Post-Circumcision Concerns: Hardness and Elasticity Issues Explained - Urology

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Surgical issues


Hello, doctor.
I would like to ask, it has been over a month since I had my circumcision, and the wound has mostly healed.
However, the area around the stitches feels a bit hard and lacks elasticity.
When I have an erection, it feels like a rubber band is constricting around the corona.
Is this normal? Is there a way to soften or loosen that area around the wound?

Niming, 20~29 year old female. Ask Date: 2017/07/03

Dr. Du Shixi reply Urology


Hello: The condition of wounds varies; some heal quickly while others take longer (depending on individual postoperative care and constitution).
There are ointments available for scar treatment, but most are out-of-pocket expenses and their effectiveness is uncertain.
It's advisable to maintain a light diet and include vitamin C, as this may aid in wound recovery.
Wishing you good health.

Reply Date: 2017/07/03

More Info


After circumcision, it is common for patients to experience some changes in the texture and elasticity of the skin around the surgical site. The hardness you are feeling around the sutured area is likely due to scar tissue formation, which is a normal part of the healing process. Scar tissue can sometimes feel firmer and less elastic than the surrounding skin, and this can lead to sensations of tightness, especially during erections.

1. Understanding Scar Tissue Formation: When the skin is cut during circumcision, the body initiates a healing process that involves the formation of scar tissue. This tissue is made up of collagen fibers that are laid down in a different structure than the original skin, which can result in a firmer texture. Over time, this scar tissue may soften and become more pliable, but this process can take several months.

2. Elasticity and Sensation: The sensation of tightness or the feeling of being constricted (like a rubber band) during an erection can be concerning. This is often due to the scar tissue not allowing the skin to stretch as it normally would. If the tightness is significant, it can lead to discomfort or pain during erections, which is not uncommon in the early stages of recovery.

3. Management and Treatment Options:
- Gentle Massage: One of the most effective ways to help soften scar tissue is through gentle massage. You can use a moisturizing lotion or oil to massage the area, which may help to break down some of the scar tissue and improve elasticity. Be sure to do this gently to avoid causing any pain or discomfort.

- Hydration: Keeping the area well-hydrated can also aid in the healing process. Use a fragrance-free moisturizer to help maintain skin elasticity.

- Consultation with a Specialist: If the hardness and tightness persist or worsen, it is advisable to consult with a urologist or a healthcare provider who specializes in post-surgical care. They can assess the area and determine if there are any underlying issues that need to be addressed, such as excessive scar formation or other complications.

4. Timeframe for Healing: It is important to remember that healing after circumcision can vary widely among individuals. While some may notice improvements in elasticity and softness within a few weeks, others may take several months. Patience is key, and regular follow-ups with your healthcare provider can help monitor your recovery.

5. When to Seek Help: If you experience significant pain, swelling, or any signs of infection (such as redness, warmth, or discharge), it is crucial to seek medical attention promptly. Additionally, if the tightness feels unbearable or is affecting your sexual function, do not hesitate to reach out to your doctor for further evaluation.

In summary, while some hardness and lack of elasticity around the circumcision site can be normal, it is essential to monitor your symptoms and take proactive steps to manage them. Gentle massage, hydration, and professional guidance can significantly aid in your recovery process. If concerns persist, a healthcare professional can provide tailored advice and potential treatment options to ensure your comfort and health.

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