Severe Swelling After Circumcision: Concerns and Remedies - Urology

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Severe swelling after removing the bandage, currently on day 12?


Hello Doctor: I underwent a circumcision surgery in Banqiao, and after removing the bandage on the sixth day, I started experiencing severe swelling.
The swelling around the area is quite uncomfortable.
I consulted the surgeon who performed the procedure, and they said it is normal, attributing it to the phimosis, which has made the area more sensitive post-surgery.
Currently, I have not seen any reduction in the swelling, and activities such as sleeping, sitting, and walking are quite inconvenient.
Is this normal? If it is normal, are there any medications (oral or topical) or methods that could help expedite improvement? I have to travel to China for work in a week, and I am very concerned about the mobility issue.
Thank you, Doctor!

Lin Tongxue, 20~29 year old female. Ask Date: 2019/12/22

Dr. Du Shixi reply Urology


Hello: After circumcision, there may be a ring of swelling, but there should not be redness, heat, or pain.
If two of these symptoms are present, it may indicate significant inflammation, and a follow-up visit is necessary.
Additionally, if the patient had phimosis, meaning the foreskin could not be retracted, they may experience increased sensitivity after the procedure, with sensations occurring upon contact.
However, this sensitivity will gradually decrease; for some, it may take a few weeks.
Currently, it is advised to maintain cleanliness and dryness.
The use of topical ointments can also help prevent inflammation; while they are somewhat effective, the impact may be limited.
If symptoms are severe, it is recommended to return for oral medication, which may provide improvement.
Wishing you good health.

Reply Date: 2019/12/22

More Info


Severe swelling after circumcision can be a concerning issue, especially if it persists beyond the initial recovery period. It is not uncommon for patients to experience some degree of swelling following the procedure, but when the swelling becomes significant and uncomfortable, it warrants further evaluation and management.


Understanding Post-Circumcision Swelling
Swelling, or edema, is a natural response of the body to surgical trauma. During circumcision, the skin and underlying tissues are cut, which can lead to inflammation and fluid accumulation in the area. This is particularly true if the surgery was complicated or if there was significant manipulation of the tissues.
In your case, the swelling began six days post-operation, which is within the timeframe where swelling can still be expected. However, if the swelling is severe and causing discomfort, it may indicate that the body is reacting more strongly than usual. Factors such as individual healing responses, the extent of the surgery, and even pre-existing conditions can influence the degree of swelling.


When to Be Concerned
While some swelling is normal, you should be vigilant for signs that may indicate complications, such as:
- Increased redness or warmth around the swollen area, which could suggest an infection.

- Foul-smelling discharge from the surgical site.

- Severe pain that is not relieved by over-the-counter pain medications.

- Fever or chills, which could indicate an infection.

If you experience any of these symptoms, it is crucial to seek medical attention promptly.


Remedies and Management
1. Rest and Elevation: Try to keep the area elevated when sitting or lying down. This can help reduce swelling by allowing fluids to drain away from the surgical site.

2. Cold Compress: Applying a cold compress to the swollen area can help reduce inflammation and provide relief from discomfort. Make sure to wrap ice in a cloth to avoid direct contact with the skin.

3. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. Always follow the recommended dosages and consult your doctor if you have any concerns.

4. Topical Treatments: While there are no specific topical medications that can significantly reduce swelling, keeping the area clean and dry is essential. If your doctor recommends it, you might use a mild antiseptic ointment to prevent infection.

5. Hydration and Diet: Staying well-hydrated can help your body manage swelling. A balanced diet rich in fruits and vegetables can also support healing.

6. Follow-Up with Your Surgeon: Since you are experiencing significant swelling, it is advisable to follow up with your surgeon or a healthcare provider. They can assess the situation more thoroughly and determine if any additional interventions are necessary.


Conclusion
In summary, while some swelling after circumcision can be normal, severe and persistent swelling should be evaluated by a healthcare professional. It is essential to monitor for any signs of complications and to manage the swelling through rest, elevation, cold compresses, and appropriate pain management. If you are concerned about your ability to travel for work in a week, it is crucial to communicate this with your healthcare provider, as they may have specific recommendations or treatments to expedite your recovery.

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