Persistent Post-Circumcision Symptoms: Seeking Solutions for Recurring Issues

Q: Persistent Post-Circumcision Symptoms: Seeking Solutions for Recurring Issues

Hello： Normal blood sugar means there is no diabetes. <br>Keep the area clean and dry, and if there are any issues after the surgery, please return for a follow-up. <br>Maintain a light diet, and if engaging in sexual activity, use protection. <br>That's about all that can be don

After nearly a year of recurrent balanitis, I recently underwent a circumcision, but the symptoms have reappeared. I need help?

Hello, doctor.
I have visited the clinic a total of six times and applied the ointment six times.
Each time, the condition improved with the medication, but after stopping the treatment for 3 to 4 days, it would relapse.
A few months ago, I asked about this issue.
Following the advice, I took showers with clean water, ensured proper hygiene, and dried myself with toilet paper after urination (which was similar to my previous routine).
My daily routine was normal, but I still did not improve.
I went back for another consultation and received a prescription for a topical antifungal cream, but the relapse occurred again after stopping the medication.
Eventually, I decided to undergo laser surgery to remove the foreskin.
Prior to the surgery, I continued to apply medication to control the inflammation.
Today marks one week post-surgery, but I am experiencing concerning symptoms again.
Initially, I thought the pain was from the sutures, but after a week, the suture site is no longer painful.
I later realized that the discomfort is coming from the skin above the sutures, which is the skin that was originally on the inner side of the foreskin.
When touched, it feels sharp, as if the skin is scraped, and it can be painful.
At times, there is a burning sensation, similar to a burn that is exposed to the wind.
Another noticeable symptom is that the area where the cut foreskin meets the lower edge of the glans has contact.
When I gently pull back the skin, I can see the groove, and each time I do this, the foreskin feels slightly moist and sticky against the glans, with some white accumulation present.
After cleaning it with a cotton swab dipped in saline, half an hour later, when I pull back the foreskin again, it sticks to the glans, sometimes in patches and sometimes in strands.
I had similar symptoms before the circumcision, but when I had not undergone the procedure, pulling back the foreskin would reveal a lot of white flakes and skin, and the glans would stick to the inner foreskin, causing similar sharp pain in the areas that were stuck.
I am set to enlist in a few days, and currently, the situation is uncomfortable; wearing pants causes pain, making it impossible to participate in physical training in the military environment.
The doctor has seen me multiple times, and I have had the circumcision.
I hope this is a normal post-circumcision phenomenon, but I am very afraid that this condition will not improve.
I kindly ask for your advice.
I initially suspected I might have diabetes, but I tested my fasting blood sugar at the pharmacy, and it was normal, around 70, with no symptoms of the three "polys" (polyuria, polydipsia, polyphagia).
My weight has also remained stable.
I have seen others experience relapses after applying medication for a while.
I stopped the medication not long ago, and the foreskin started to develop flakes again, which makes me question what exactly is wrong with me.

tomy, 20~29 year old female. Ask Date: 2020/08/28

Dr. Du Shixi reply Urology

Hello: Normal blood sugar means there is no diabetes.
Keep the area clean and dry, and if there are any issues after the surgery, please return for a follow-up.
Maintain a light diet, and if engaging in sexual activity, use protection.
That's about all that can be done.
Wishing you good health.

Reply Date: 2020/08/28

More Info

Persistent post-circumcision symptoms can be quite distressing, and it seems you have been through a lot in trying to manage your condition. Based on your description, it appears that you are experiencing a combination of discomfort and irritation in the area surrounding the circumcision site, along with some recurring symptoms that were present before the procedure.
Firstly, it is important to understand that after circumcision, the skin around the glans (the head of the penis) can be sensitive and may take time to heal completely. The symptoms you are describing, such as pain, a burning sensation, and the presence of white discharge, could be indicative of several issues, including:
1. Post-Surgical Healing: After circumcision, the skin may be sensitive as it heals. The discomfort you feel when touching the area could be due to the healing process. It is not uncommon for the skin to feel tender or even slightly painful during the initial healing phase.

2. Irritation or Infection: The presence of white discharge could suggest irritation or a possible infection. It is essential to keep the area clean and dry. If you notice any signs of infection, such as increased redness, swelling, or discharge that has a foul odor, you should seek medical attention promptly.

3. Skin Sensitivity: The skin that was previously covered by the foreskin may be more sensitive now that it is exposed. This sensitivity can lead to discomfort, especially when clothing rubs against the area.

4. Balanitis: This is an inflammation of the glans, which can occur after circumcision. Symptoms may include redness, swelling, and discharge. Proper hygiene is crucial in managing this condition.

5. Allergic Reaction: If you are using any topical medications or ointments, consider whether you might be having an allergic reaction to one of the ingredients.

Given your situation, here are some recommendations:
- Follow-Up with Your Doctor: Since you have already seen multiple doctors, it may be beneficial to consult a urologist who specializes in post-circumcision complications. They can provide a more targeted evaluation and treatment plan.

- Maintain Hygiene: Continue to keep the area clean. Use mild soap and water, and ensure that you dry the area thoroughly after washing. Avoid using harsh soaps or products that could irritate the skin.

- Avoid Irritants: Be cautious with any topical treatments. If you suspect that a particular ointment is causing irritation, discontinue its use and consult your doctor.

- Monitor Symptoms: Keep track of your symptoms and any changes you notice. If the discomfort persists or worsens, or if you develop new symptoms, seek medical attention.

- Consider a Second Opinion: If you feel that your concerns are not being adequately addressed, seeking a second opinion from another specialist may provide you with new insights or treatment options.

- Patience in Healing: Understand that healing can take time, and it is not uncommon for the area to be sensitive for several weeks or even months after the procedure.
In summary, while it is understandable to be concerned about your symptoms, many of the issues you are experiencing can be managed with proper care and follow-up. It is crucial to communicate openly with your healthcare providers about your symptoms and concerns to ensure you receive the best possible care.

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