Post-Circumcision Swelling: Concerns and Remedies After 12 Days

There is significant swelling around the area after circumcision, currently on the 12th day?

Hello Doctor: I am the student who had the circumcision surgery in Banqiao last time.
During my follow-up visits, the doctors said everything was normal, and the pain from the swelling around the area is due to previous phimosis, making it very sensitive, but there is no inflammation.
Now it has been 12 days, and I have not seen any signs of the swelling subsiding.
It has been quite inconvenient for me during activities like sleeping, sitting, and walking.
Should I see the doctor again? Are there any medications (topical or oral) that can help with adaptation or improvement? I am very concerned about mobility issues as I need to go to China for work in a week.
Thank you, Doctor!

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

Dr. Li Xinyi reply Urology

Swelling is relatively slow to subside, and there are no appropriate medications available for this area.
However, what I mentioned earlier is more important: keep the penis positioned upwards.
For example, you can wear supportive underwear or use 3M tape with gauze to secure it in place.
Please ensure this is done properly.
Of course, the most important thing is: if you have any concerns, it is advisable to return to the urology department for an examination and discuss it with your physician.

Reply Date: 2019/12/22

More Info

Post-circumcision swelling is a common concern for many patients following the procedure. It is important to understand that some degree of swelling is expected after circumcision, as the body responds to the surgical trauma. However, if you are experiencing persistent swelling after 12 days, it is essential to assess the situation further.

First, let’s discuss the normal healing process. After circumcision, the area may be swollen for several days due to inflammation and the body's natural healing response. Typically, swelling should begin to decrease within the first week. If you are still experiencing significant swelling after 12 days, it could indicate a few possibilities:
1. Normal Healing Variation: Some individuals may experience prolonged swelling due to individual healing responses. Factors such as age, overall health, and the extent of the procedure can influence recovery times.

2. Sensitivity: As your doctor mentioned, if you had a history of phimosis (tight foreskin), the glans (head of the penis) may be more sensitive after circumcision. This sensitivity can contribute to discomfort and the perception of swelling.

3. Infection: Although your doctor has indicated that there is no sign of infection, it is crucial to monitor for symptoms such as increased redness, warmth, discharge, or fever, which could indicate an infection requiring treatment.

4. Fluid Accumulation: Sometimes, fluid can accumulate in the surgical area, leading to prolonged swelling. This condition, known as a seroma, may require medical intervention if it does not resolve on its own.

Given your concerns about mobility and discomfort, especially with an upcoming trip, it would be prudent to follow up with your healthcare provider. They can perform a physical examination to ensure that the healing process is on track and rule out any complications.
In terms of remedies, here are some suggestions that may help alleviate discomfort and swelling:
- Cold Compress: Applying a cold compress to the area can help reduce swelling and numb discomfort. Be sure to wrap the ice pack in a cloth to avoid direct contact with the skin.

- Pain Relief Medications: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. Always follow the dosing instructions and consult your doctor if you have any concerns.

- Gentle Hygiene: Keeping the area clean is crucial. Use mild soap and water to gently cleanse the area, and avoid any harsh chemicals or fragrances that could irritate the skin.

- Avoiding Irritation: Wear loose-fitting underwear and clothing to minimize friction and irritation. This can help you feel more comfortable during the healing process.

- Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support your body’s healing process.

If you find that the swelling does not improve or worsens, or if you develop any new symptoms, it is essential to seek medical attention promptly. Your healthcare provider may consider additional treatments, such as corticosteroid creams or other medications, to help manage inflammation and discomfort.

In summary, while some swelling is normal after circumcision, persistent swelling after 12 days warrants further evaluation. It is advisable to consult your doctor for a thorough assessment and to discuss any concerns you may have about your upcoming trip. Your comfort and health should always be the priority, and your doctor can provide tailored advice and treatment options to help you through this recovery phase.

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