Post-Circumcision Complications: When to Seek Re-Stitching - Urology

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After undergoing a circumcision procedure, it is not uncommon for patients to experience concerns regarding the healing process, especially if there are signs of complications such as wound dehiscence (the reopening of a wound). In your case, since you mentioned that the stitches began to fall out around 16 days post-surgery and that the wound has started to open, it is crucial to assess the situation carefully.

First, it is important to understand that the healing process after circumcision can vary significantly from person to person. Generally, the initial healing phase can take about 1 to 2 weeks, during which the stitches (if absorbable) will dissolve or fall out naturally. If non-absorbable stitches were used, they typically need to be removed by a healthcare professional after a certain period, usually around 7 to 10 days post-surgery.
In your case, the fact that the stitches are falling out and the wound is opening could indicate a few potential issues:
1. Infection: If the wound is not healing properly, it could be due to an infection. Signs of infection may include increased redness, swelling, warmth around the area, pus or discharge, and increased pain. If you notice any of these symptoms, it is important to seek medical attention promptly.

2. Wound Dehiscence: As you mentioned, the wound has started to open. This can occur due to various reasons, including tension on the wound, inadequate closure, or infection. If the wound is significantly open, it may require re-stitching to promote proper healing and prevent complications.

3. Healing Process: Sometimes, the body may not heal as expected due to various factors such as underlying health conditions, smoking, or poor nutrition. If you have any underlying conditions (like diabetes) that could affect healing, this should be discussed with your healthcare provider.

Given your situation, it is advisable to consult your surgeon or a healthcare professional as soon as possible. They will be able to evaluate the wound properly and determine whether re-stitching is necessary. They may also provide guidance on wound care, signs of infection to watch for, and any other steps you should take to ensure proper healing.

In the meantime, here are some general tips for caring for your wound:
- Keep the Area Clean: Gently clean the area with mild soap and water. Avoid using alcohol or hydrogen peroxide, as these can irritate the wound.

- Avoid Irritation: Wear loose-fitting clothing to avoid friction on the wound area.

- Monitor for Signs of Infection: Keep an eye out for any signs of infection, such as increased redness, swelling, or discharge.

- Follow Up: Make sure to attend any follow-up appointments with your healthcare provider to monitor the healing process.

In summary, if your circumcision site is opening up and stitches are falling out, it is essential to seek medical advice. A healthcare professional can assess the wound and determine the best course of action to ensure proper healing and prevent complications.