Post-Circumcision Care: Managing Bleeding and Bathing Concerns - Urology

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Post-circumcision care


Hello, doctor.
I would like to ask a few questions.

1.
I just had a circumcision about a week ago.
During my follow-up appointment the day before yesterday, the doctor said I no longer need to bandage it.
However, over the past two days, I have noticed that when I wake up in the morning, there is bleeding from the sutured area, and I find dried blood on the inner thigh.
Could this be due to erections while I sleep? I haven't experienced this during my daily activities.
Do I need to return for another follow-up?
2.
The doctor mentioned that I could get the area wet after about a week, but due to the bleeding I've experienced in the past two days, I am hesitant to do so.
Should I wait a few more days before getting it wet?

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

Dr. Du Shixi reply Urology


Hello: 1) There is a possibility of wound dehiscence, as it has not completely healed.
Erections during sleep may occur.
It is important to keep it covered and return for a follow-up to assess the wound.
2) You should avoid contact with water at this time (due to the possibility of an open wound).
Wishing you good health.

Reply Date: 2020/06/29

More Info


Post-circumcision care is crucial for ensuring proper healing and minimizing complications. Based on your concerns, let’s address each of your questions in detail.

1. Bleeding from the Surgical Site: It is not uncommon to experience some bleeding from the circumcision site, especially during the first week post-surgery. The bleeding you notice upon waking could indeed be related to nocturnal erections, which are a normal physiological response. These erections can put pressure on the surgical site, potentially leading to minor bleeding. However, if the bleeding is significant or if you notice an increase in the amount of blood, it is advisable to consult your doctor. It’s important to monitor the situation closely. If the bleeding continues or worsens, or if you experience any other symptoms such as increased pain, swelling, or signs of infection (like fever or unusual discharge), you should definitely seek medical attention sooner rather than later.

2. Bathing and Water Exposure: Your doctor’s advice to avoid water exposure for about a week post-surgery is standard practice. Water can introduce bacteria to the surgical site, increasing the risk of infection. Given that you are experiencing some bleeding, it would be prudent to delay any activities that involve submerging the area in water, such as baths or swimming, until you are more confident that the bleeding has stopped and the area is healing well. You can still take showers, but it’s best to keep the area dry and avoid direct water pressure on the surgical site. If you have any doubts about when it is safe to resume normal bathing practices, it’s always a good idea to reach out to your healthcare provider for personalized advice.


Additional Care Tips:
- Keep the Area Clean and Dry: After any cleaning, gently pat the area dry with a clean towel. Avoid rubbing the area, as this can irritate the healing tissue.

- Monitor for Signs of Infection: Look out for increased redness, swelling, warmth, or discharge that has a foul odor. These could be signs of infection and warrant immediate medical attention.

- Pain Management: If you experience discomfort, over-the-counter pain relievers like acetaminophen or ibuprofen can help, but be sure to follow the dosage instructions and consult your doctor if you have any concerns.

- Avoid Strenuous Activities: For at least a couple of weeks post-surgery, avoid heavy lifting, vigorous exercise, or any activities that could strain the area. This will help minimize the risk of complications and promote healing.

- Follow-Up Appointments: It’s essential to keep all follow-up appointments with your healthcare provider. They will assess your healing progress and address any concerns you may have.

In conclusion, while some bleeding and discomfort can be normal after circumcision, it’s crucial to stay vigilant and consult your healthcare provider if you have any concerns. Your health and recovery are paramount, and your doctor is the best resource for personalized advice and care.

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