Managing Itching After Pediatric Circumcision: Tips for Parents - Urology

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Severe itching at the surgical site after circumcision in children?


Hello Doctor: My child is currently 2 years and 4 months old.
During a recent visit for vaccinations, the doctor examined him and suggested that he has phimosis, recommending circumcision.
It has now been 12 days since the surgery, and starting from the 7th day post-operation, he has been itching so much every night that he cries.
He is unable to sleep in bed due to the discomfort.
We took him back for a follow-up, and the doctor said that the itching is due to the healing of the wound and that it is normal.
I would like to ask how long this situation might last.
Is there any ointment that can help alleviate this itching sensation? (Currently, there is still some mild pus formation at the wound site.) The doctor prescribed "Neomycin ointment," but it doesn't seem to be effective.
It’s really heartbreaking to see him unable to sleep every night due to the itching.

Xin teng de mama, 0~9 year old female. Ask Date: 2011/05/18

Dr. Lai Ronghao reply Urology


We kindly request that you take your child to the surgeon's clinic for an examination and to have the dressing changed.
Since we cannot see the child's wound, we are unable to provide advice online to avoid any misdiagnosis.

Reply Date: 2011/05/18

More Info


Managing itching after pediatric circumcision can be a challenging experience for both the child and the parents. It is common for children to experience discomfort and itching during the healing process following circumcision, especially around the 7 to 14-day mark when the healing tissue can be sensitive. Here are some tips and insights to help manage your child's itching and discomfort.


Understanding the Healing Process
After circumcision, the skin around the surgical site goes through several stages of healing. Initially, there may be swelling and redness, which can be accompanied by itching as the nerves regenerate and the skin heals. Itching is often a sign of healing, but it can be distressing for young children, leading to crying and difficulty sleeping.


Duration of Itching
The duration of itching can vary from child to child. Typically, itching may persist for a few days to a couple of weeks as the skin continues to heal. If your child is experiencing significant itching beyond two weeks or if the itching is accompanied by other symptoms such as increased redness, swelling, or discharge, it is essential to consult your pediatrician for further evaluation.


Tips for Managing Itching
1. Keep the Area Clean and Dry: Ensure that the circumcision site is kept clean and dry. Gently clean the area with mild soap and water during baths, and pat it dry with a soft towel. Avoid rubbing the area, as this can exacerbate itching.

2. Use of Topical Treatments: While your doctor prescribed Neomycin ointment, which is an antibiotic to prevent infection, it may not specifically address itching. You might consider discussing with your pediatrician the possibility of using a topical hydrocortisone cream, which can help reduce inflammation and itching. However, this should only be used under the guidance of a healthcare professional.

3. Cold Compresses: Applying a cold compress to the area can provide temporary relief from itching. Use a clean cloth soaked in cold water and apply it gently to the affected area for a few minutes.

4. Loose Clothing: Dress your child in loose-fitting cotton underwear and clothing to minimize irritation. Tight clothing can rub against the healing area and increase discomfort.

5. Distraction Techniques: Engage your child in activities that can distract them from the itching, such as reading, playing games, or watching their favorite shows. Keeping their mind occupied can help reduce their focus on the discomfort.

6. Pain Relief Medications: If your child is experiencing significant discomfort, consult your pediatrician about the use of over-the-counter pain relief medications such as acetaminophen or ibuprofen, which can also help alleviate itching.


When to Seek Medical Attention
If the itching persists or worsens, or if you notice any signs of infection (such as increased redness, swelling, or pus), it is crucial to return to your pediatrician for further evaluation. They may need to assess the healing process and determine if any additional treatment is necessary.


Conclusion
While itching after circumcision is a common part of the healing process, it can be distressing for both the child and the parents. By following the tips mentioned above and maintaining open communication with your healthcare provider, you can help manage your child's discomfort effectively. Remember, every child heals at their own pace, and with time, the itching should subside as the area continues to heal.

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