QLexNursing

"I'll make sure his diaper is loose in the front."

🔷 Loose diapering is essential after circumcision to minimize pressure or rubbing against the healing site.

🔷 The Plastibell device sits at the tip of the penis and should remain undisturbed to fall off naturally.

🔷 A tight diaper can cause pain, inflammation, or premature dislodgement of the ring.

🔷 Loose fitting also promotes airflow and healing and reduces the chance of adhesions or irritation.

"I'll expect the plastic ring to fall off by itself within a week."

🔶 The Plastibell ring is designed to fall off on its own—usually between 5 to 8 days.

🔶 It works by cutting off circulation to the foreskin tissue, causing it and the ring to separate naturally.

🔶 Parents should be advised not to pull or attempt to remove the ring, as this can cause bleeding or trauma.

🔶 Monitoring for signs of infection or delayed separation (after 8–10 days) is also advised.

"I'll call the doctor if I see any bleeding."

🟡 Bleeding after circumcision should be minimal and easily controlled with gentle pressure.

🟡 If bleeding continues, soaks the diaper, or recurs, it may indicate a complication such as infection, improper healing, or vessel involvement.

🟡 Promptly notifying the provider allows for early medical intervention, preventing worsening outcomes.

🟡 Additional red flags to report include discharge, odor, swelling, fever, or if the ring hasn’t fallen off after 10 days.