Post-Circumcision Pain and Concerns: What to Expect - Urology

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Post-circumcision care


I would like to ask the doctor, after having a circumcision today, I feel a sharp pain when urinating, and upon a slight inspection, the area appears dark red.
Is this a sign of inflammation? The pain while urinating makes me hesitant to go, and I also feel like I might be leaking urine while sleeping.
Is this a normal phenomenon after the procedure? It's quite troubling for me.

Xiao, 20~29 year old female. Ask Date: 2020/06/21

Dr. Du Shixi reply Urology


Hello: After surgery, there may be a hematoma, which can appear as dark red or black.
Please try to avoid erections to prevent the hematoma from enlarging, as this could slow down recovery.
If the glans was previously smaller and exposed, you may experience pain during urination.
Wishing you good health.

Reply Date: 2020/06/21

More Info


After circumcision, it is common to experience some discomfort and pain, especially during urination. The pain you are describing, particularly the sharp sensation when urinating, can be attributed to several factors related to the surgical procedure.
Firstly, it is important to understand that circumcision involves the removal of the foreskin, which can lead to inflammation and sensitivity in the area as it heals. The surgical site may be swollen, and the surrounding tissues can be tender, which can contribute to pain during urination. The presence of a dark red color in the urine or at the surgical site may indicate some minor bleeding or bruising, which can occur post-surgery. However, if the color is significantly darker or if you notice blood in your urine, it is crucial to seek medical attention.

The pain you are experiencing while urinating could also be due to the irritation of the glans (the head of the penis) that is now exposed after the removal of the foreskin. This area may be sensitive as it adjusts to being exposed, and this sensitivity can cause discomfort during urination. Additionally, if you are feeling hesitant to urinate due to the pain, this can lead to a buildup of urine in the bladder, which can further exacerbate discomfort.

It is also worth noting that some men experience a sensation of needing to urinate more frequently after circumcision, which can be uncomfortable. If you are experiencing any leakage or feeling like you are leaking urine while sleeping, this could be due to the swelling or sensitivity of the area, and it is not uncommon in the initial days following the procedure.

To manage your symptoms, here are some recommendations:
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. Always follow the dosage instructions on the package or those provided by your healthcare provider.

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

3. Warm Baths: Taking warm baths can provide relief and help soothe the area. Avoid using any harsh soaps or products that could irritate the surgical site.

4. Follow-Up Care: Ensure you are following any post-operative care instructions provided by your surgeon. This may include keeping the area clean and dry, applying any prescribed ointments, and monitoring for signs of infection.

5. Watch for Complications: Be vigilant for signs of infection, such as increased redness, swelling, discharge, or fever. If you notice any of these symptoms, contact your healthcare provider immediately.

6. Avoid Sexual Activity: It is generally advised to avoid sexual activity until you have fully healed, as this can exacerbate pain and discomfort.

If your pain persists, worsens, or if you have any concerns about your healing process, it is essential to reach out to your healthcare provider for further evaluation. They can assess whether your symptoms are within the normal range of post-operative recovery or if there are any complications that need to be addressed.
In summary, while some pain and discomfort after circumcision is normal, it is important to monitor your symptoms closely and seek medical advice if you have any concerns. Proper care and attention to your healing process will help ensure a smooth recovery.

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