At OKC Kids Urology, we schedule every circumcision patient for a one-month follow-up visit. This appointment allows us to make sure your child’s healing is on track and—most importantly—to teach you how to prevent the most common complication after circumcision: adhesions.

What Should the Penis Look Like After Circumcision?

After circumcision, the head of the penis (the glans) should be visible. The corona, which is the rounded edge at the base of the head, should also be seen clearly. It’s normal for the head to look a little more red or purple during healing.

Sometimes, especially in babies with a fuller pubic area, gentle pressure may be needed to push the penis out and see the entire rim. This is expected and not a cause for concern.

What Are Adhesions?

Adhesions happen when the skin of the penile shaft sticks to the head (glans). This is more likely in babies with:

• A “hidden penis” due to a larger pubic fat pad​
• Moisture from diapers that makes the skin more “sticky”​
• Remaining extra foreskin after circumcision​
• Skin irritation, such as from diaper rash​

There are different types of adhesions:

• Glandular adhesions – skin covers part of the purple line separating the shaft from the head
• Minor penile adhesions

• Partial and complete adhesion

• Skin bridges – thicker attachments that may require a procedure to fix

• Cicatrix (scar tissue) – when the penis sinks into the pubic fat pad, causing the head to become trapped​

Without treatment, adhesions can sometimes develop into skin bridges.

How Are Adhesions Treated?

• Mild adhesions: Often treated easily in the office during a follow-up visit.​
• More advanced adhesions: May require a steroid cream (such as diprolene) applied a few times a day for several weeks, along with gentle stretching exercises.​
• Skin bridges: Usually divided in the office under a topical numbing cream. In complex cases, a circumcision revision may be needed, which is an outpatient surgical procedure.​

How to Prevent Adhesions

The good news? Adhesions are easy to prevent. Here’s how:

• With each diaper change, gently push out the penis so you can see the entire head and corona.​
• Apply a thin layer of Vaseline or Aquaphor around the rim to keep the skin from sticking.​
• Continue this routine until your child is potty trained, as diapers create a moist environment that increases the likelihood of adhesions.​

Think of circumcision care as part of your baby’s everyday hygiene—just like washing their hands, face, or bottom.

When to Call Us

If you’re ever unsure about how your child’s circumcision is healing, or if you notice something that doesn’t look right, give us a call. We’re here to answer your questions and provide reassurance.

📞 OKC Kids Urology – 405-286-0755

✅ Key Takeaway for Parents

Your involvement is the best way to support your child’s healing. With simple daily care and regular follow-up, adhesions can almost always be prevented, keeping your child healthy and comfortable.