Manual for Male Circumcision under Local Anaesthesia

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Male circumcision under local anaesthesia Version 3.1 (Dec09) Appendix 7.1 SAMPLE POSTOPERATIVE INSTRUCTIONS FOR MEN WHO HAVE BEEN CIRCUMCISED • After the operation, rest at home for one or two days. This will help the wound to heal. • You may bathe on the day after surgery, but do not let the dressing get wet. • Remove the dressing 24–48 hours after surgery. • Do not pull or scratch the wound while it is healing. • Do not have sexual intercourse or masturbate for 4–6 weeks, and use condoms to protect the wound for every act of sexual intercourse for at least six months until the wound has healed completely. (Your health care provider will advise you about this during your follow-up visit.) • You may have a little pain or swelling around the wound. This is normal. Check occasionally to make sure that it does not get worse. Take any medicines provided or recommended by the clinic. Be sure to follow the instructions given to you. • Return to the clinic or call: • if you notice increased bleeding from the surgical wound; • if the pain or swelling at the surgical wound gets progressively worse; • if you have difficulty in passing urine; • if you develop a fever within one week of surgery; • if you have severe pain in the lower abdomen; • if the wound is discharging pus. • If you have any of these problems, go to: ___________________________________________________ • Return to the clinic for a follow-up visit about one week after the operation. A health care worker will check to see how the wound is healing. Your next appointment is: Day ___________________________ Date ___________________________ Time ___________________________ Place ___________________________ Postoperative care and management of complications Chapter 7-10
Male circumcision under local anaesthesia Version 3.1 (Dec09) Chapter 8 PREVENTION OF INFECTION SUMMARY • Health care workers need to follow recommended practices for preventing infection, in order to protect themselves, other health care workers, and their patients from exposure to HIV and other infections. • Hand hygiene greatly reduces the number of disease-causing microorganisms on hands and arms. It is the most important way of limiting the spread of infection. If hands are visibly soiled, they should be washed with soap and water; otherwise, an alcohol-based handrub should be used. • Personal protective equipment should be worn to protect both patients and staff from infectious microorganisms. • Gloves should be worn: when there is a reasonable chance of hand contact with blood or other body fluids, mucous membranes, broken or cut skin; when performing any invasive procedure; and when handling contaminated items. A new pair of gloves should be worn for each new patient contact, to avoid spreading infection from person to person. • Hypodermic (hollow-bore) needles can cause injuries to clinic staff at all levels: workers can be stuck by hypodermic needles during patient care, cleaning and housekeeping. Staff may be exposed to needle-stick and sharp injuries when washing soiled instruments and disposing of waste material. • All staff should be trained in the proper handling of sharp instruments. • Soiled instruments and other reusable items can transmit disease if not properly cleaned, disinfected and sterilized (or high-level disinfected). High-level disinfection destroys all microorganisms, except some bacterial endospores. Sterilization destroys all microorganisms, including bacterial endospores. • Proper waste management is important to prevent accidental injury to people who handle waste items, and to prevent the spread of infection to health care workers and the local community. • Post-exposure prophylaxis for HIV with antiretroviral drugs may reduce the risk of infection after exposure to HIV. It will be effective only if it is started as soon as possible after exposure (within 72 h) and if the full course of treatment is adhered to. • Post-exposure prophylaxis for hepatitis B can reduce the risk of hepatitis B infection. Prevention of Infection Chapter 8-1
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Manual for Male Circumcision under Local Anaesthesia

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