Post-Circumcision Healing: Is Hardness Normal? - Urology

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Post-circumcision care


Hello, doctor.
I would like to ask, I am about 3 weeks post circumcision, and there is a hard area on the swollen part of the skin.
Is this normal? If so, how long will it take to resolve?

111, 20~29 year old female. Ask Date: 2019/10/25

Dr. Du Shixi reply Urology


Hello: If most of the area under the wound is scar tissue, and if there is a possibility of a hematoma in the non-wound area after surgery, both may gradually resolve over a few weeks; however, the scar tissue will take longer to heal.
If there is redness or tenderness, it is advisable to seek medical attention.
If you are very concerned, you may return for a follow-up appointment.
Wishing you good health.

Reply Date: 2019/10/25

More Info


After a circumcision, it is common to experience some degree of swelling and hardness in the area where the procedure was performed. This is generally a normal part of the healing process. The hardness you are feeling could be due to several factors, including inflammation, scar tissue formation, or the natural healing response of the body to the surgical trauma.

1. Normal Healing Process: After circumcision, the body initiates a healing response that includes inflammation. This can lead to swelling and hardness in the surgical area. The hardness is often a result of the accumulation of fluid (edema) and the formation of scar tissue as the skin and underlying tissues heal.
2. Duration of Symptoms: Typically, the swelling and hardness should start to decrease within a few weeks post-surgery. Most patients notice significant improvement within 2 to 4 weeks, but complete resolution may take longer, depending on individual healing rates and the extent of the surgery. If the hardness persists beyond 6 weeks or if you experience increasing pain, redness, or discharge, it would be advisable to consult your healthcare provider.

3. Signs of Complications: While some hardness is normal, it is essential to monitor for signs of complications. If you notice any of the following, you should seek medical attention:
- Increased pain or tenderness in the area
- Redness or warmth around the surgical site
- Discharge that is yellow or green, which could indicate an infection
- Fever or chills, which could also suggest an infection
4. Post-Operative Care: Proper post-operative care is crucial for optimal healing. This includes keeping the area clean and dry, following any specific instructions provided by your surgeon, and avoiding activities that could stress the surgical site, such as vigorous exercise or sexual activity, until cleared by your doctor.

5. Consultation with a Specialist: If you have concerns about the hardness or any other symptoms, it is always a good idea to follow up with your surgeon or a urologist. They can provide a thorough examination and determine if what you are experiencing is within the normal range of post-operative healing or if further intervention is needed.

In summary, while some hardness and swelling are typical after circumcision, it is essential to monitor your symptoms and consult with your healthcare provider if you have any concerns. Healing can vary significantly from person to person, and your doctor will be able to give you the best advice tailored to your specific situation.

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