Pre-Surgery Care for Balanitis and Circumcision - Urology

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When preparing for a circumcision surgery, especially in the context of balanitis (inflammation of the glans and foreskin), it's crucial to understand the implications of your current condition and the pre-operative care you are receiving. Here are some insights regarding your questions:
1. Pain and Discomfort from Medication: Experiencing a stinging sensation, warmth, and mild discomfort in the genital area after applying the medication (in this case, Meizhong ointment) can be a common reaction, especially if there is significant inflammation present. The ointment is likely working to reduce inflammation and promote healing, but the irritation from the inflamed tissue can cause discomfort. If the pain becomes severe or if you notice any worsening of symptoms, it is essential to contact your healthcare provider for further evaluation.

2. Application Technique of the Ointment: Your method of applying the ointment using a sterile cotton swab is appropriate. Covering the inflamed areas, including the glans and foreskin, is essential for effective treatment. However, pushing the foreskin back over the glans after application can create a moist environment that may not be ideal for healing, especially if there is significant inflammation. It is generally recommended to allow the ointment to remain exposed to air for a while to facilitate healing. If you have concerns about the effectiveness of the treatment or if the inflammation persists, it’s advisable to consult your doctor for tailored instructions.

3. Surgery with Active Inflammation: If you proceed with the circumcision while experiencing severe inflammation, it may complicate the surgical procedure and recovery. Surgeons typically prefer to perform circumcision when the area is less inflamed to minimize the risk of complications such as infection, delayed healing, or excessive bleeding. If the inflammation is significant, your surgeon might consider postponing the surgery until the condition improves. Post-operative care will also need to address both the surgical site and any residual inflammation, which may require additional medications or follow-up appointments.


Additional Considerations:
- Pre-Surgical Assessment: Before the surgery, your healthcare provider should assess the severity of the inflammation and determine if any additional treatments are necessary to reduce it. This may include topical or systemic medications to control the infection and inflammation.

- Post-Operative Care: After the circumcision, you will need to follow specific care instructions to ensure proper healing. This includes keeping the area clean, monitoring for signs of infection (such as increased redness, swelling, or discharge), and possibly continuing any prescribed medications.

- Follow-Up Appointments: Regular follow-ups with your healthcare provider after the surgery are crucial to monitor healing and address any complications that may arise.

In summary, while it is possible to proceed with the circumcision despite inflammation, it is essential to ensure that the inflammation is managed effectively to minimize risks. Always communicate openly with your healthcare provider about your symptoms and concerns to receive the best possible care tailored to your situation.