Post-Circumcision Care: Glans Redness and Healing - Urology

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Post-circumcision glans inflammation?


About the beginning of the year, I started experiencing itching on the glans, accompanied by some purulent discharge.
I visited a general clinic, but it didn't improve much.
Two months ago, I went to a large hospital where the doctor diagnosed me with chronic balanitis.
Due to my phimosis, the doctor recommended a circumcision.
After two months post-surgery, I returned for a follow-up, and the doctor said everything was fine, but there is still some redness on the surface of the glans.
The doctor mentioned that as long as there is no itching, pain, or discharge, it is considered normal and not a cause for concern.

1.
I would like to ask the doctor if this is normal?
2.
It has been almost two months since the surgery, and the swelling has not completely resolved.
How long will it take to go down?
3.
The scar from the surgery is quite noticeable; will it gradually fade over time?

Niming, 10~19 year old female. Ask Date: 2020/06/23

Dr. Du Shixi reply Urology


Hello: 1) It is common due to the presence of inflammatory markers.
2) It should gradually resolve; some people may see improvement quickly, and after two months, it should be significantly better than after surgery.
3) If it is not a hard scar, it will likely fade over time.
Wishing you good health.

Reply Date: 2020/06/23

More Info


Post-circumcision care is crucial for ensuring proper healing and minimizing complications. It's common for patients to have concerns about the appearance and sensations of the glans (the head of the penis) after circumcision. Let's address your questions one by one.

1. Is the redness of the glans normal?
Yes, some redness of the glans can be normal after circumcision, especially if it has been only two months since the procedure. The glans may appear redder than usual due to the surgical trauma and the healing process. As long as there are no accompanying symptoms such as itching, pain, or discharge, this redness is typically not a cause for concern. The healing process can take several weeks to months, and the appearance of the glans will gradually improve as the tissue heals.

2. How long will the swelling last?
Swelling after circumcision can vary from person to person. Generally, mild swelling can persist for a few weeks, but it should gradually decrease over time. If you notice that the swelling has not improved significantly after two months, it may be worth discussing with your healthcare provider. They can assess whether the swelling is within the normal range or if there might be an underlying issue that needs to be addressed.

3. Will the scar fade over time?
Scarring is a natural part of the healing process after any surgical procedure, including circumcision. Initially, scars may appear more prominent and darker, but they often fade and become less noticeable over time. Factors such as skin type, age, and overall health can influence how well a scar heals. Keeping the area clean and moisturized can also aid in the healing process. If you have concerns about the appearance of the scar, you may want to consult a dermatologist or a plastic surgeon who specializes in scar management for advice on treatments that can help improve the scar's appearance.


Additional Considerations for Post-Circumcision Care:
- Hygiene: It's essential to maintain good hygiene during the healing process. Gently clean the area with mild soap and water, and avoid using harsh chemicals or fragrances that could irritate the skin.

- Avoiding Irritants: Be cautious with clothing that may rub against the area. Loose-fitting underwear can help reduce friction and irritation.

- Monitoring for Complications: Keep an eye out for any signs of infection, such as increased redness, swelling, warmth, or discharge that has a foul odor. If you experience any of these symptoms, contact your healthcare provider promptly.

- Follow-Up Appointments: Regular follow-up appointments with your healthcare provider are essential to ensure that healing is progressing as expected. Don’t hesitate to bring up any concerns during these visits.

In summary, while some redness and swelling can be normal after circumcision, it's important to monitor the healing process and maintain good hygiene. If you have any concerns about your healing or the appearance of the glans, don't hesitate to reach out to your healthcare provider for personalized advice and reassurance.

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