Post-Circumcision Concerns: Managing Excessive Drainage and Care Tips

Q: Post-Circumcision Concerns: Managing Excessive Drainage and Care Tips

Hello： If the wound is healing well without any unusual redness, swelling, heat, or pain, it can be managed at home. <br>However, if any of the above symptoms occur, or if the wound opens significantly, a follow-up visit is necessary. <br>Wishing you good health. <br>Currently, a

Post-operative excessive drainage from the frenulum after circumcision?

Dear Dr.
Du,
I have been following up on my condition after undergoing laser circumcision surgery, which was performed four days ago.
On the first night, it seems that nocturnal erections caused some tension on the wound.
When the surgeon changed the elastic bandage the next day, he noted some bleeding above the bandage, disinfected the area, and reapplied the bandage.
By the third day, yellow exudate began to seep through the bandage.
In the morning of the fourth day, I discussed this with the surgeon, who believed that the exudate was merely tissue fluid and not a concern.
He advised me to use a cotton pad to absorb the fluid and to continue disinfecting with Betadine twice daily, without the need for further bandaging.
However, in the afternoon, I noticed that the amount of exudate had exceeded the size of a ten-cent coin.
The surgeon maintained that no further action was necessary and refused to allow me to return for a follow-up appointment.
After conducting some research on Google and reviewing previous Q&A from Taiwan's e-hospital, I found that some physicians suggest applying topical antibiotic ointment to prevent infection.
Based on your extensive clinical experience, I would like to ask whether I should independently use ointment to manage the wound, seek a second opinion from another physician, or if my concerns are simply an overreaction.
Thank you.

Mu Er, 30~39 year old female. Ask Date: 2020/02/24

Dr. Du Shixi reply Urology

Hello: If the wound is healing well without any unusual redness, swelling, heat, or pain, it can be managed at home.
However, if any of the above symptoms occur, or if the wound opens significantly, a follow-up visit is necessary.
Wishing you good health.
Currently, avoid erections, and keep your underwear clean to prevent contaminating the wound.
Please refrain from getting it wet for the time being.
Wishing you good health.

Reply Date: 2020/02/24

More Info

Post-circumcision care is crucial for ensuring proper healing and preventing complications. It’s understandable to have concerns about excessive drainage following a circumcision, especially when there are visible signs of fluid accumulation. Here’s a comprehensive overview of what to consider in your situation, along with general care tips.

Understanding Post-Circumcision Drainage
1. Types of Drainage: After circumcision, it is common to see some drainage, which can be a mix of blood, serum, and tissue fluid. Yellowish fluid, often referred to as serous fluid, can be normal as it indicates the healing process. However, excessive drainage, particularly if it exceeds a certain amount (like the size of a ten-cent coin), may warrant further evaluation.

2. Signs of Infection: While some drainage is normal, it’s essential to monitor for signs of infection. These include:
- Increased redness or swelling around the surgical site.

- A foul odor emanating from the area.

- Fever or chills.

- Pus-like drainage that is thick and discolored.

3. When to Seek Help: If you notice any of the above signs or if the drainage continues to increase significantly, it’s advisable to seek a second opinion from another healthcare provider. It’s better to err on the side of caution, especially when it comes to potential infections.

Care Tips Post-Circumcision
1. Hygiene: Keep the area clean. Use mild soap and water to gently clean the area during baths. Avoid scrubbing the site. After cleaning, pat the area dry with a clean towel.

2. Dressing Changes: If your doctor has advised against further dressing, ensure that you are still monitoring the area closely. If you feel that the drainage is excessive, you might consider using a sterile gauze pad to absorb any fluid, changing it as needed.

3. Topical Treatments: The use of topical antibiotics can be beneficial in preventing infection, especially if there is a concern about excessive drainage. However, it’s essential to consult with a healthcare provider before applying any medication to ensure it’s appropriate for your specific situation.

4. Avoid Irritation: Wear loose-fitting underwear to avoid friction against the surgical site. This can help minimize discomfort and prevent further irritation.

5. Follow-Up Care: If your surgeon has indicated that follow-up visits are unnecessary, but you still have concerns, don’t hesitate to seek a second opinion. It’s important to feel comfortable with your care plan and to have your concerns addressed.

6. Monitor Symptoms: Keep a close eye on the healing process. If you notice any changes in the drainage, such as increased volume, color changes, or the development of new symptoms, contact a healthcare professional.

Conclusion
In summary, while some drainage post-circumcision can be normal, excessive drainage should not be ignored. It’s essential to maintain good hygiene, monitor for signs of infection, and seek further medical advice if you have concerns. If your current healthcare provider is dismissive of your worries, it may be beneficial to consult another physician for a second opinion. Your health and peace of mind are paramount, and it’s important to advocate for your well-being.

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