Post-Circumcision Concerns: Normal Recovery Signs

Hello, doctor?

Hello, doctor.
I hope I'm not interrupting your time.
I am 29 years old and it's been 4 days since my circumcision.
During my follow-up appointment, my attending physician said everything looks normal, I can start showering without dressing the area, and that some swelling is a normal phenomenon.
However, I would like to ask about a detail from my surgery: the surgeon mentioned that I had a tear in my frenulum and that it was sutured.
I am wondering if the following symptoms are related to that detail:
1.
Is it normal to have some pink urine occasionally?
2.
Today, after urinating, I noticed a drop of dark blood below the urethral opening, but it stopped after that.
3.
Post-surgery, I have had very little bleeding with only slight traces near the urethral opening.
During a nap today, I noticed a yellow spot on the dressing (from the ointment applied).
4.
Since the surgery, my urine has been spraying in different directions.
I would like to ask if these conditions are considered normal.
Although I have shown these symptoms to my doctor and there has been minimal pain and only slight swelling, I am still a bit concerned.

A Fei, 20~29 year old female. Ask Date: 2020/02/08

Dr. Li Xinyi reply Urology

It sounds like there may not be any major issues.
If there is swelling in the glans of the urethra, urination may become erratic.
Although the ligaments have been sutured, they may not heal properly.
Regarding the presence of some blood at the wound site, it is advisable to return to the outpatient clinic to consult with the surgeon; an in-person examination will provide more clarity.

Reply Date: 2020/02/08

More Info

After undergoing a circumcision, it is completely normal to have concerns about the recovery process, especially when experiencing new symptoms. Let's break down your observations and address your concerns regarding the healing process.

1. Pink Urine: Seeing a small amount of pink urine can be a common occurrence after circumcision. This is often due to minor irritation or trauma to the urethra during the procedure. As long as the pink coloration is not accompanied by significant pain, burning, or a strong odor, it is generally not a cause for alarm. However, if the pink urine persists or worsens, it would be wise to consult your physician.

2. Black Blood After Urination: The appearance of a drop of black blood after urination can be concerning. However, it is important to note that the color of blood can vary based on its source. Darker blood may indicate older blood that has taken longer to exit the body. If this is a one-time occurrence and not accompanied by other symptoms like pain or swelling, it may not be serious. Nonetheless, if you notice this happening frequently or if it is accompanied by other symptoms, you should reach out to your healthcare provider.

3. Minimal Bleeding: It is reassuring that you have experienced minimal bleeding post-surgery. The presence of slight blood spots around the glans (the tip of the penis) can be normal as the area heals. The fact that you are not experiencing significant bleeding is a positive sign. The yellow spots you mentioned could be a result of dried discharge or healing tissue. If you notice any significant changes in the bleeding pattern or if it increases, it would be prudent to consult your doctor.

4. Urinary Stream Changes: A split or erratic urinary stream can occur after circumcision due to swelling or changes in the anatomy of the urethra. This is usually temporary and should improve as the swelling decreases and the tissues heal. If the issue persists or worsens, or if you experience discomfort while urinating, it would be advisable to seek medical advice.

In summary, while some of the symptoms you are experiencing can be normal during the recovery phase after circumcision, it is essential to monitor them closely. Minor swelling, slight bleeding, and changes in urination can occur as part of the healing process. However, if any of these symptoms worsen or if you develop new symptoms such as increased pain, fever, or significant changes in urination, you should contact your healthcare provider for further evaluation.

It is always better to err on the side of caution when it comes to your health. If you have any lingering concerns or if your symptoms do not improve, do not hesitate to reach out to your doctor for reassurance and guidance. Your health and peace of mind are paramount, and your physician is there to help you navigate this recovery process.

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