Post-Circumcision Care: Concerns About Stitches and Healing - Urology

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After circumcision, it is common to have concerns about the healing process and the appearance of stitches. Based on your description, it seems that you may have encountered a stitch that has become visible or is protruding from the healing tissue. Here’s a detailed response regarding post-circumcision care and what you should consider regarding the stitches and healing.


Understanding Stitches After Circumcision
1. Types of Stitches: After circumcision, stitches (sutures) are typically used to close the incision. These can be absorbable or non-absorbable. Absorbable stitches dissolve over time and do not need to be removed, while non-absorbable stitches may require a follow-up visit for removal.

2. Appearance of Stitches: It is not uncommon for stitches to become visible as the swelling decreases and the surrounding tissue heals. If you see a dark red line, it could indeed be a stitch. If it is absorbable, it may eventually fall off on its own. If it is non-absorbable, it may need to be addressed by your healthcare provider.

3. Risk of Wound Dehiscence: If you accidentally pulled on a stitch, there is a concern about the wound opening (dehiscence). However, if the stitch is still intact and the surrounding tissue appears healthy (not excessively red, swollen, or oozing), the risk of the wound splitting open is generally low.

Care Recommendations
1. Do Not Pull on Stitches: Avoid pulling or tugging on any visible stitches. If you suspect a stitch is loose or causing discomfort, it’s best to consult your healthcare provider rather than attempting to remove it yourself.

2. Keep the Area Clean: Maintain proper hygiene by gently cleaning the area with mild soap and water during showers. Avoid scrubbing the area vigorously, as this can irritate the healing tissue.

3. Monitor for Signs of Infection: Watch for any signs of infection, such as increased redness, swelling, warmth, or discharge that is yellow or green. If you notice any of these symptoms, contact your healthcare provider promptly.

4. Follow-Up Appointments: Attend any scheduled follow-up appointments with your healthcare provider. They can assess the healing process and determine if any stitches need to be removed or if further care is required.

5. Pain Management: If you experience discomfort, over-the-counter pain relief medications can be helpful. Always consult with your doctor before taking any medication to ensure it is safe for your situation.


When to Seek Medical Attention
If you experience any of the following, seek medical attention:
- Persistent or worsening pain
- Signs of infection (as mentioned above)
- Excessive bleeding
- If the stitch appears to be pulling on the skin or causing significant discomfort

Conclusion
In summary, while it is normal to have concerns about stitches after circumcision, it is essential to avoid manipulating them and to maintain proper hygiene. Monitor the healing process and consult your healthcare provider if you have any concerns or if the situation changes. Healing can take time, and your provider will be the best resource for ensuring everything is progressing as it should.