Postoperative Care After Circumcision
Hello, doctor! I just had a circumcision a couple of days ago, and now I have two fairly large blisters on the glans, along with several smaller ones.
They look like blisters filled with fluid or blood, and when I touch them with tissue, there's a faint blood stain.
Is this normal? Additionally, the incision on the underside is still oozing blood onto the gauze, and some even got on the bedsheet.
There is also bruising near the wound on the glans, which makes me quite worried.
Is this normal? Also, does keeping the area dry help if I use a fan? Would lying down reduce the swelling more than sitting? I apologize for having so many questions, but I'm really concerned.
Thank you very much!
Gang ge wan bao pi, 20~29 year old female. Ask Date: 2017/05/28
Dr. Du Shixi reply Urology
Hello: The foreskin has a rich and dense vascular supply, and young individuals may experience erections after surgery, which can lead to some degree of hematoma (swelling).
It is advisable to cover the wound with gauze to prevent infection.
If not properly dressed, blood may also seep out, which can slow down the healing process.
As for using a fan, it is likely ineffective; reducing movement may not necessarily decrease swelling, but avoiding erections is likely the key focus.
Reply Date: 2017/05/28
More Info
Post-circumcision care is crucial for ensuring proper healing and recovery, and it's understandable to have concerns after such a procedure. Based on your description, it seems you are experiencing some common post-operative symptoms, but let's address your specific concerns one by one.
1. Blisters and Bruising: The presence of larger and smaller bubbles on the glans (head of the penis) can be concerning, but they are not uncommon after circumcision. These may be seromas (fluid-filled sacs) or hematomas (blood-filled sacs) that can occur due to the surgical procedure. It's important to monitor these closely. If they become increasingly painful, show signs of infection (such as increased redness, warmth, or pus), or do not improve, you should contact your healthcare provider.
2. Bleeding: A small amount of bleeding or oozing from the incision site is normal in the first few days post-surgery. However, if you notice that the bleeding is soaking through the gauze or if it becomes more than a light spotting, it is advisable to seek medical attention. The presence of bruising near the incision site is also typical, as it indicates that there has been some trauma to the tissues during the procedure.
3. Drying and Airflow: Keeping the area dry is essential for healing. Using a fan to circulate air can help, but be cautious not to irritate the area with direct airflow. It’s generally recommended to allow the area to air dry as much as possible after cleaning. Avoid using any powders or ointments unless prescribed by your doctor.
4. Positioning: Lying down may help reduce swelling compared to sitting, as it can relieve pressure on the surgical site. Elevating your hips with a pillow while lying down can also assist in minimizing swelling. However, it’s essential to find a comfortable position that does not put pressure on the area.
5. Hygiene: Follow your doctor's instructions regarding cleaning the area. Typically, gentle washing with mild soap and water is recommended, but avoid scrubbing the area. Pat it dry gently with a clean towel.
6. Follow-Up Care: It’s crucial to attend any follow-up appointments with your healthcare provider. They will assess the healing process and address any complications that may arise. If you notice any signs of infection, such as fever, increased pain, or foul-smelling discharge, seek medical attention immediately.
In summary, while some of the symptoms you are experiencing can be normal post-circumcision, it is essential to monitor them closely. If you have any doubts or if symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation. Proper care and attention to your recovery will help ensure a smooth healing process.
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