| Bleeding | Bleeding that is not controlled by new dressings or 5 to 10 minutes of manual pressure and requires a special return to the clinic for a pressure dressing, additional skin sutures, or additional vitamin K administration without surgical re-exploration of the wound. | Bleeding that requires surgical re-exploration, hospitalization, or transfer to another facility, or any case where blood transfusion or intravenous fluid is necessary. |
| Infection | Discharge from the wound, painful swelling with erythema or elevated temperature,or use of oral antibiotics. | Cellulitis or abscess of the wound, or infection severe enough to require surgical intervention, hospitalization, or intravenous or intramuscular antibiotic therapy. |
| Inadequate skin removal | Prepuce partially covers glans when flaccid but surgical correction is not necessary. | Prepuce partially covers glans when flaccid and immediate surgical correction is necessary. |
| Excessive skin removal | Tightness of the skin discernible, and additional sutures or skin mobilizationneeded for wound closure, but no other intervention needed. | Reoperation or referral/transfer toanother facility required. |
| Penile injury | Significant laceration requiring either prolonged follow-up, care, and attention or repeated or additional dressings. | Significant injury including laceration or severed portion of glans, damage tothe urethra, or laceration of the shaft with ongoing bleeding that requires hospitalization, transfer, or transfusion. |