Post-Circumcision Concerns: When to Seek Medical Advice After Surgery - Urology

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Post-operative issues following circumcision?


Hello Doctor, I underwent circumcision three weeks ago.
This Wednesday, I confirmed that I can achieve a full erection without any discomfort, although the sutures have not completely dissolved.
That day was my wife's birthday, and despite knowing the recommendation to avoid sexual activity for a month, we engaged in sexual intercourse.
Afterward, I noticed some swelling in the foreskin area.
There is no external injury, but the swelling resembles postoperative edema, and part of the swollen area has a darker color.
Should I return for a follow-up appointment for the doctor to evaluate this condition?

Li Mou with Insufficient Knowledge, 30~39 year old female. Ask Date: 2020/04/24

Dr. Du Shixi reply Urology


Hello: Post-operative edema after circumcision is common, and some swelling may occur after the procedure as well.
As long as the wound is okay and there is no redness, just monitor the situation and keep the area clean and dry.
Wishing you good health.

Reply Date: 2020/04/24

More Info


After undergoing circumcision, it's common to have concerns about the healing process and any unusual symptoms that may arise. Based on your description, it seems you are experiencing some swelling in the area where the circumcision was performed, particularly after engaging in sexual activity. Here’s a comprehensive overview of your situation and when you should seek medical advice.


Understanding Post-Circumcision Symptoms
1. Normal Healing Process: After circumcision, it is typical for the surgical site to experience some swelling and discoloration as part of the healing process. This can be exacerbated by physical activity, including sexual intercourse. The swelling you are experiencing could be a result of increased blood flow to the area during arousal and activity, which is generally not a cause for concern if it subsides after a short period.

2. Suture Absorption: You mentioned that the sutures have not completely dissolved yet. This is normal, as absorbable sutures can take several weeks to fully dissolve. If the swelling is localized around the sutures and there is no significant pain, fever, or discharge, it may simply be part of the healing process.

3. Signs of Complications: However, there are specific signs that warrant immediate medical attention:
- Increased Pain: If you experience significant pain that is worsening rather than improving, this could indicate an infection or other complications.

- Persistent Swelling: If the swelling does not decrease after a few days or continues to worsen, it may require evaluation.

- Discoloration: While some discoloration is normal, if you notice a significant change in color (especially if it turns very dark or shows signs of bruising), it’s advisable to consult your doctor.

- Discharge: Any unusual discharge (especially pus or foul-smelling fluid) from the surgical site is a sign of infection and should be evaluated promptly.

- Fever: A fever over 100.4°F (38°C) may indicate an infection and should be addressed immediately.


Recommendations
Given that you have experienced swelling after sexual activity, it is advisable to take the following steps:
- Rest and Avoid Further Activity: Allow your body time to heal. Avoid sexual activity until you have fully healed, which typically takes about four to six weeks post-surgery.

- Monitor Symptoms: Keep an eye on the swelling and any other symptoms. If the swelling persists beyond a few days or if any of the concerning signs mentioned above develop, seek medical advice.

- Follow-Up Appointment: If you are uncertain about the healing process or if you feel uncomfortable with the symptoms you are experiencing, it is always best to err on the side of caution and schedule a follow-up appointment with your surgeon. They can provide a thorough examination and reassurance.


Conclusion
In summary, while some swelling and discomfort can be normal after circumcision, it is crucial to monitor your symptoms closely. If you notice any signs of complications or if the swelling does not improve, do not hesitate to seek medical advice. Your health and peace of mind are paramount, and a healthcare professional can provide the best guidance tailored to your specific situation.

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