Post-Surgery Concerns: Scarring and Sexual Activity After Urology Procedure

Postoperative issue: Scarring?

Hello Doctor: I have a few questions: 1.
I previously had electrocautery performed on the scrotal area, diagnosed as warts (not condyloma).
The wound currently has no exudate and is smooth, but there is a scar present.
Do I still need to apply an adhesive bandage? 2.
If an adhesive bandage is not necessary, can I engage in sexual intercourse now that there is no exudate? If I accidentally come into contact with vaginal secretions or saliva from a female, is there a risk of transmitting sexually transmitted infections or HIV? 3.
Since there is a scar on the scrotal wound, should I apply scar ointment? Or is it unnecessary, and will the scar heal over time? Thank you for your response, Doctor.

Xiao Hei, 30~39 year old female. Ask Date: 2017/03/27

Dr. Lin Wenxu reply Urology

1.
The wound can be exposed and does not need to be covered.
2.
It is recommended to wait until the wound is completely healed before engaging in sexual activity to avoid infection issues.

Reply Date: 2017/03/27

More Info

After undergoing any urological procedure, it is common to have concerns regarding recovery, especially when it comes to scarring and the resumption of sexual activity. Let's address your questions one by one.

1. Use of Ok Bandage: If your wound has healed and there is no longer any drainage or oozing, it is generally not necessary to continue using an Ok bandage. The primary purpose of such a bandage is to protect the wound from infection and to keep it clean during the initial healing phase. Once the wound is dry and has formed a protective layer of skin, you can typically stop using the bandage. However, if you feel more comfortable keeping it on for a little longer, that is also acceptable.

2. Resuming Sexual Activity: As for resuming sexual activity, it is crucial to ensure that your wound has fully healed. If there is no longer any drainage and the area feels comfortable, you may be able to engage in sexual activity. However, it is always best to consult with your surgeon or urologist for personalized advice based on your specific situation. Regarding concerns about transmitting sexually transmitted infections (STIs) or HIV, if you come into contact with vaginal secretions or saliva, the risk of transmission depends on various factors, including the presence of any active infections in either partner. If you or your partner have any known STIs, it is advisable to use protection to minimize the risk of transmission.

3. Scar Treatment: Regarding the scar on your scrotum, it is common for scars to fade over time. If you are concerned about the appearance of the scar, you may consider using scar treatment creams or silicone gel sheets, which can help improve the appearance of scars. However, it is essential to wait until the wound has completely healed before applying any topical treatments. Consulting with a dermatologist can provide you with tailored advice on scar management.

In summary, while it is generally safe to resume sexual activity once the wound has healed, it is essential to listen to your body and consult with your healthcare provider for personalized advice. Additionally, maintaining open communication with your partner about any concerns regarding STIs is crucial for both your health and theirs. Remember that healing takes time, and being patient with your body is key to a successful recovery. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for guidance.

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