Post-Circumcision Concerns: Healing and When to Seek Help - Urology

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Post-circumcision concerns are quite common, especially during the healing process. It's important to understand what is considered normal and when it may be necessary to seek further medical attention. Based on your description, you are currently 15 days post-surgery and experiencing some complications, including a painful area where the wound appears to have opened up and some ongoing bleeding.

First, it is essential to recognize that while some discomfort and minor bleeding can be expected in the days following a circumcision, significant pain, persistent bleeding, or the appearance of a wound that is not healing properly may indicate a problem. The fact that you are experiencing pain and have noticed a wound that seems to be opening up is concerning and warrants further evaluation.

Here are some points to consider regarding your situation:
1. Normal Healing Process: After circumcision, the healing process typically takes about 1 to 2 weeks for the outer layer of skin to heal, but complete healing can take longer. During this time, some swelling, redness, and minor discharge can be normal. However, if you notice that the wound is not healing or is worsening, this could be a sign of infection or other complications.

2. Signs of Infection: If you experience increased redness, swelling, warmth around the area, or if the discharge becomes yellow or green, these could be signs of an infection. Additionally, if you develop a fever or if the pain becomes severe, you should seek medical attention promptly.

3. Bleeding: A small amount of bleeding or oozing can be normal, especially if the area is irritated or if you have been cleaning it frequently. However, if you are noticing consistent bleeding (like the drip you mentioned), it is advisable to consult your doctor. Continuous bleeding may require intervention to ensure that there is no underlying issue.

4. Follow-Up Care: It is concerning that your surgeon did not schedule a follow-up appointment after your initial post-operative visit. It is generally recommended to have a follow-up visit to assess the healing process, especially if there are any complications. If you feel uncertain about your healing or if your symptoms are worsening, it is always better to err on the side of caution and seek a second opinion or return to your surgeon for further evaluation.

5. Self-Care: Continue to keep the area clean and dry, and follow any instructions given by your surgeon regarding wound care. Using saline solution for cleaning is a good practice, but avoid any harsh chemicals or excessive scrubbing that could irritate the area further.

In conclusion, while some discomfort and minor bleeding can be part of the healing process, the symptoms you are describing—particularly the pain and the opening of the wound—are concerning. It is advisable to contact your healthcare provider to discuss your symptoms and possibly schedule a follow-up appointment. If you feel that your concerns are not being adequately addressed, seeking a second opinion from another healthcare professional may also be beneficial. Remember, your health and peace of mind are paramount, and it is always better to seek help when in doubt.