It's been four days since the circumcision, and I'm still in a lot of pain and feeling very anxious?
Hello, Doctor! Today is the fourth morning after my circumcision surgery.
Last night, I was repeatedly awakened by painful erections.
I still see some bleeding at the lower edge of the dressing (there's a dark red area on the underside of the dressing).
When standing or sitting, the wound remains uncomfortable, and I feel a heavy, downward pulling sensation in the glans.
Therefore, I can only lie in bed to alleviate the discomfort.
Sometimes, the glans also feels itchy and prickly.
I would like to ask if this indicates a slow recovery.
Especially since it is already the fourth night after the circumcision, the discomfort from erections and the bleeding concern me, making me feel that the healing process is very slow.
Is it normal to still have these symptoms after such a long time? Is there any way to speed up the healing process (I need to return to work tomorrow)? I kindly request your advice, Doctor! Thank you!
Ge bao hou di si tian hai liu xue., 20~29 year old female. Ask Date: 2017/05/30
Dr. Du Shixi reply Urology
Hello: Circumcision surgery requires a recovery period.
If there is bleeding, it needs to be bandaged.
It's important to avoid erections as much as possible.
Generally, the wound takes about a week to heal, while bruising and swelling may take around two weeks.
The sensitivity of the glans may take 1-2 weeks to return to normal, especially for those who had a fully covered foreskin initially.
Currently, it's essential to keep the wound clean and avoid erections.
Reply Date: 2017/05/30
More Info
Post-circumcision recovery can vary significantly from person to person, and it is not uncommon to experience discomfort and other symptoms during the healing process. Based on your description, it seems that you are experiencing several common post-operative symptoms, including pain, bleeding, and a sensation of heaviness in the area.
Firstly, it is important to understand that after a circumcision, the healing process typically takes about one to two weeks for the initial recovery, but complete healing can take longer. The fact that you are experiencing pain and discomfort four days post-surgery is not unusual. Many patients report similar experiences, particularly with nocturnal erections, which can cause significant discomfort in the early days following the procedure. This is due to the sensitivity of the area and the natural healing process, which can be exacerbated by physical changes such as erections.
The presence of some bleeding, especially if it is minimal and not accompanied by other symptoms such as severe pain or swelling, can also be a normal part of the healing process. However, if you notice an increase in bleeding or if the bleeding does not subside, it is crucial to seek medical attention. The sensation of heaviness or a pulling feeling in the area can also be related to swelling or inflammation, which is common after surgical procedures.
Regarding your concerns about the itching and tingling sensations, these can be attributed to nerve regeneration as the area heals. It is essential to keep the area clean and dry, as moisture can lead to irritation or infection, which could prolong recovery. If you are experiencing significant itching, over-the-counter antihistamines may help, but consult your doctor before taking any medication.
To facilitate a smoother recovery, consider the following recommendations:
1. Rest: Allow your body to heal by minimizing physical activity. If you can, take time off work or modify your duties to avoid straining the area.
2. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. Always follow the dosage instructions and consult your doctor if you have any concerns.
3. Hygiene: Keep the surgical area clean. Follow your doctor's instructions on how to care for the wound, including when and how to change dressings.
4. Avoid Irritants: Wear loose-fitting underwear and avoid activities that may irritate the area, such as vigorous exercise or sexual activity, until you receive clearance from your doctor.
5. Monitor Symptoms: Keep an eye on your symptoms. If you notice increased pain, swelling, or any signs of infection (such as fever or pus), contact your healthcare provider immediately.
6. Follow-Up: Attend any scheduled follow-up appointments with your surgeon. They can assess your healing progress and address any concerns you may have.
In conclusion, while some discomfort and slow recovery can be normal after a circumcision, it is essential to monitor your symptoms closely. If you feel that your recovery is not progressing as expected or if you have any concerns about your symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your health and comfort are paramount, and your doctor can provide the best advice tailored to your specific situation.
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