Persistent Swelling After Circumcision: When to Seek Medical Advice

Q: Persistent Swelling After Circumcision: When to Seek Medical Advice

Hello： 1) It is common and is a cyclical relationship; no follow-up visit is necessary, but be careful not to sit for long periods. <br>The topical ointment is ineffective. <br>Wishing you good health.

Swelling around the circumcision site?

Dear Doctor, it has been over six months since I had my circumcision, but there is still a ring of swelling under the glans (although it doesn't hurt much).
I read online that I can buy anti-inflammatory medication; what kind should I get? Do I need to schedule a follow-up appointment? Thank you, Doctor.

Andy, 20~29 year old female. Ask Date: 2020/04/04

Dr. Du Shixi reply Urology

Hello: 1) It is common and is a cyclical relationship; no follow-up visit is necessary, but be careful not to sit for long periods.
The topical ointment is ineffective.
Wishing you good health.

Reply Date: 2020/04/04

More Info

After circumcision, it is not uncommon for some swelling to persist for a period of time. However, if you have noticed that the swelling has lasted for more than six months, it is important to seek medical advice. Persistent swelling could indicate an underlying issue that may need to be addressed.

In the immediate postoperative period, some swelling is expected as part of the healing process. Typically, this swelling should gradually decrease over the weeks following the procedure. If the swelling remains significant or has not improved, it could be due to several factors, including:
1. Infection: Even if there is no pain, an infection can cause swelling. Signs of infection may include redness, warmth, discharge, or fever. If you suspect an infection, it is crucial to see a healthcare provider.

2. Scar Tissue Formation: Sometimes, excessive scar tissue can form, leading to persistent swelling. This is known as fibrosis and can occur in the area of the circumcision.

3. Lymphatic Issues: The lymphatic system plays a role in fluid drainage. If there is an issue with lymphatic drainage, it can lead to persistent swelling.

4. Allergic Reaction: If you have been using any topical medications or creams, an allergic reaction could also cause swelling.

5. Underlying Medical Conditions: Conditions such as lymphedema or other vascular issues could contribute to prolonged swelling.

Regarding the use of anti-inflammatory medications, it is essential to consult with a healthcare provider before starting any new medication. Over-the-counter options like ibuprofen or naproxen can help reduce inflammation and swelling, but they should be used with caution and under guidance, especially if you have any underlying health conditions or are taking other medications.

In summary, while some swelling can be normal after circumcision, persistent swelling for over six months warrants a medical evaluation. It is advisable to return to your healthcare provider for a thorough examination. They can assess the area, determine the cause of the swelling, and recommend appropriate treatment. Early intervention can help prevent potential complications and ensure proper healing.

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