Post-Circumcision Concerns: Healing and Scar Tissue - Urology

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Post-circumcision issues


Hello, doctor.
I previously underwent a circumcision, and the wound has mostly healed.
However, I recently noticed what seems to be a scab under the skin at the healing site, which causes slight discomfort when I masturbate.
Will the body absorb the scab, or will I need another surgery to remove it?

Liu Xiansheng, 20~29 year old female. Ask Date: 2020/05/12

Dr. Du Shixi reply Urology


Hello: Scabs should be on the outside and will eventually fall off.
If they feel hard, they are likely scar tissue, which will gradually soften over time, but it may take a while.
Wishing you good health.

Reply Date: 2020/05/12

More Info


Post-circumcision concerns, particularly regarding healing and scar tissue, are common among patients who have undergone this procedure. It’s important to understand the healing process and what to expect afterward.

After circumcision, the healing process typically involves the formation of scar tissue, which is a normal part of recovery. The body naturally forms scar tissue to repair the area where the skin has been cut. In most cases, this scar tissue will gradually soften and become less noticeable over time. However, some individuals may experience discomfort or sensitivity in the area, especially during activities such as masturbation or sexual intercourse.

Regarding your specific concern about a lump or crust under the skin at the healing site, it is possible that this is indeed scar tissue or a residual scab that has not fully absorbed. The body can absorb some types of scabs or crusts, but this process can take time. If the lump is firm and causing discomfort, it may indicate that the scar tissue is more pronounced or that there is a small amount of residual tissue that has not healed properly.

Here are a few considerations regarding your situation:
1. Healing Timeline: Generally, the healing process after circumcision can take several weeks to a few months. During this time, it is normal to experience some discomfort, swelling, or sensitivity. If the discomfort persists beyond the expected healing period, it may warrant further evaluation.

2. Scar Tissue: Scar tissue can sometimes form in a way that feels different from the surrounding skin. If the scar tissue is causing significant discomfort, it may be beneficial to consult with your healthcare provider. They can assess the area and determine if any intervention is necessary.

3. Absorption of Scabs: If the lump you are feeling is indeed a scab, the body may eventually absorb it. However, if it is scar tissue, it will not be absorbed in the same way. Scar tissue can sometimes be managed with treatments such as massage therapy, silicone gel sheets, or corticosteroid injections, depending on the severity and symptoms.

4. When to Seek Help: If you notice any signs of infection (such as increased redness, swelling, warmth, or discharge), or if the discomfort worsens, it is important to seek medical attention. Additionally, if the lump does not improve or if you have concerns about its nature, a follow-up appointment with your surgeon or urologist may be necessary.

5. Surgical Intervention: In some cases, if the scar tissue is causing significant issues, surgical intervention may be considered to remove or revise the scar. This is typically a last resort after conservative measures have been explored.

In conclusion, while some discomfort and the presence of scar tissue are normal after circumcision, it is essential to monitor your symptoms. If the discomfort persists or worsens, or if you have any concerns about the healing process, do not hesitate to reach out to your healthcare provider for a thorough evaluation and appropriate management. They can provide personalized advice based on your specific situation and ensure that your healing process is on track.

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