Pathophysiology
Clinical meaning
Circumcision involves surgical removal of the foreskin (prepuce) from the glans penis, creating a circumferential wound that heals by secondary intention over 7–10 days. The exposed glans initially appears red and may develop a yellowish fibrinous exudate (granulation tissue), which is a normal part of healing and should NOT be removed. Hemostasis is achieved through cautery or compression devices (Plastibell, Gomco clamp, Mogen clamp). Complications include bleeding, infection, adhesions, and meatal stenosis. The RPN monitors for complications and provides family education on wound care.