Post-Circumcision Changes: Is Purple Discoloration Normal? - Urology

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Foreskin issues


Hello doctor, I previously asked about the blood-red line-shaped thing at the site of my circumcision.
After a few days, it has turned purple.
Is this normal?

Wu Ou, 10~19 year old female. Ask Date: 2020/07/25

Dr. Du Shixi reply Urology


Hello: Generally, discoloration to purple is not normal.
Please consult a urologist at a hospital for an examination.
Wishing you good health.

Reply Date: 2020/07/25

More Info


After a circumcision, it is not uncommon to observe changes in the color of the skin around the surgical site. The transition from red to purple discoloration can be a normal part of the healing process. This discoloration is often due to bruising, which occurs when small blood vessels are damaged during the surgical procedure. As the body heals, the blood that has pooled under the skin can change color, moving from red to purple, and eventually fading to yellow or brown as it resolves.

In the context of healing after circumcision, the appearance of a purple hue can indicate that the area is undergoing normal healing. However, it is essential to monitor the surgical site for any signs of complications. Here are some key points to consider regarding post-circumcision changes:
1. Normal Healing Process: After circumcision, the skin will go through various stages of healing. Initially, the area may appear red due to inflammation and increased blood flow. As healing progresses, bruising may occur, leading to a purple discoloration. This is typically a normal response to the surgical trauma.

2. Signs of Complications: While some discoloration is normal, it is crucial to be aware of other symptoms that may indicate complications. These include:
- Increased swelling or redness that worsens over time.

- Persistent pain that is not relieved by over-the-counter pain medications.

- Discharge from the surgical site that is yellow, green, or has a foul odor, which could indicate an infection.

- Fever or chills, which may suggest systemic infection.

3. Care and Management: Proper care of the circumcision site is essential for healing. This includes keeping the area clean and dry, following any post-operative instructions provided by the healthcare provider, and avoiding activities that could irritate the site, such as vigorous physical activity or sexual intercourse until cleared by a doctor.

4. Follow-Up: It is advisable to have a follow-up appointment with the surgeon or healthcare provider to ensure that healing is progressing as expected. If there are any concerns about the appearance of the surgical site or if symptoms of complications arise, it is important to seek medical advice promptly.

5. When to Seek Help: If the purple discoloration is accompanied by any of the concerning signs mentioned above, or if there is any uncertainty about the healing process, it is best to consult with a healthcare professional. They can provide a thorough examination and determine if any intervention is necessary.

In summary, while purple discoloration following circumcision can be a normal part of the healing process, it is essential to remain vigilant for any signs of complications. If you have any doubts or concerns about your healing, do not hesitate to reach out to your healthcare provider for guidance.

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