Is It Normal to Experience Flat Urine After Circumcision? - Urology

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Could you please provide more details about the urinary issues you are experiencing?


Previously, there was phimosis, so the urination condition was not visible.
After undergoing circumcision a month ago, I have noticed that my urine stream is flat, almost like when a hose is slightly pinched at the end.
Is this normal? Thank you.

WT, 20~29 year old female. Ask Date: 2020/07/23

Dr. Wu Shuyu reply Urology


Hello, first of all, I actually have difficulty understanding what you mean by "flat." If there is difficulty in urination, it could be due to inflammation caused by phimosis or localized tissue swelling after surgery.
As long as you are still able to urinate without difficulty, I recommend monitoring the situation until the swelling subsides.
Thank you.

Reply Date: 2020/07/23

More Info


Experiencing flat urine after circumcision can be concerning, especially if you are noticing a change in your urinary stream. However, it is important to understand that some changes in urine flow can occur after circumcision, and there are several factors to consider.

Firstly, after circumcision, the anatomy of the penis changes, which can affect how urine is expelled. If there was a pre-existing condition such as phimosis (tight foreskin), the urinary stream may have been altered prior to the procedure. Once the foreskin is removed, the urinary opening (meatus) may be more exposed, and the flow of urine can appear different.
Flat urine can occur for a few reasons:
1. Swelling or Inflammation: After circumcision, it is common for the area to be swollen or inflamed. This can temporarily affect the urinary stream. If there is any residual swelling around the urethral opening, it could lead to a flatter stream of urine.

2. Urethral Stricture: In some cases, there may be a narrowing of the urethra (urethral stricture) that can occur after surgery. This can lead to a change in the shape and force of the urine stream. If you notice that the stream is consistently flat or if you experience any pain while urinating, it is important to consult a healthcare professional.

3. Positioning: The way you position yourself while urinating can also affect the stream. If you are sitting or standing in a way that compresses the urethra, this could lead to a flatter stream.

4. Hydration: The amount of fluid intake can also influence urine flow. Dehydration can lead to concentrated urine, which may appear different in terms of stream and color.

If you have been experiencing this change for a month and it is accompanied by other symptoms such as pain, difficulty urinating, or any signs of infection (like burning sensation, urgency, or blood in urine), it is crucial to seek medical advice. A healthcare provider can perform a physical examination and may recommend further tests, such as a urine flow study or imaging, to assess the urinary tract.

In summary, while some changes in urine flow can be normal after circumcision, persistent changes, especially if accompanied by discomfort or other symptoms, should be evaluated by a medical professional. It is always better to err on the side of caution when it comes to changes in urinary function.

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