Can You Still Get Balanitis After Circumcision? Post-Op Care

Q: Can You Still Get Balanitis After Circumcision? Post-Op Care

Hello： It is mostly temporary, and no further surgery is needed. <br>However, if it occurs frequently, it is advisable to check fasting blood sugar levels, as individuals with high blood sugar are more prone to balanitis. <br>Additionally, if the foreskin is damp after urination,

Can one still develop balanitis after circumcision?

Due to recurrent inflammation from phimosis, I followed my doctor's advice to undergo a circumcision.
The surgeon preserved a small amount of skin on the left side to prevent tightness during erections.
However, this extra skin has some folds that tend to trap moisture.
Two months post-surgery, I started experiencing a red, irritated sensation around the left side of the coronal sulcus.
Upon follow-up, the surgeon assessed it as normal and prescribed Lidocaine ointment, which I applied for two weeks.
The irritation on the left side persists, but it is not itchy, and since I only use water for bathing, it shouldn't be due to chemical soap irritation.
I am somewhat concerned; should I consider another procedure to tighten the skin for better ventilation and dryness?

fan nao, 40~49 year old female. Ask Date: 2018/02/13

Dr. Du Shixi reply Urology

Hello: It is mostly temporary, and no further surgery is needed.
However, if it occurs frequently, it is advisable to check fasting blood sugar levels, as individuals with high blood sugar are more prone to balanitis.
Additionally, if the foreskin is damp after urination, it is recommended to dry it, as the foreskin is most susceptible to inflammation in a moist and humid environment.
Wishing you good health.

Reply Date: 2018/02/13

More Info

Balanitis, which is an inflammation of the glans (the head of the penis), can occur even after circumcision, although the incidence is generally lower compared to uncircumcised males. In your case, it seems that you are experiencing some irritation in the area where the remaining skin was preserved after your circumcision. This can happen for several reasons, including moisture retention, friction, or even minor infections.

After circumcision, proper post-operative care is crucial to ensure healing and to prevent complications such as balanitis. Here are some important considerations and recommendations for managing your situation:
1. Hygiene: Maintaining good hygiene is essential. You mentioned that you are washing with just water, which is good. Make sure to clean the area gently but thoroughly to remove any secretions or debris that may accumulate. Avoid using harsh soaps or chemicals that could irritate the sensitive skin.

2. Moisture Control: The area around the remaining skin can trap moisture, especially if it is folded or wrinkled. This can create an environment conducive to irritation or infection. After washing, ensure that the area is dried properly. You might consider using a soft towel to pat the area dry gently.

3. Topical Treatments: You mentioned that your doctor prescribed a topical ointment (likely a corticosteroid or antifungal) to help with the irritation. Continue using this as directed. If the irritation persists despite treatment, it may be worth discussing with your doctor the possibility of trying a different topical treatment or a more potent formulation.

4. Avoiding Irritants: Be mindful of any products that come into contact with the area, including laundry detergents, fabric softeners, or personal care products. Sometimes, these can cause allergic reactions or irritations.

5. Monitoring Symptoms: Keep an eye on the symptoms. If you notice any signs of infection, such as increased redness, swelling, discharge, or pain, it is important to seek medical attention promptly.
6. Follow-Up with Your Doctor: Since you are experiencing ongoing irritation, it is advisable to follow up with your surgeon or a urologist. They can assess the area and determine if further intervention is necessary, such as a revision of the circumcision if the remaining skin is indeed causing issues.

7. Consideration of Surgical Options: If the irritation is due to the excess skin, your doctor may discuss the option of a revision circumcision. This would involve removing the excess skin to reduce folds that can trap moisture and irritate the skin. However, this decision should be made carefully, considering the risks and benefits.

In summary, while it is possible to experience balanitis or irritation after circumcision, proper hygiene, moisture control, and follow-up care can help manage and prevent these issues. If symptoms persist or worsen, do not hesitate to consult your healthcare provider for further evaluation and management. Your comfort and health are paramount, and addressing these concerns early can lead to better outcomes.

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