feel
free to email him at firstname.lastname@example.org.