Post-Circumcision Concerns: Healing Time and Wound Management

Q: Post-Circumcision Concerns: Healing Time and Wound Management

Hello： It seems to be scar tissue. <br>If it has been more than two weeks since the surgery, you can soak it in warm water for 15 minutes and gently pull on the suture ends, but do not apply too much force. <br>If they do not come off, you can try again the next day. <br>Applying

Post-operative issues following circumcision?

Hello Dr.
Du, I underwent a circumcision on February 19 due to recurrent infections of the foreskin.
Now, nearly two weeks later, the wound under the frenulum feels a bit loose and has a small crack.
I had a follow-up appointment a few days ago, and the doctor mentioned that the healing process in that area is slower, but it will eventually heal.
Currently, the stitches in that area have come out, and the crack remains the same as before, without any drainage or bleeding.
I am quite worried that it might actually split open.
The other areas do not have this issue, and the sutured wounds have become smoother, although not all the stitches have fallen out yet.
I would like to ask Dr.
Du how long it typically takes for this wound to become smooth? If the crack persists, will I need to return for re-suturing or something similar? Thank you! Here is the wound image: https://drive.google.com/open?id=1Ym2J-la_QMu4PKFKxnK7UOElrPOW8fSy

Lin A, 20~29 year old female. Ask Date: 2020/03/02

Dr. Du Shixi reply Urology

Hello: It seems to be scar tissue.
If it has been more than two weeks since the surgery, you can soak it in warm water for 15 minutes and gently pull on the suture ends, but do not apply too much force.
If they do not come off, you can try again the next day.
Applying too much force may cause bleeding.
Over time, the wound should become smoother.
Wishing you good health.

Reply Date: 2020/03/02

More Info

Post-circumcision concerns regarding healing time and wound management are common, especially when patients notice irregularities in their recovery process. In your case, it has been nearly two weeks since your circumcision, and you are observing some looseness and a small crack in the wound beneath the frenulum. It's understandable to feel anxious about the healing process, particularly when you notice changes like the loss of suture material and the appearance of a crack.

Firstly, it's important to recognize that healing times can vary significantly from person to person. Generally, circumcision wounds can take anywhere from 2 to 6 weeks to heal completely, depending on various factors such as individual health, the extent of the procedure, and adherence to post-operative care instructions. In your case, the fact that the wound is not producing any discharge or bleeding is a positive sign, indicating that there may not be an active infection.

The presence of a crack or looseness in the wound can be concerning, but it is not uncommon. As the tissue heals, it may appear uneven or have slight irregularities. The body is continually working to repair itself, and over time, the wound should become smoother and less noticeable. However, if the crack persists or worsens, it may warrant further evaluation.

Here are some recommendations for managing your wound and promoting healing:
1. Keep the Area Clean: Gently clean the area with mild soap and water. Avoid using harsh chemicals or scrubbing the wound, as this can irritate the healing tissue.

2. Moisturize: Applying a thin layer of a recommended ointment (like petroleum jelly) can help keep the area moist, which may promote better healing and reduce the risk of scarring.

3. Avoid Irritation: Wear loose-fitting underwear and clothing to minimize friction against the wound. Avoid activities that may strain the area, such as vigorous exercise or sexual activity, until you have fully healed.

4. Monitor for Signs of Infection: Keep an eye out for any signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, it’s important to contact your healthcare provider.

5. Follow-Up Care: Since your doctor has already noted that the healing is slower in that area, it’s crucial to keep your follow-up appointments. If you have concerns about the crack or if it does not improve, don’t hesitate to reach out to your doctor. They may consider re-evaluating the wound and determining if further intervention, such as re-suturing, is necessary.

6. Patience is Key: Healing can take time, and it’s essential to be patient with your body as it recovers. Stressing over the appearance of the wound can sometimes hinder the healing process.

In conclusion, while it’s natural to worry about the healing of your circumcision site, many factors influence recovery. If the wound continues to show signs of irregular healing or if you have persistent concerns, do not hesitate to consult your healthcare provider for personalized advice and potential treatment options. Your health and peace of mind are paramount, and your doctor can provide the best guidance tailored to your specific situation.

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