Post-Electrosurgery Symptoms: Concerns and Care for Urological Health - Urology

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Symptoms after electrosurgery?


Hello, I would like to ask about a situation I encountered at the beginning of this month.
I noticed several raised lesions on the underside of the glans and the inner side of the foreskin.
Concerned about a possible infection, I went for an examination.
The doctor at the hospital in Yangmei said he had never seen anything like it and recommended electrosurgery, after which he sent the samples for testing.
The results indicated that the symptoms were due to fibrosis caused by frequent scratching, and it was not a sexually transmitted or infectious disease.
However, the day after the electrosurgery, my genital area began to continuously exude a clear fluid, and I am worried about the possibility of an infection at the surgical site.
It has been over two weeks since the surgery, and the foreskin is still swollen, to the point where I cannot retract it to expose the glans.
I am uncertain if the fluid has an odor similar to urine, as it does not smell like urine.
After informing the doctor, he prescribed medication to prevent urine from irritating the wound, but I am still experiencing leakage.
Changing the dressing is extremely uncomfortable and inconvenient, and now urination is painful.
Is this a normal situation? What can I do to improve this condition?

TITAN, 30~39 year old female. Ask Date: 2020/04/22

Dr. Fu Shizhang reply Urology


The fluid could be urine or tissue fluid secreted during wound healing.
It is recommended to have frequent follow-up visits for the attending surgeon to assess the condition of the wound.

Reply Date: 2020/04/22

More Info


Post-electrosurgery symptoms can be concerning, especially when it comes to urological health. In your case, it seems that you underwent an electrosurgery procedure due to fibrous growths on the glans and inner foreskin, which were determined not to be sexually transmitted infections. However, the postoperative symptoms you are experiencing, such as persistent discharge, swelling, and pain during urination, warrant careful attention.

Firstly, it is important to understand that electrosurgery can cause tissue damage, leading to inflammation and discharge as part of the healing process. The transparent fluid you are noticing is likely serous fluid, which is common after surgical procedures as the body responds to injury and begins the healing process. However, if this fluid is accompanied by an odor, especially a foul one, or if there are signs of increased redness, warmth, or fever, these could indicate an infection, and you should seek medical attention promptly.

The swelling of the foreskin that you are experiencing is also not uncommon after such procedures. It can be due to inflammation or edema as the body heals. However, if the swelling is significant enough to prevent the retraction of the foreskin, it could lead to complications such as paraphimosis, where the foreskin cannot return to its normal position, potentially requiring emergency intervention.

Here are some steps you can take to manage your symptoms and promote healing:
1. Follow-Up with Your Doctor: Since you are experiencing ongoing symptoms, it is crucial to have a follow-up appointment with your urologist. They can assess the surgical site for signs of infection or other complications and provide appropriate treatment.

2. Maintain Hygiene: Keep the area clean and dry. Gently wash the area with mild soap and water, and avoid any harsh chemicals or irritants. Pat the area dry rather than rubbing it.

3. Avoid Irritants: Refrain from using any products that may irritate the genital area, such as scented soaps, lotions, or powders.

4. Medication Compliance: If your doctor has prescribed medications to help with pain or to prevent infection, ensure you take them as directed. If the medications are not providing relief, inform your doctor.

5. Cold Compress: Applying a cold compress to the area may help reduce swelling and discomfort. Ensure that the compress is clean and does not directly touch the skin for prolonged periods.

6. Avoid Sexual Activity: It is advisable to avoid any sexual activity until you have fully healed and received clearance from your doctor.

7. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, changes in discharge color or odor, or any new symptoms. This information will be helpful for your healthcare provider.

8. Hydration: Drink plenty of fluids to help dilute your urine, which may reduce irritation during urination.

If your symptoms do not improve or worsen, do not hesitate to seek immediate medical attention. Persistent pain during urination, especially after a surgical procedure, should not be ignored, as it may indicate complications that need to be addressed.

In summary, while some postoperative symptoms can be normal, it is essential to remain vigilant and proactive in your care. Regular communication with your healthcare provider is key to ensuring a smooth recovery and addressing any concerns that may arise.

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