For the Plastibell Method


General Advice

  • Check the operated area regularly for the first 48 hours for bleeding. A slight ooze is to be expected, and is of no concern. If heavier, then apply the supplied bandage and tape as directed and demonstrated. Then contact the emergency number provided.
  • Slight swelling with or without a small amount of bruising to the local area is to be expected from the local anaesthetic injection which should settle in a few days.
  • If still in nappies, apply them loosely & change them as soon as they are soiled.
  • For older children loose underwear with pyjamas or loose trousers are recommended.
  • Protect the affected area from local trauma.
  • Complete healing is expected in two to four weeks depending upon age.


Plastibell Ring Device 

  • The Plastibell ring should fall off between the 7th to the 20th post operative day depending upon age and size. Your surgeon will tell you an approximate time frame for this.
  • If the plastibell device has failed to come off by the expected time as given to you by the surgeon, then contact us.


ONCE THE PLASTIBELL DEVICE HAS FALLEN OFF A SMALL AMOUNT OF RESIDUAL SWELLING WITH A POSSIBLE WHITE/YELLOW STAINING IS TO BE EXPECTED. THIS SHOULD SETTLE OVER THE NEXT TWO TO THREE WEEKS.


Pain Control

  • Apply the topical painkilling gel (supplied) locally as directed every time you change nappies or every 1- 2 hours as a minimum for the first 24 hours.
  • The local anaesthetic used in the procedure renders the procedure painless and will continue to act for up to 4 – 8 hours. After this, minimal pain may be felt which can be either ignored, or simple oral painkillers such as paracetamol can be given. (Do not use any oral painkillers if the child is under two months old). See the manufacturer’s guidance for dosage and frequency.


Bath & Urination

  • Bathing should take place in normal fashion from the following day using warm water and a mild antiseptic such as SAVLON. Use the antiseptic sachets provided as directed.
  • Urination is expected to be normal and do report to us if there is any concerns.


For the Freehand Method


General Advice

  • Check the operated area regularly for the first 48 hours for bleeding. Slight ooze is to be expected, and is of no concern. If heavier then apply the supplied bandage and tape as directed & demonstrated and contact the emergency number provided.
  • Slight swelling, with or without a small amount of bruising to the local area is to be expected from the local anaesthetic injection which should settle in a few days.
  • If still in nappies, apply them loosely & change them as soon as they are soiled.
  • For older children loose underwear with pyjamas or loose trousers are recommended.
  • Protect the affected area from local trauma.
  • Complete healing is expected in two to four weeks depending upon age.


Conventional Cut and Stitch Method

  • The dressing, (if applied) to the wound should fall off spontaneously after 1-2 days.
  • If it does not, on the third day soak in a bath for 20 – 30 minutes, after which the wet dressing can be gently prised off. Peel the bandage off. DO NOT PULL it off. There is no need to replace it.
  • Apply the topical antibiotic ointment to the wound area twice a day and take antibiotics as directed.
  • The stitches used will dissolve themselves; there is no need to have them removed.
  • If stitches have not come off by the end of the third week, soak in a bath for 20-30 minutes & gently rub the stitched area with a clean cloth, which should encourage them to fall off.
  • Complete healing is expected in three to six weeks time depending upon patients age and size.
  • On day one maintain strict bed rest for the first 24 hours.
  • From day 2 to day 3 walk around indoors and no running.
  • From day 4 to day 7 resume light activities with no running.
  • For the first week rest and minimal activity should be the norm.
  • For the first two weeks no heavy lifting at all and no sports.
  • For the first four weeks no sexual activity at all.


Pain Control

  • Apply the topical painkilling gel (supplied) as directed every time you change the nappies or every 1- 2 hours as a minimum for the first 24 hours.
  • The local anaesthetic used in the procedure renders the procedure painless and will continue to act for up to 4 – 8 hours. After this, minimal pain may be felt which can be either ignored, or simple oral painkillers such as paracetamol can be given. (Do not use any oral painkillers if the child is under two months old). See the manufacturer’s guidance for dosage and frequency.


Bath & Urination

  • Bathing should take place in normal fashion from the following day using warm water and a mild antiseptic such as SAVLON. Use the antiseptic sachets provided as directed.
  • Urination is expected to be normal and do report to us if there is any concerns.


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