Post-Circumcision Care: Managing Swelling and Skin Issues - Urology

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Postoperative issues after circumcision?


Hello Doctor, I have had my circumcision done for a while now, and I am currently in the swelling phase.
During this time, my girlfriend performed oral sex on me, and accidentally caused a small tear in the swollen area.
I went back to the hospital where I had the circumcision, and the doctor advised me to apply Mupirocin ointment.
Since I am in the swelling phase, I don't need to bandage it, but the tear is uncomfortable without a bandage when I wear underwear.
The doctor said it's not necessary to bandage it, but if it feels uncomfortable, can I still wrap it? Would that affect the healing process of the swelling?

tian bu la, 10~19 year old female. Ask Date: 2020/04/03

Dr. Du Shixi reply Urology


Hello: It is important to keep the wound clean and dry.
If you need to cover it, that is fine, but the gauze should remain clean.
This will not affect the recovery from swelling.
Wishing you good health.

Reply Date: 2020/04/03

More Info


After undergoing circumcision, managing post-operative care is crucial for ensuring proper healing and minimizing complications. It’s common to experience swelling during the recovery period, and it’s important to address any skin issues that may arise, such as the one you described where your girlfriend accidentally caused a small abrasion in the swollen area.

Firstly, it’s essential to follow your surgeon's advice, as they are familiar with your specific case and the details of your surgery. If your doctor recommended using a topical ointment like "Mederma" or a similar product, it’s likely intended to promote healing and prevent infection. Applying this ointment to the affected area is a good step, but you should ensure that the skin is clean and dry before application to avoid trapping moisture, which can lead to further irritation or infection.

Regarding the use of bandages, your doctor mentioned that it’s not necessary to cover the area with a bandage, but if you find it uncomfortable to wear underwear without some form of protection, it’s reasonable to use a light, breathable dressing. Just ensure that the dressing is not too tight, as this could impede circulation and potentially exacerbate swelling. A loose-fitting bandage can provide a barrier against friction from clothing, which may help alleviate discomfort while still allowing for proper airflow to the healing skin.

It's also important to monitor the area for any signs of infection, such as increased redness, warmth, swelling, or discharge. If you notice any of these symptoms, or if the discomfort worsens, you should return to your healthcare provider for further evaluation.

In terms of swelling, it’s normal to experience some degree of edema following circumcision, especially in the initial days post-surgery. To help manage swelling, consider the following tips:
1. Rest: Avoid strenuous activities that could exacerbate swelling or cause additional trauma to the area.

2. Ice Therapy: Applying a cold compress to the area for short intervals can help reduce swelling. Just be sure to wrap the ice pack in a cloth to protect your skin.

3. Elevation: Keeping the area elevated can also help reduce swelling. If possible, lie down and prop your hips up with pillows.

4. Hydration: Staying well-hydrated can support your body’s healing processes.

As for your concern about whether using a bandage will affect the recovery speed, it generally should not have a significant impact if done correctly. The key is to ensure that the area remains clean and dry, and that any dressing used does not create additional pressure or irritation.

Lastly, if you experience persistent discomfort or if the swelling does not begin to subside after a few days, it’s advisable to follow up with your healthcare provider. They may want to assess the area to ensure that healing is progressing as expected and to rule out any complications.

In summary, while it’s important to adhere to your doctor’s recommendations, it’s also crucial to listen to your body. If wearing a bandage provides relief and comfort, it can be a reasonable choice as long as it’s applied thoughtfully. Always prioritize hygiene and monitor for any signs of complications during your recovery process.

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