Post-Circumcision Recovery: Addressing Swelling and Pain Concerns - Urology

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Post-circumcision care


Hello, Doctor.
I underwent a circumcision on November 1st, and now, after 26 days, there is still a scab in one area.
I have a few questions I would like to confirm:
1.
Is the area from the glans to the circumcision sutures (marked in blue) still swollen?
2.
When I touch, press, or move this area with my fingertip, I experience a sharp pain.
3.
The areas on both sides of the penis near the base, which were previously covered by the foreskin, also cause sharp pain with the same movements mentioned above.
Is this normal? What could be the cause of the pain? If this is normal, will the pain gradually decrease over time until it resolves completely? Are there any medications that can help improve this condition? I have attached images for reference.
Thank you very much.

Vincent, 30~39 year old female. Ask Date: 2018/11/27

Dr. Du Shixi reply Urology


Hello: 1) There will be some swelling after the surgery, but it will gradually improve.
2) & 3) These are also normal occurrences after surgery, as there are wounds and nerves involved, and they are usually not severe and will improve over time.
For dietary recommendations, foods rich in vitamin B are suggested.
If medication is needed, mild analgesics can be used.
Wishing you good health.

Reply Date: 2018/11/27

More Info


Post-circumcision recovery can be a challenging process, and it's common for patients to experience swelling, pain, and sensitivity in the area surrounding the surgical site. Based on your description, it seems that you are experiencing some typical post-operative symptoms, but let's break down your concerns and provide some guidance.

1. Swelling: It is not uncommon for the area beneath the glans (the head of the penis) and the circumcision site to remain swollen for several weeks after the procedure. Swelling can be a normal part of the healing process as your body responds to the surgical trauma. However, if the swelling persists beyond what is expected or is accompanied by severe pain, redness, or discharge, it may be worth consulting your healthcare provider to rule out any complications such as infection.

2. Pain and Sensitivity: The sharp pain you are experiencing when touching or moving the area is also a common occurrence after circumcision. The nerves in the skin and underlying tissues can be quite sensitive during the healing process. This sensitivity may be exacerbated by the presence of scabs, which can be tender as they form and eventually slough off. It's important to avoid any aggressive manipulation of the area, as this can lead to further irritation or even injury.

3. Normal Healing Process: Generally, the pain and sensitivity should gradually decrease over time as the tissues heal. Most patients find that discomfort diminishes significantly within a few weeks to a couple of months. However, everyone's healing process is different, and some may take longer to recover fully.
4. Pain Management: For managing pain and discomfort, over-the-counter pain relievers such as acetaminophen or ibuprofen can be helpful. These medications can reduce inflammation and alleviate pain. Additionally, applying a cold compress to the area can help reduce swelling and numb the pain temporarily. If you find that over-the-counter options are not sufficient, it is advisable to consult your healthcare provider for further recommendations.

5. When to Seek Help: If you notice any signs of infection (such as increased redness, warmth, swelling, or discharge), or if the pain worsens rather than improves, it is crucial to seek medical attention. Your healthcare provider may need to assess the site and determine if any additional treatment is necessary.

In summary, while some swelling and pain are normal parts of the recovery process after circumcision, it is essential to monitor your symptoms closely. If you have concerns about the severity of your symptoms or if they do not improve as expected, do not hesitate to reach out to your healthcare provider for a thorough evaluation. They can provide personalized advice and treatment options tailored to your specific situation. Remember to be gentle with the area, allow it to heal naturally, and follow any post-operative care instructions provided by your surgeon.

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