Post-Circumcision Complications: Addressing Pain and Discomfort

Q: Post-Circumcision Complications: Addressing Pain and Discomfort

Hello： 1) If personal experiences occur repeatedly, the management may be similar each time, mostly involving wound care and the excision of hardened tissue, but new wounds may still develop. <br>It might be worth trying ointments that soften scar tissue. <br>Avoid tight-fitting

Post-circumcision complications?

Doctor, I apologize for bothering you.
I had a circumcision surgery about a year and a half ago, using absorbable sutures (the doctor mentioned it was a new material used by the hospital).
After the surgery, the sutures did not fully absorb, leading to hardened areas at the wound site, which caused pain and discomfort (I do not have keloids or any other medical history).
I returned for follow-up visits several times, and the doctors advised to just observe the situation.
Earlier this year, the doctor suggested performing the circumcision again, this time using non-absorbable sutures.
After approximately eight months of observation, I still notice the presence of hardened areas, although they are not as severe as before, but I still experience minor pain and discomfort.
1.
I would like to ask if there is a way to address the small hardened areas (about 4-5 of them) that are still present at the scabbed site?
2.
After the circumcision, I experience dryness during masturbation, and there is discomfort due to friction with my hands, making it difficult to move my hands freely.
Is there a way to improve this, or is this how it will be?
I will also consult other doctors, but it has been over a year and a half since the circumcision, and during this time, I have not had a sexual partner.
I am very concerned about these issues and fear they may affect my future sexual life.
I would like to gather various opinions from doctors.
Thank you very much, doctor!

Mr. Li, 30~39 year old female. Ask Date: 2019/09/04

Dr. Du Shixi reply Urology

Hello: 1) If personal experiences occur repeatedly, the management may be similar each time, mostly involving wound care and the excision of hardened tissue, but new wounds may still develop.
It might be worth trying ointments that soften scar tissue.
Avoid tight-fitting underwear.
2) Generally, adding some lubricant can help.
P.S.
Do your parents have diabetes? If so, blood sugar levels may need to be monitored, as individuals with diabetes are more prone to wound issues.
Regarding sexual activity, which is different from masturbation, the discomfort or pain you mentioned may not necessarily be present.

Reply Date: 2019/09/04

More Info

Post-circumcision complications can be quite distressing, particularly when they involve persistent pain and discomfort. Based on your description, it seems that you are experiencing issues related to the healing process after your circumcision, specifically with the presence of hard lumps at the site of the incision and discomfort during sexual activities.
1. Hard Lumps and Pain: The hard lumps you are experiencing could be due to several factors, including scar tissue formation or residual sutures that have not fully absorbed. It is not uncommon for some individuals to develop small lumps at the surgical site, especially if absorbable sutures are used. If these lumps are causing pain or discomfort, it is advisable to consult with a urologist or a surgeon who specializes in circumcision. They may recommend options such as:
- Observation: If the lumps are not causing significant pain or functional issues, your doctor may suggest monitoring them over time.

- Surgical Intervention: If the lumps are bothersome, a minor surgical procedure may be performed to excise the hard tissue or to remove any residual sutures. This is typically a straightforward outpatient procedure.

- Steroid Injections: In some cases, corticosteroid injections can help reduce inflammation and soften scar tissue.

2. Discomfort During Masturbation: The dryness and discomfort you are experiencing during masturbation could be attributed to several factors, including changes in sensitivity after circumcision and the lack of natural lubrication. Here are some suggestions to improve your experience:
- Use of Lubricants: Applying a water-based or silicone-based lubricant can significantly reduce friction and enhance comfort during masturbation. This can help alleviate the dryness you mentioned.

- Gentle Techniques: Experimenting with different techniques and pressures may help you find a more comfortable method that works for you. It’s important to listen to your body and avoid any actions that cause pain.

- Consultation with a Specialist: If discomfort persists, it may be beneficial to consult a urologist or a sexual health specialist. They can provide tailored advice and may suggest therapies or treatments to enhance sensitivity and comfort.

3. Impact on Future Sexual Activity: Your concerns about how these issues may affect future sexual relationships are valid. Open communication with potential partners about any discomfort or concerns can help alleviate anxiety. Additionally, addressing these physical issues with a healthcare provider will likely improve your confidence and comfort in intimate situations.

In summary, while it is not uncommon to experience complications after circumcision, there are various options available to manage and treat these issues. Seeking a second opinion or consulting a specialist can provide you with more tailored advice and potential solutions. Remember, it is essential to prioritize your health and comfort, and addressing these concerns proactively can lead to better outcomes in your sexual health and overall well-being.

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