Post-Circumcision Concerns: Bleeding and Discharge After Surgery

Circumcision?

Hello doctor, I would like to ask about the third day after circumcision.
There is bleeding and pus appearing along the line under the glans.
What could be the cause? Thank you.

Niming, 20~29 year old female. Ask Date: 2016/10/22

Dr. Liu Jiaju reply Urology

You should promptly return to the surgeon's clinic for a detailed examination of the wound and appropriate management.

Reply Date: 2016/10/22

More Info

After circumcision, it is not uncommon for patients to experience some bleeding and discharge, especially within the first few days post-surgery. However, the presence of bleeding and pus three days after the procedure raises some concerns that should be addressed promptly.

Firstly, it is important to differentiate between normal post-operative symptoms and signs of potential complications. After circumcision, some bleeding can occur as part of the healing process, particularly if the surgical site is irritated or if there was a significant amount of tissue removed. However, bleeding that is persistent, excessive, or accompanied by pus may indicate an infection or other complications.

The discharge you are observing could be a sign of infection. Infections can occur if bacteria enter the surgical site, which may happen due to improper hygiene, exposure to irritants, or even from the surgical procedure itself. Symptoms of infection can include increased redness, swelling, warmth around the area, and the presence of pus or foul-smelling discharge. If the discharge is yellow or green and has a foul odor, it is more likely to be indicative of an infection.

Another possibility is that the bleeding and discharge could be related to the healing process itself. The area under the glans (the head of the penis) can be sensitive and may bleed slightly if it is irritated or if there is friction from clothing or movement. However, this should not be accompanied by pus.

It is crucial to monitor the situation closely. If the bleeding does not stop, increases, or if you notice any signs of systemic infection such as fever, chills, or increased pain, it is essential to seek medical attention immediately. A healthcare provider can assess the surgical site, determine if there is an infection, and provide appropriate treatment, which may include antibiotics if an infection is confirmed.

In terms of aftercare, keeping the area clean and dry is vital. Gentle washing with mild soap and water, followed by thorough drying, can help prevent infection. Avoiding tight clothing and any activities that may cause friction in the area can also aid in the healing process.

In summary, while some bleeding and discharge can be normal after circumcision, the presence of pus and ongoing bleeding three days post-surgery is concerning. It is advisable to consult with a healthcare professional to evaluate the situation and ensure proper healing. Early intervention can prevent complications and promote a smoother recovery.

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