Post-Circumcision Concerns: Healing, Pain, and Care Tips

Post-circumcision related issues?

Hello Doctor, I have a few questions:
1.
After undergoing laser circumcision, the wound at the suture site has almost healed, and some stitches have fallen out.
However, there are some stitches that are embedded in the tissue, and some that are outside the tissue causing a stinging sensation.
Will the stitches embedded in the tissue dissolve on their own? Will the stitches outside the tissue fall off during bathing? How long does this usually take?
2.
After the surgery, there is a ring of swollen skin.
Once the swelling goes down, will I be able to retract the foreskin up and down, or will it only be a simple reduction of swelling?
3.
Is it normal to still feel tightness at the suture site during an erection?
4.
How long after the surgery can I engage in sexual activity?
5.
Is the white substance in the coronal sulcus dirt? How should I clean it?
P.S.
It has been about 15 days since the surgery.
Thank you very much for your help, Doctor.

Dianxia, 20~29 year old female. Ask Date: 2020/11/01

Dr. Sun Hongshun reply Urology

Your Highness, after consulting with the royal physician, I report the following points:
1.
If absorbable sutures are used, there are two types of materials: one type will completely dissolve within two weeks, while the other may take over a month.

2.
Post-surgery, there is a ring of swollen skin.
This depends on the duration of the surgery; generally, the longer the surgery, the more stable the wound will be.
The swollen skin you mentioned is likely the inner layer of the foreskin, which should have stabilized by the 15th day.

3.
The duration of the surgery will determine the healing process.
If there are any concerns, you may consult the surgeon who performed the procedure (the condition should gradually improve after 15 days).

4.
Typically, wounds will heal within two weeks.
However, it is recommended to wait at least a month before engaging in sexual activity (this, of course, depends on the healing status of the wound and individual constitution).
The saying "A stitch in time saves nine" holds true.

5.
White discharge can be washed away with clean water and dried with a clean cloth; do not over-clean to avoid the risk of balanitis.

Reply Date: 2020/11/01

More Info

Post-circumcision care is crucial for ensuring proper healing and minimizing discomfort. Here are detailed answers to your questions based on medical knowledge and practices.

1. Sutures and Healing: After a circumcision, it is common for some sutures to remain embedded in the tissue. Absorbable sutures typically dissolve on their own within a few weeks to months, depending on the type used. If you have sutures that are protruding from the skin, they may eventually fall out on their own, especially with regular washing. However, if they cause significant discomfort or if you notice signs of infection (such as increased redness, swelling, or discharge), it’s advisable to consult your healthcare provider for evaluation. They may need to remove any non-absorbable sutures or assess the healing process.

2. Swelling and Skin Mobility: Post-operative swelling is common and usually subsides within a few weeks. Once the swelling decreases, you should be able to move the skin around the circumcision site more freely. However, the extent to which you can retract the skin will depend on the surgical technique used and your individual healing process. It’s important to follow your surgeon's advice regarding mobility and care during the healing phase.

3. Tightness During Erection: Feeling tightness at the incision site during an erection is normal in the initial weeks following surgery. The tissues are still healing, and sensitivity may be heightened. As healing progresses, this sensation should diminish. If the tightness persists or is accompanied by pain, it’s important to discuss this with your doctor, as it could indicate issues such as scarring or adhesions.

4. Resuming Sexual Activity: Generally, it is recommended to wait at least 4 to 6 weeks post-circumcision before resuming sexual activity. This allows sufficient time for the incision to heal and reduces the risk of complications such as bleeding or infection. However, it’s essential to follow your surgeon’s specific recommendations based on your healing progress.

5. Cleaning the Glans: The white substance you see in the coronal sulcus (the groove between the glans and the shaft of the penis) is often smegma, a combination of dead skin cells and oils. It’s important to maintain good hygiene by gently cleaning the area with warm water during showers. Avoid using harsh soaps or scrubbing too vigorously, as this can irritate the sensitive skin. If you notice persistent buildup or have concerns about cleanliness, consult your healthcare provider for advice tailored to your situation.

In summary, proper post-operative care is essential for a smooth recovery after circumcision. Monitor your healing closely, maintain good hygiene, and do not hesitate to reach out to your healthcare provider with any concerns or unusual symptoms. Regular follow-ups can help ensure that any potential issues are addressed promptly, leading to a better overall outcome.

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