Post-Circumcision Concerns: Healing, Pain, and Swelling Explained - Urology

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Post-operative issues after circumcision?


It has been 22 days since the circumcision surgery, and the wound has mostly healed.
1.
However, the color at the coronal margin feels like a bruise and is somewhat painful to the touch.
Is this normal? 2.
The swelling doesn't seem severe, but there is a noticeable ring behind the coronal sulcus.
Will this go down? Thank you!

Mr., 20~29 year old female. Ask Date: 2020/07/16

Dr. Du Shixi reply Urology


Hello: 1) If there is no redness and the wound appears normal, it is a good sign.
After surgery, if circulation is poor, there may be some purplish discoloration; however, if there is no discharge, it should be considered normal.
2) Generally, with the passage of time, the wound will improve, but it is difficult to predict if there will be any scarring.
Wishing you good health.
It has only been 22 days, so please continue to take care of the wound.
Wishing you good health.

Reply Date: 2020/07/16

More Info


After circumcision, it is common for patients to have concerns regarding healing, pain, and swelling. Your observations on the 22nd day post-surgery are quite typical, and I will address your specific questions regarding the healing process and what you might expect moving forward.

1. Bruising and Pain: The discoloration you are noticing at the corona (the ridge of the glans) that resembles a bruise is not unusual. After circumcision, it is common for the area to exhibit some bruising due to the surgical procedure. This bruising can cause tenderness or pain when touched, which is generally a normal part of the healing process. As the tissues heal, the bruising should gradually fade, and the pain should diminish. However, if the pain becomes severe or if you notice increasing redness, swelling, or discharge, it is important to consult your healthcare provider to rule out any complications such as infection.

2. Swelling: The swelling you describe, particularly around the corona and in the area behind the glans, is also a common occurrence after circumcision. This swelling is typically due to the body's natural inflammatory response to surgery. In most cases, this swelling will subside over time as the tissues heal. The timeline for resolution can vary from person to person, but you should expect to see gradual improvement over the next few weeks. Keeping the area clean and following any post-operative care instructions provided by your surgeon can help facilitate healing.

In general, here are some additional points to consider during your recovery:
- Hygiene: Maintaining proper hygiene is crucial. Gently clean the area with mild soap and water, and avoid any harsh chemicals or fragrances that could irritate the sensitive skin.

- Pain Management: If you are experiencing discomfort, over-the-counter pain relievers such as acetaminophen or ibuprofen can be helpful. Always follow the dosage instructions on the packaging or those provided by your healthcare provider.

- Activity Level: It is advisable to avoid strenuous activities or sexual intercourse until you have fully healed, as these can exacerbate swelling and discomfort.

- Follow-Up Care: If you have not already scheduled a follow-up appointment with your surgeon, it may be beneficial to do so. This allows for a professional evaluation of your healing progress and provides an opportunity to address any concerns you may have.

- Signs of Complications: Be vigilant for signs of complications, which may include increased pain, swelling that does not improve, fever, or any unusual discharge. If you experience any of these symptoms, seek medical attention promptly.

In conclusion, while some bruising and swelling are normal after circumcision, it is essential to monitor your symptoms and maintain communication with your healthcare provider. Healing can take time, and each individual's recovery process is unique. If you have any further concerns or if your symptoms worsen, do not hesitate to reach out for professional advice. Your health and comfort are paramount during this recovery period.

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