Meatotomy Post-Op Instructions
What to expect after surgery:
1. Discharge: Your child will be discharged from the hospital the same day of the surgery.
2. Bathing: You may start bathing your child the day of surgery in the usual manner, immersing the area of the incision under water.
3. Dressing: There will be no dressing. You may observe stitches that will dissolve on their own over time. You may observe the typical post operative wound color changes (similar to a bruise) – initially red, then purple, then greenish-yellow, and then back to normal.
4. Care of the Penis: You may note that the incision area is swollen. Apply Bacitracin ointment to the tip of the penis after each voiding episode (or with every diaper change) for a total of 30 days after surgery.
Thereafter, make sure the meatus (urethral opening) remains open daily and with bathing, keeping the area clean in order to avoid further adhesions.
5. Activity: Do not restrict activity except to avoid straddle riding toys for 30 days. School age children should avoid active sports for 10 days.
6. Pain Relief: Discomfort (soreness) is common for a couple of days in the area of the incision. Tylenol is usually given for pain relief.
The dose is based on the weight or age of the child, so the manufacturer directions should be followed. We recommend using Tylenol for pain control every 4-6 hours while awake (do not wake up the child to give the Tylenol) the first 2 to 5 days after surgery, and as needed thereafter.
When to call the Doctor:
a. Excessive bleeding
b. Increased pain, swelling, or redness at the incision
c. Any thick white or green drainage from the wound
d. Fever of 101 degrees F by mouth, 102 degrees F by rectum, or 100 degrees F under the arm