Circumcision: Newborn with a Plastibell :: Nationwide Children's Hospital

Circumcision: Newborn With a Plastibell

A circumcision (sir cum SI zhun) is surgery to remove the foreskin (extra skin) from around the end of the penis (Picture 1).
The circumcision is usually done in the doctor’s office. Your visit will take about one and one-half hours in all. Your baby will be awake and will have an injection (a shot) at the base of the penis to numb the area. He may also be given a sugar water solution (Sweet-ease®) by mouth to prevent discomfort.

What to Expect after Surgery

Picture 1

The penis will have a plastic ring around it. The ring will fall off on its own in 5 to 7 days. There are no stitches with this procedure.
  • ? There may be some swelling that will go away in about 4 days.
  • ? There may be bruising in the area.

Home Care after Surgery

Change diapers often. Rinse the area with water.
Give your baby a bath every day, beginning the morning after surgery until the ring comes off.
You may be told to apply antibiotic ointment to the tip of the penis with each diaper change until the ring falls off.
There are NO restrictions for the use of car seats. Your child should ride in his car seat as usual.

Pain Medicine

Your child’s doctor has recommended acetaminophen, such as Tylenol® (See Helping Hand HH-V-58, Acetaminophen).
Follow the doctor’s orders for giving this medicine for pain:
  • Do not give more than 5 doses of this medicine in a 24-hour period unless ordered by your child’s doctor.
  • Read the label each time before you give your child any medicine.
  • If the medicine is a liquid, always use a measuring device to get the exact dose. Do not measure liquid medicines in kitchen spoons.
  • Store all medicine out of the reach of children.
  • If your child or someone else takes too much of this medicine, first call the Central Ohio Poison Center at 1-800-222-1222. They will tell you what to do.

When to Call the Doctor

Call your doctor if your child has:
  • Severe pain that does not get better with pain medicine.
  • Fever over 101 degrees F rectally.
  • More than a few drops of blood on the penis or diaper.
  • Redness that starts to spread from the tip up the penis toward the abdomen (belly).
  • Pus-like drainage or foul odor from the penis.
  • Less urine than before.
  • A plastic ring that stays on more than 10 days or falls off in less than 3 days.
  • The head of the penis protruding through the plastic ring.


  • If your child’s circumcision was done by Pediatric Surgery, a nurse from surgery clinic will call you in 2 to 4 weeks.
  • If Urology did the circumcision your child will come back for an appointment.
If you have any questions or your child is having problems after normal office hours, call the doctor on call:
  • For Pediatric General Surgery call 614-722-3900.
  • For Pediatric Urology Surgery call 614-722-6630 or the hospital operator at 722-2000.
In an emergency, call 911.
HH-I-279 6/07 Revised 9/15 Copyright 2007, Nationwide Children’s Hospital
Nationwide Children's Hospital
700 Children's Drive Columbus, Ohio 43205 614.722.2000