KidsUrologyCare.com Dr. Parviz Hajiyev

Care at home after urologic surgery

At home after pediatric urologic surgery: pain, wound and stitches, bathing, eating, activity and the warning signs that need a doctor.

Quick answers

Pain
For the first 2–3 days, acetaminophen (paracetamol) or ibuprofen, dosed for age and weight.
Bathing
Usually a short, warm bath after 24–48 hours.
Stitches
Usually absorbable; they fall out in 1–3 weeks.
School, daycare
Usually after 2–5 days.

Pain

  • In most operations, local anesthesia is given during the general anesthetic, so the first hours are pain-free.
  • For the next 2–3 days, acetaminophen (paracetamol) or ibuprofen is given regularly, at a dose for age and weight. Check the exact dose on the medicine’s label or with your doctor.
  • Pain usually decreases every day. If it gets worse, see a doctor.

Wound and stitches

  • In most cases, the stitches are absorbable: they do not need to be removed and fall out on their own within 1–3 weeks.
  • In the first days, mild swelling and bruising around the wound are normal.
  • After circumcision and penile surgery, a yellowish, moist coating on the head of the penis is part of normal healing.
  • Do not peel off the glue or clear dressing on the wound.

Bathing and hygiene

  • A short, warm shower or bath is usually allowed after 24–48 hours.
  • No soap; pat dry gently (pressing, not rubbing).
  • If there is a catheter or dressing, follow your doctor’s specific instructions.
  • For babies in diapers, change the diaper often.

Eating

Once fully awake from anesthesia, the child can go back to a normal diet. On the first day, light food and plenty of fluids. Water, fruit and vegetables are important to avoid constipation: straining after surgery increases pain.

Activity

  • The child can move around as much as he or she wants; there is no need to keep the child in bed.
  • For 1–3 weeks, avoid straddle toys (bicycle, ride-on cars, rocking horse) and strenuous sports (the exact time depends on the operation).
  • Children usually go back to daycare and school after 2–5 days.
  • Loose, soft underwear and pants.

Follow-up visit

The date of the follow-up visit is set when you go home. If you have a question before then, message us on WhatsApp and, if possible, send a clear photo of the wound.

When to seek urgent care

If any of the following is present, do not wait for a routine appointment: call the doctor or go to the nearest emergency department.

  • Fever above 38.5°C
  • Bleeding that does not stop with pressure
  • Increasing redness, swelling, pus or a bad smell at the wound
  • Unable to pass urine for 8–12 hours, blocked catheter
  • Persistent vomiting, unable to drink fluids
  • Pain that gets worse despite pain relievers

Note for pediatricians and family doctors

For postoperative pain in children, a weight-based combination of acetaminophen (paracetamol) and ibuprofen is sufficient for most minor urologic operations. Codeine should not be used in children. Parents should be given written instructions and an emergency contact number.

What happens at the visit?

  1. Before going home, you receive written instructions, medicine doses and the date of the follow-up visit.
  2. If you have questions, you can contact us on WhatsApp; if possible, send a photo of the wound.
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Frequently asked questions

There is glue on the wound. What should we do?

Surgical glue or a clear dressing comes off on its own within 7–10 days. Do not try to peel it off.

My child cries when passing urine after surgery.

Mild burning is normal for the first 1–2 days. Passing urine in a warm bath can help. If your child cannot pass urine at all, see a doctor.

Related topics

Sources

  • EAU Guidelines on Paediatric Urology, 2025: Perioperative management.

This page is for education. Decisions about your child’s treatment are made together with the doctor after an examination.

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