Skin abrasion issues
I had my surgery about two weeks ago, and I'm currently facing some issues.
When I was wrapped in gauze, it stuck to the wound, causing skin breakdown.
I thought it would be better to leave it uncovered at night to allow the wound some space to heal, but I ended up unable to sleep because the broken skin rubs against the surrounding skin or pubic hair, causing pain.
I would like to ask the doctor: 1.
Should I continue applying medication, or should I keep it covered with gauze? 2.
Should I keep it covered with gauze while showering? 3.
Do I still need to apply Betadine when changing the dressing? Thank you, doctor.
A A, 10~19 year old female. Ask Date: 2020/02/12
Dr. Du Shixi reply Urology
Hello: 1) If the wound is small, less than one centimeter, it can be covered for 3-5 days and then treated with ointment.
2) It is recommended to moisten the area with saline, then remove the dressing, shower, and after washing, disinfect the area—then apply ointment.
3) Personally, I suggest using povidone-iodine first.
Wishing you good health.
Reply Date: 2020/02/12
More Info
Managing post-surgery skin irritation, especially after a urological procedure, can be challenging. It’s important to prioritize healing while minimizing discomfort. Here are some tips and answers to your questions based on medical knowledge and best practices.
1. Should I continue applying medication or cover the area with gauze?
After surgery, it’s common for the skin to be sensitive, especially if there has been any irritation or breakdown of the skin barrier. If the area is still healing and you experience pain or irritation, it may be beneficial to continue applying the prescribed medication. This could include topical antibiotics or ointments that promote healing. However, if the gauze is sticking to the wound and causing more harm than good, you might consider leaving the area uncovered for short periods to allow it to breathe, provided that it is not exposed to dirt or bacteria. You can also use non-stick dressings that are less likely to adhere to the wound.
2. Should I cover the area with gauze while showering?
When showering, it is generally advisable to protect the surgical site from water and soap to prevent irritation and infection. You can cover the area with a waterproof bandage or a non-stick dressing to keep it dry. If you find that the gauze sticks to the wound, consider using a plastic wrap or a specialized waterproof dressing that allows you to shower without direct exposure to water. After showering, gently pat the area dry and reapply any necessary ointments.
3. Do I still need to apply povidone-iodine when changing the dressing?
The use of povidone-iodine (or any antiseptic) should be based on your doctor’s recommendations. If your doctor advised using it during dressing changes, continue to do so unless instructed otherwise. However, if the skin is already irritated or broken, using harsh antiseptics might exacerbate the irritation. In such cases, it may be better to use a gentler saline solution or simply clean the area with mild soap and water, followed by the application of a healing ointment.
Additional Tips for Managing Skin Irritation Post-Surgery:
- Keep the Area Clean: Regularly clean the area with mild soap and water, avoiding any harsh scrubs or chemicals that could irritate the skin further.
- Moisturize: Applying a gentle, fragrance-free moisturizer can help keep the skin hydrated and may reduce irritation. Look for products that are specifically designed for sensitive skin.
- Avoid Tight Clothing: Wear loose-fitting underwear and clothing to minimize friction against the healing area. This can help reduce irritation and allow for better airflow.
- Monitor for Signs of Infection: Keep an eye out for increased redness, swelling, warmth, or discharge from the wound. If you notice any of these signs, contact your healthcare provider promptly.
- Pain Management: If you experience significant pain, over-the-counter pain relievers like acetaminophen or ibuprofen may help. However, consult with your doctor before taking any medication.
- Follow-Up Appointments: Attend all scheduled follow-up appointments with your healthcare provider to monitor the healing process and address any concerns you may have.
In conclusion, managing post-surgery skin irritation requires a balance between protecting the wound and allowing it to heal. Always follow your healthcare provider's specific instructions and do not hesitate to reach out to them if you have concerns about your recovery. Your comfort and healing are paramount, and there are many strategies to help you navigate this process effectively.
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