Post-Circumcision Concerns: Swelling, Pain, and Care Tips

Q: Post-Circumcision Concerns: Swelling, Pain, and Care Tips

Hello： 1) After a circumcision, there is usually swelling for a few weeks; the extent of the swelling varies depending on individual constitution and lifestyle habits. <br>It's important to maintain cleanliness, keep the area dry, minimize erections, engage in moderate exercise,

One month after circumcision, there is swelling of the frenulum and the right side?

Hello, doctor.
I underwent a circumcision about a month ago, and now, approximately one month later, the area beneath the glans is still very swollen, particularly on the right side near the sutures and the frenulum.
The swelling on the right side has a somewhat wave-like appearance; could this be due to the sutures? There is a bit of scabbing at the suture site, and it is painful to touch or press.
However, there is no swelling on the left side, and touching the suture there does not cause pain.

I would like to ask you four questions:
1.
Is this swelling edema? What care should I take to help it resolve more quickly?
2.
I have seen online suggestions for local heat application or keeping the penis upright against the abdomen; are these effective?
3.
Additionally, sometimes the glans appears to lack color, looking somewhat darker with a slight purplish tint, and feels a bit cool to the touch; is this normal?
4.
Finally, there is a raised area at the junction of the glans and the corona, and the tip of the urethral opening feels slightly painful or irritating when touched, with the pain intensifying if there is any adhesion.
Is this a concern? What would be the best way to address this?
Thank you, doctor!

Xiao Xin, 20~29 year old female. Ask Date: 2019/09/11

Dr. Du Shixi reply Urology

Hello: 1) After a circumcision, there is usually swelling for a few weeks; the extent of the swelling varies depending on individual constitution and lifestyle habits.
It's important to maintain cleanliness, keep the area dry, minimize erections, engage in moderate exercise, and avoid tight underwear.
2) Warm compresses are not very effective for this type of wound.
3) These are common phenomena after circumcision, as blood vessels are recovering.
4) Such issues can also occur post-surgery because the genital area is sensitive, and there may be nerve sensitivity around the wound.
If the wound appears red, it's crucial to maintain cleanliness and dryness.
Consuming more vitamin B-rich foods can be beneficial.
Additionally, check the wound during erections for any issues; if such situations frequently occur, a follow-up visit may be necessary to determine if topical treatment is needed.
Wishing you good health.

Reply Date: 2019/09/11

More Info

Post-circumcision concerns are quite common, and it's important to address them properly to ensure a smooth recovery. Based on your description, let's break down your concerns and provide some guidance.

1. Swelling and Edema: The swelling you are experiencing, particularly around the right side of the sutures and the frenulum, could indeed be a form of edema. Post-operative swelling is a normal part of the healing process, but if it persists or worsens, it may indicate an issue such as infection or improper healing. To help reduce swelling, you can apply gentle cold compresses to the area for 10-15 minutes several times a day. Avoid applying ice directly to the skin; instead, wrap it in a cloth. Keeping the area clean and dry is crucial, and you should follow any specific post-operative care instructions provided by your surgeon.

2. Heat Application: While some sources suggest using local heat or positioning the penis against the abdomen to reduce swelling, this may not be universally effective. Heat can sometimes increase blood flow and swelling, so it's generally advisable to stick with cold compresses initially. If you choose to try heat, do so cautiously and monitor how your body responds.

3. Color Changes and Temperature: The discoloration you describe, where the glans appears darker or purplish and feels cool to the touch, can be concerning. However, some degree of color change can occur after circumcision due to swelling and bruising. If the area is not excessively painful and there are no signs of infection (such as increased warmth, redness, or pus), it may be part of the normal healing process. However, if you notice that the discoloration persists or worsens, or if you experience significant pain, it would be wise to consult your healthcare provider.

4. Sensitivity and Pain at the Frenulum: The sensitivity and pain you feel at the junction of the glans and the frenulum, especially if there is a sensation of tightness or adhesion, can be a normal part of healing. However, if the pain is severe or if you notice any unusual discharge, it could indicate a complication such as infection or scarring. Gentle cleaning with mild soap and water, avoiding any harsh chemicals or irritants, is recommended. If the pain persists or if you notice any changes in the appearance of the sutures or surrounding tissue, follow up with your surgeon or a urologist for an evaluation.

In summary, while some swelling and discomfort are typical after circumcision, it is crucial to monitor your symptoms closely. If you experience increasing pain, significant changes in color, or any signs of infection, do not hesitate to seek medical attention. Proper care and communication with your healthcare provider will help ensure a smooth recovery.

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