Post-Surgery Concerns: Tightness and Swelling After Circumcision - Urology

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Post-surgery concerns, especially after a circumcision, can be quite common and often lead to anxiety regarding the healing process and the final outcome. Based on your description, it seems that you are experiencing some residual tightness and swelling in the area after your circumcision, which was performed due to a condition known as phimosis.
Firstly, it’s important to acknowledge that healing after circumcision can vary significantly from person to person. The fact that your wound is healing well and that the stitches have mostly dissolved is a positive sign. However, the sensations you are experiencing—such as slight swelling during erections and a feeling of tightness at the suture site—are not uncommon in the post-operative period.

The swelling you notice during erections could be due to several factors. After circumcision, the skin and tissues in the area are still adjusting to the changes. The tightness you feel might be a result of the way the skin has been stitched together, especially if the opening left after the circumcision is narrower than expected. This can sometimes lead to a condition known as "meatal stenosis," where the opening of the urethra becomes narrowed, but this is less common in circumcision cases.

In terms of whether the situation will improve, many patients find that as the area continues to heal, the tightness and any residual swelling tend to diminish over time. Scar tissue can form during the healing process, which may contribute to the hardness you feel at the suture site. This scar tissue is often temporary and can soften with time. Regular gentle stretching of the skin and avoiding any activities that may cause trauma to the area can help promote better healing.

If you are concerned that too much skin was removed or that the opening is too small, it is essential to consult with your surgeon or a urologist. They can assess the situation more accurately through a physical examination. If there is a significant concern about the tightness or if you experience pain, difficulty urinating, or any other complications, a follow-up procedure may be necessary. However, many cases resolve without the need for further surgical intervention.

In summary, while it is normal to have concerns post-surgery, especially regarding sensations and healing, many of these issues tend to resolve over time. It is crucial to maintain open communication with your healthcare provider, who can provide reassurance and guidance tailored to your specific situation. If symptoms persist or worsen, seeking a second opinion or further evaluation is advisable to ensure that your recovery is on track and to address any potential complications early on.