Post-Circumcision Care: Managing Pain, Healing, and Hygiene Tips

After circumcision

Hello, Doctor.
I recently underwent laser circumcision surgery, and today is the fifth day post-operation.
The first couple of days were very painful, swollen, and uncomfortable.
However, aside from experiencing pain during involuntary erections at night and morning erections, I have been feeling better overall.
I haven't started showering yet, as I plan to ask the doctor during my next follow-up appointment if it's okay to do so.
The swelling has decreased, but I still have small wounds on both the left and right sides.
Each time I change the dressing, I notice blood stains on the gauze and some minor bleeding.
Is this normal? When can I expect the bleeding to stop, and when can I stop using the gauze? Additionally, I have noticed some white and yellowish substances on the area, and it hurts a bit when I touch it.
Is this ointment or gauze sticking to the area, or is it a sign of scabbing? I heard it takes over a month to heal; is there anything I can do to promote faster healing? Thank you, Doctor!

A-Zhi, 20~29 year old female. Ask Date: 2016/04/27

Dr. Li Xinyi reply Urology

Based on your description, there doesn't seem to be any issues.
However, it is essential to confirm the details with the surgeon, as they will know if there are any other concerns and what can be done to promote faster wound healing.
This includes keeping the wound clean, avoiding infection, and minimizing any stimulation that could lead to an erection.
It's also important to avoid holding in urine, as this can also lead to an erection.

Reply Date: 2016/04/27

More Info

Post-circumcision care is crucial for ensuring proper healing and minimizing discomfort. After undergoing a circumcision procedure, it is common to experience pain, swelling, and some bleeding in the initial days. Here are some guidelines and tips for managing pain, promoting healing, and maintaining hygiene during the recovery period.

Pain Management
1. Medication: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help alleviate discomfort. Always follow the dosage instructions provided by your healthcare provider.

2. Cold Compress: Applying a cold compress to the area can help reduce swelling and numb the pain. Make sure to wrap ice in a cloth to avoid direct contact with the skin.

Healing Process
1. Swelling and Discomfort: It is normal to experience swelling and discomfort for several days post-surgery. If the pain becomes unbearable or if you notice excessive swelling, contact your healthcare provider.

2. Bleeding: Some minor bleeding or spotting on the dressing is expected. However, if you notice a significant amount of blood or if the bleeding does not stop, seek medical attention immediately.

3. Wound Care: Keep the area clean and dry. Change the dressing as instructed by your doctor, typically every day or when it becomes soiled. If you see blood on the gauze, it may be a sign of normal healing, but persistent bleeding should be evaluated by a physician.

Hygiene Tips
1. Bathing: Generally, it is advised to avoid soaking in water (like baths or swimming pools) until the wound has healed sufficiently, which can take about 1-2 weeks. You can usually shower, but avoid direct water pressure on the surgical site.

2. Cleaning the Area: After a few days, you may be advised to gently clean the area with mild soap and water. Pat the area dry rather than rubbing it.

3. Avoiding Irritants: Avoid using any creams, ointments, or powders on the surgical site unless prescribed by your doctor.

Observations
1. White or Yellow Discharge: The presence of white or yellow material can be a normal part of the healing process, often indicating the formation of scabs or granulation tissue. However, if it has a foul odor or is accompanied by increased redness, swelling, or fever, consult your healthcare provider.

2. Morning Erections: It is common to experience discomfort during erections, especially in the early days post-surgery. If the pain is severe or persistent, discuss this with your doctor during your follow-up appointment.

Follow-Up Care
1. Regular Check-Ups: Attend all scheduled follow-up appointments to ensure proper healing and to address any concerns you may have.

2. When to Seek Help: If you experience signs of infection (increased redness, warmth, swelling, pus, or fever), or if the pain worsens rather than improves, contact your healthcare provider immediately.

Conclusion
Healing from a circumcision can take several weeks, and while some discomfort is normal, it is essential to monitor your symptoms closely. Following the above care tips can help facilitate a smoother recovery. Always consult your healthcare provider for personalized advice and to address any specific concerns you may have during your recovery process.

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