Post-Circumcision Concerns: Managing Urinary Issues and Swelling

Post-circumcision care

Hello doctor, I am 27 years old.
I previously had phimosis and recently underwent a circumcision surgery.
It is now the fourth day post-operation.

1.
Before the surgery, I often experienced frequent urges to urinate and had to urinate several times before bed, with a small urine volume of perhaps less than 100cc.
Could this be a sign of overactive bladder? (I used to masturbate once a day.)
2.
Currently, there is significant swelling between the glans and the sutures, with a diameter much larger than the glans itself.
Is this size considered normal in clinical practice?
3.
On the fourth day post-surgery, I am still experiencing this swelling, and now I even leak urine when I sneeze or get up from a chair, which is similar to urinary incontinence.
I did not have this issue before.
Could this be due to the swelling compressing the urethra? Additionally, my glans is very sensitive, and even slight friction from my pants can trigger this problem.
4.
If I want to reduce the frequency of urination and urinary leakage, would it be appropriate for me to seek medical treatment and medication at this time? Thank you.

Sam, 20~29 year old female. Ask Date: 2019/07/02

Dr. Du Mingyi reply Urology

1.
It is possible.
2.
Postoperative edema may take up to a month to resolve.
3.
Let's assess the situation after complete recovery; currently, it should be temporary.
4.
Not recommended.

Reply Date: 2019/07/02

More Info

Post-circumcision urinary issues can be concerning, especially when they arise shortly after surgery. Let's address your questions one by one.

1. Frequent Urination and Possible Overactive Bladder: The symptoms you describe, such as frequent urination and small urine volume, could indeed suggest a condition known as overactive bladder (OAB). This condition is characterized by an urgent need to urinate, often accompanied by increased frequency and nocturia (waking up at night to urinate). However, it’s important to consider that your recent circumcision may also be influencing your urinary habits. Stress, anxiety, and changes in anatomy post-surgery can temporarily affect bladder function. If these symptoms persist, it would be advisable to consult a urologist for a thorough evaluation and potential treatment options.

2. Swelling Post-Surgery: It is common to experience some swelling after circumcision, particularly around the glans (the head of the penis) and the sutured area. The degree of swelling can vary significantly among individuals. While some swelling is expected, if the swelling is significantly larger than the glans itself, it may warrant further investigation. It’s essential to monitor the swelling; if it continues to increase or is accompanied by severe pain, redness, or discharge, you should contact your surgeon or healthcare provider.

3. Urinary Incontinence Post-Surgery: Experiencing urinary incontinence, especially after a surgical procedure, can be distressing. The swelling you are experiencing may indeed be putting pressure on the urethra, leading to involuntary leakage of urine when you sneeze or rise from a seated position. This is not uncommon in the immediate postoperative period, as the body adjusts to the changes. However, if this issue persists beyond the initial healing phase (typically a few weeks), it would be prudent to seek medical advice. Your sensitivity in the area could also contribute to discomfort and involuntary leakage, so managing sensitivity through gentle care and avoiding irritation is key.

4. Seeking Medical Treatment for Frequent Urination and Incontinence: If you find that your symptoms of frequent urination and incontinence are bothersome and affecting your quality of life, it is appropriate to seek medical treatment. A urologist can assess your symptoms and may recommend medications that can help manage overactive bladder symptoms or other underlying issues. Additionally, pelvic floor exercises or bladder training techniques may be beneficial.

In summary, while some of your symptoms may be related to the recent circumcision, it is essential to monitor your condition closely. If you experience persistent or worsening symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and management. Your comfort and well-being are paramount, and addressing these issues early can lead to better outcomes.

Similar Q&A

Post-Circumcision Concerns: Swelling, Pain, and Urination Issues Explained

Hello, Doctor. 1. I underwent a circumcision procedure on January 4th, and today is January 12th. I had a follow-up appointment two days ago, and the doctor said the surgical wound looks normal. However, I have noticed a swollen ring around the glans penis, resembling a swimmin...

Dr. Du Shixi reply Urology
Hello: The responses provided here are for reference only and cannot replace a physician's examination and testing. 1. I underwent a circumcision on January 4th, and today is January 12th. I had a follow-up appointment two days ago, and the doctor said the surgical wound is...

Post-Circumcision Complications: Wound Healing and Urinary Concerns

Hello Doctor: I underwent traditional circumcision surgery on December 29 of last year. However, I mistakenly returned for a follow-up appointment a week later, where the tighter bandages from the surgery were removed for the first time. After the bandages were taken off, there w...

Dr. Du Shixi reply Urology
Hello: I underwent a traditional circumcision on December 29 of last year, but due to a misunderstanding about my follow-up appointment, I returned a week later to have the tighter dressing removed during my first dressing change. After removing it, there was still some bleeding....

Post-Circumcision Concerns: Managing Swelling and Infection Risks

Hello doctor, I recently underwent a circumcision surgery a few days ago. Due to severe swelling, it has been very inconvenient to bandage and use the restroom. Urine often drips onto the gauze, causing me to change the gauze frequently, which is both painful and troublesome. I w...

Dr. Li Xinyi reply Urology
If the swelling is severe, it is recommended to position the penis upwards and secure it with 3M tape. Before changing the dressing, apply ointment to the wound, then cover it with gauze; this will help reduce pain during dressing changes. Generally, the gauze should be changed w...

Post-Circumcision Concerns: Pain, Swelling, and When to Seek Help

Hello, doctor. I have a few questions to ask: 1. I had a complete circumcision, and now I am experiencing redness, swelling, and pain in the glans, along with a sensation of urinary leakage and slight pain while urinating. Is this normal? 2. The area around the incision is re...

Dr. Du Shixi reply Urology
Hello: 1) If you experience symptoms every time you urinate, you should return for a follow-up, as there may be other issues. Additionally, make sure to drink water normally. 2) Post-surgery, it is common to experience swelling and pain, but it should gradually improve. 3) If the...