Post-Circumcision Concerns: Managing Remaining Stitches After Surgery - Urology

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After circumcision, it's common to have concerns regarding the healing process, especially when it comes to the remaining stitches. From your description, it sounds like you are approaching the four-week mark post-surgery, which is generally a good time frame for healing. The fact that most of the stitches have fallen out and you are not experiencing any discomfort or adverse reactions is a positive sign.

However, the presence of a short segment of stitch that is still visible and causing pain when pulled can be concerning. Here are some steps you can take to manage this situation:
1. Avoid Pulling or Tugging: First and foremost, do not pull or tug on the remaining stitch. This can cause irritation or even lead to complications. If it is painful when you touch it, it’s best to leave it alone.

2. Keep the Area Clean: Maintain good hygiene in the area. Gently clean the area with mild soap and water. Avoid using any harsh chemicals or fragrances that could irritate the skin.

3. Monitor for Signs of Infection: Keep an eye out for any signs of infection, such as increased redness, swelling, warmth, or discharge that is not clear or yellowish. If you notice any of these symptoms, it is crucial to contact your healthcare provider.

4. Consult Your Surgeon: Since you have a specific concern about the remaining stitch, it would be wise to consult your surgeon or the healthcare provider who performed the circumcision. They can assess the situation and determine whether the stitch needs to be removed or if it is safe to leave it as is. Given that it is causing pain, professional evaluation is recommended.

5. Pain Management: If you experience discomfort, over-the-counter pain relief medications such as acetaminophen or ibuprofen can be used, but make sure to follow the recommended dosages and consult with your doctor if you have any underlying health conditions or are taking other medications.

6. Follow-Up Appointments: If you have a follow-up appointment scheduled, make sure to discuss this concern with your doctor during that visit. If you do not have an appointment, consider scheduling one to ensure that everything is healing properly.

7. Avoid Strenuous Activities: Until you have been cleared by your doctor, avoid any strenuous activities or exercises that could put stress on the area. This includes heavy lifting or any activities that may cause friction or pressure on the surgical site.

In summary, while it is encouraging that you are not experiencing significant discomfort, the presence of a remaining stitch that is painful when manipulated warrants a professional evaluation. Your healthcare provider will be able to provide the best advice tailored to your specific situation and ensure that your healing process continues smoothly. Remember, it’s always better to err on the side of caution when it comes to post-surgical care.