Post-Circumcision Concerns: Healing Issues and White Bumps Explained - Urology

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Post-circumcision care


Hello, Doctor.
I underwent a circumcision on January 16th.
One week post-surgery, the wound opened up about 2 cm and bled.
I continued applying medication, and it seems that the wound has now adhered, but there are a few white round spots near the adhesion site that look a bit like pimples; they haven't ruptured or bled.
Should I be concerned? Also, one scab has not fallen off yet; is that a bit slow? I would appreciate your response.
Thank you!

shin, 10~19 year old female. Ask Date: 2020/02/11

Dr. Du Shixi reply Urology


Hello: It's okay if the scab falls off slowly.
For cleaning the wound that has opened, you can use a sterile cotton swab dipped in saline solution before applying medication.
If the white dot cannot be removed, it may be scar tissue.
Given the current situation, you should return for a follow-up appointment every 7-10 days.

Reply Date: 2020/02/11

More Info


Post-circumcision concerns are quite common, especially regarding healing issues and the appearance of white bumps. It's important to understand that the healing process after circumcision can vary significantly from person to person, and several factors can influence this, including the individual's overall health, the surgical technique used, and how well post-operative care instructions are followed.

In your case, it seems that you experienced a complication where the wound opened up and bled after the initial surgery. This can happen, especially if there is excessive movement or friction in the area during the healing process. It's good to hear that you have been applying medication as advised, and it appears that the wound is now adhering. However, the presence of white bumps near the healing area can be concerning for many patients.

These white bumps could be several things:
1. Normal Healing Tissue: After surgery, the body produces new tissue to heal the wound. This tissue can sometimes appear raised and white, resembling small bumps. This is generally a normal part of the healing process.

2. Sebaceous Cysts: These are small, benign lumps that can form when sebaceous glands become blocked. They are usually harmless and do not require treatment unless they become infected or bothersome.

3. Pearly Penile Papules: These are small, harmless bumps that can appear on the glans (head) of the penis and are considered a normal anatomical variation. They are not a sign of infection or disease.

4. Infection: If the bumps are accompanied by redness, swelling, warmth, or discharge, this could indicate an infection, which would require medical attention.

Regarding the scab that has not yet fallen off, it is not uncommon for scabs to take time to heal completely. The duration can vary based on individual healing rates. If the scab is not causing pain, does not have any discharge, and the surrounding skin appears healthy, it is likely just a part of the normal healing process. However, if you notice any signs of infection or if the scab becomes increasingly painful or changes in appearance, it would be wise to consult your healthcare provider.

In summary, while the presence of white bumps and a lingering scab can be concerning, they are often part of the normal healing process. However, it is crucial to monitor the area for any signs of infection or complications. If you have any doubts or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for a thorough evaluation. They can provide reassurance and, if necessary, further treatment options to ensure proper healing.

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