Managing Post-Surgery Complications: Concerns About Bleeding and Healing

Q: Managing Post-Surgery Complications: Concerns About Bleeding and Healing

Hello： If the laceration is large, it may require suturing. <br>If it only needs 2-3 stitches and can heal on its own, suturing may not be necessary. <br>However, if there is still drainage, it may need to be covered, as the presence of drainage usually indicates that the wound h

Foreskin issues

I'm currently on the seventh day post-surgery, but this morning during an erection, it seems I may have stretched the wound.
When I changed the dressing in the afternoon, I noticed quite a bit of blood on it.
Here is the image of the wound: http://imgur.com/XIXqNRn and here is the image of the dressing: http://imgur.com/6ZcCfi0.
Do you think this wound will need to be re-stitched? It seems that some of the sutures came out with the blood when I removed the dressing.
Is there a way to avoid re-stitching while preventing the wound from opening again during erections? Additionally, I noticed a lot of brown stains on the dressing where the blood was.
Could this be a sign of infection or pus? However, I don't feel any pus coming from the wound itself.
Is there any medication I can take to help reduce morning erections so that the wound can heal properly?

Nìmíng, 20~29 year old female. Ask Date: 2017/06/01

Dr. Du Shixi reply Urology

Hello: If the laceration is large, it may require suturing.
If it only needs 2-3 stitches and can heal on its own, suturing may not be necessary.
However, if there is still drainage, it may need to be covered, as the presence of drainage usually indicates that the wound has not fully healed.
You may need to return for a follow-up to check the wound.

Reply Date: 2017/06/01

More Info

Managing post-surgery complications, particularly concerning bleeding and healing, is a critical aspect of recovery. Based on your description, it seems you are experiencing some complications following your surgery, specifically related to bleeding and the integrity of your wound.
Firstly, it’s important to address the bleeding you observed when changing the dressing. If you noticed significant blood and the stitches (sutures) appear to have come undone, it’s essential to consult your surgeon or healthcare provider immediately. They will be able to assess the wound properly and determine whether re-suturing is necessary. In some cases, if the wound is not too deep and the bleeding is manageable, your doctor may opt for conservative management, which could include applying pressure, using a special dressing, or monitoring the wound closely. However, if the wound is gaping or there is a risk of infection, re-suturing may be the best option.

Regarding the brownish stains on your dressing, this could be dried blood or old blood that has seeped from the wound. It’s not uncommon for wounds to have some discoloration as they heal, but if you notice any signs of infection—such as increased redness, swelling, warmth, or pus—it's crucial to seek medical attention. The absence of pus is a good sign, but it doesn’t completely rule out the possibility of an infection.
To prevent further strain on the wound, especially during morning erections, you might consider a few strategies. Wearing supportive underwear can help minimize movement and provide some compression to the area, which may reduce the likelihood of the wound opening further. Additionally, if you are experiencing frequent erections that are causing discomfort, discussing this with your healthcare provider is advisable. They may recommend medications that can help manage this issue temporarily.

As for medications to help with the frequency of erections, there are options available, but they should only be taken under the guidance of a healthcare professional. Self-medicating can lead to unintended side effects or complications, especially post-surgery.

In terms of healing, maintaining a clean and dry wound environment is crucial. Follow your surgeon's instructions regarding wound care, including how often to change the dressing and what products to use. If you have been prescribed any topical ointments or antibiotics, ensure you use them as directed.

Lastly, it’s vital to monitor your overall health during this recovery phase. Adequate hydration, nutrition, and rest are essential for healing. If you experience any unusual symptoms, such as fever, increased pain, or changes in the wound appearance, do not hesitate to reach out to your healthcare provider.

In summary, while some bleeding and discoloration can be normal post-surgery, significant changes warrant immediate medical attention. Follow your healthcare provider's advice closely, and do not hesitate to ask questions or express concerns about your recovery process. Your health and safety should always come first.

Similar Q&A

Managing Post-Surgery Care After Hemorrhoid Surgery: A Patient's Guide

Hello, doctor. I have been experiencing significant bleeding and have had to repeatedly visit the emergency room for re-suturing after my mixed hemorrhoid surgery two weeks ago, despite following all the postoperative care instructions provided. I am unsure how to manage this sit...

Dr. Ke Fangxu reply Surgery
Answer: The likelihood of postoperative bleeding after hemorrhoid surgery is very low and is generally believed to be related to the absorption of sutures. If bleeding occurs and has already been addressed with two suturing procedures, it is unlikely to happen again and should no...

Post-Surgery Concerns: Managing Bleeding After Anal Ulcer and Hemorrhoid Removal

Hello Dr. Ke, On July 30th of this year, I underwent surgery for anal ulcer and hemorrhoidectomy. I stayed in the hospital for two days post-surgery and have been resting at home in a side-lying position since then. During the first week after the surgery, I took Lactulose (the ...

Dr. Ke Fangxu reply Surgery
Mild bleeding from the surgical site after hemorrhoid surgery is a normal occurrence. However, if there is significant bleeding, it is important to take hemostatic medication (tranexamic acid). If taking Laxatives leads to increased bowel movements, the dosage should be reduced f...

Post-Surgery Concerns: Understanding Hemorrhoid Surgery Recovery

Hello, doctor. 1. How is a large amount of postoperative bleeding defined? I experienced bleeding that flowed down like a stream towards my feet, and since I haven't experienced this before, I'm unsure if it's normal. 2. I was discharged the same day, and I hav...

Dr. Ke Fangxu reply Surgery
1. The amount of bleeding is somewhat excessive; if it does not continue, it should not be a concern. However, if there are multiple instances of bleeding within a day, it is important to seek medical attention promptly. 2. First, remove the dressing and then take a sitz bath. ...

Understanding Post-Surgery Complications After Ultrasound Knife Hemorrhoid Treatment

Hello, doctor! My sister recently underwent ultrasound knife surgery to remove internal hemorrhoids. For the first four days, there were no significant issues, but on the fifth day, she started experiencing heavy bleeding in the morning. She was taken to the emergency room, where...

Dr. Ke Fangxu reply Surgery
Hello: If there is significant bleeding after surgery, it is safer to return to the operating room for hemostasis. Of course, waiting is also an option, but both the medical team and the patient would be on edge, so why take that risk?