Post-Circumcision Symptoms: What to Expect and When to Worry

Symptoms after circumcision?

Hello doctor, it has been nine days since my circumcision.
The area around the wound is dark and still hurts when touched, and I'm not sure if it has healed.
I stopped using the bandage a couple of days ago.
I have a few questions:
1.
The area below the glans is the most swollen, and there is a little bit of yellowish fluid with no foul smell.
Is this discharge from the wound or a sign of infection?
2.
There is also slight swelling near the wound on the upper part of the glans, and it hurts when pressed.
I wake up at night due to discomfort from slight erections in that swollen area.
Is this normal? It seems that most discussions mention swelling only in the lower area.

3.
I still haven't dared to take a shower and have been mainly wiping myself down.
Will this cause the stitches to come loose, or do I need to shower for the stitches to fall out?

Niming, 20~29 year old female. Ask Date: 2017/02/17

Dr. Du Shixi reply Urology

A physician must personally examine a patient before administering treatment, prescribing medication, or providing a diagnosis.

Hello: After circumcision, some individuals may experience swelling (while others may not).
Some may have swelling around the entire area (while others may have localized swelling, particularly underneath).
If there is black discoloration without redness, it is mostly likely a bruise, which will gradually resolve.
Yellow fluid may indicate that the wound has not fully healed.
At this time, it is important to keep the area clean and dry.
Please have the physician examine it during your follow-up visit (do not change the dressing before your appointment, as some patients come in after changing the dressing, making it difficult to assess any abnormalities).
Currently, it is not recommended to take a shower (what did the surgeon advise?).
After the follow-up visit confirms that everything is fine, then consider taking a shower.
Thank you for your inquiry.

Reply Date: 2017/02/17

More Info

After circumcision, it is common to experience a range of symptoms as the body heals. However, it is essential to monitor these symptoms closely to ensure that healing is progressing normally and to identify any potential complications. Here’s a detailed overview of what to expect post-circumcision, along with guidance on when to seek medical attention.

1. Swelling and Discoloration: It is not unusual for the area around the glans (the head of the penis) to appear swollen and discolored after circumcision. The blackish appearance you describe could be bruising or dried blood, which is a normal part of the healing process. However, if the swelling is severe and accompanied by yellow discharge, it may indicate an infection. The yellow fluid you mentioned, especially if it is not foul-smelling, could be a normal part of the healing process, such as serous fluid, but it is crucial to monitor it closely. If the discharge becomes increasingly yellow or foul-smelling, or if you develop a fever, you should contact your healthcare provider immediately.

2. Pain and Sensitivity: Experiencing pain, especially when pressure is applied to the swollen areas, is also common. The sensitivity of the glans can increase post-surgery, particularly if there has been significant swelling. The discomfort during erections (even mild ones) can be expected as the area is still healing. If the pain is severe or persistent, or if it interferes with your ability to sleep or carry out daily activities, it is advisable to consult your doctor. They may want to assess for any complications, such as excessive swelling or infection.

3. Hygiene and Care: Regarding your concern about bathing, it is generally recommended to keep the area clean and dry. While you may feel hesitant to shower, gentle washing with mild soap and water is usually encouraged after the first few days, as long as you avoid direct water pressure on the surgical site. This can help prevent infection and promote healing. If you are worried about the stitches, they are typically designed to dissolve on their own, but keeping the area clean is crucial. If you are unsure about how to care for the site or if you should avoid certain activities, it is best to consult your healthcare provider for personalized advice.

When to Worry:
- Signs of Infection: If you notice increased redness, warmth, swelling, or discharge that is foul-smelling, these could be signs of infection.

- Severe Pain: If the pain becomes unmanageable or is accompanied by fever, this could indicate a complication.

- Changes in Urination: If you experience difficulty urinating or notice blood in your urine, seek medical attention promptly.

- Prolonged Symptoms: If the swelling or pain does not begin to improve after a week or two, it is advisable to check in with your healthcare provider.

In summary, while some discomfort and swelling are normal after circumcision, it is essential to monitor your symptoms closely. If you have any concerns about your healing process, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. They can provide you with the best advice tailored to your specific situation and help ensure a smooth recovery.

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