Post-Circumcision Concerns: Pain and Swelling After Surgery - Urology

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Post-circumcision pain and swelling are common concerns that many patients experience after the procedure. It is important to understand that the healing process can vary significantly from person to person, and several factors can contribute to the symptoms you are experiencing.

Firstly, it is not unusual to have some swelling and discomfort for several weeks following circumcision. The surgical site undergoes a healing process that can involve inflammation, which may manifest as swelling. The fact that you are at the 30-day mark post-surgery indicates that you are still within the normal timeframe for healing, but persistent symptoms should be monitored closely.

The pain you describe at the base of the penis during an erection could be attributed to several factors. One possibility is that the area is still healing, and the tissues may be sensitive or irritated. The tightness you experienced with the frenulum (the band of tissue on the underside of the penis) could have contributed to this discomfort, especially if it was subjected to stress or tension during the healing process. If the frenulum was too tight and caused pain, it may have resulted in some trauma to the surrounding tissues, leading to inflammation and pain during erections.

Another consideration is the possibility of scar tissue formation. After any surgical procedure, scar tissue can develop, and in some cases, it can lead to discomfort or pain, especially if it restricts movement or causes tension in the surrounding areas. If the scar tissue is causing tightness or pulling at the base of the penis, this could explain the pain you are experiencing during erections.

In addition, it is essential to consider the possibility of infection or other complications. While you mentioned that the stitches have fallen out and you are no longer bandaging the area, any signs of redness, increased swelling, or discharge should be evaluated by a healthcare professional. An infection could exacerbate pain and swelling and may require treatment.

Given your symptoms, it is advisable to follow up with your surgeon or a urologist. They can perform a physical examination to assess the surgical site, evaluate for any signs of complications, and provide guidance on managing your symptoms. They may recommend conservative treatments such as pain management strategies, topical treatments, or specific exercises to promote healing and reduce discomfort.

In the meantime, here are some general tips to help manage your symptoms:
1. Avoid Irritation: Wear loose-fitting underwear and avoid activities that may irritate the area, such as vigorous exercise or sexual activity, until you have been cleared by your doctor.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, consult your doctor before taking any medication.

3. Warm Compresses: Applying a warm compress to the area may help reduce swelling and provide some relief from discomfort.

4. Monitor Symptoms: Keep track of any changes in your symptoms, including the severity of pain, swelling, or any new symptoms that may arise.

5. Follow-Up Care: Attend any scheduled follow-up appointments with your healthcare provider to ensure proper healing and address any concerns.

In summary, while some pain and swelling after circumcision are normal, persistent or severe symptoms warrant further evaluation. Consulting with your healthcare provider will help determine the underlying cause of your discomfort and guide you toward appropriate treatment options.