Post-Surgery Hematoma Under the Glans: Is It Normal?

Hemorrhage under the glans penis?

I would like to ask that I am currently three days post-surgery, but there is a hematoma under the glans, which is about twice the size of the glans and appears swollen.
I would like to know if this is normal.
The surface has a dark purple color, and there are also areas of black discoloration on the foreskin.
I have been applying pressure, but there has been no significant improvement in the swelling.
Thank you for your assistance.

Wu, 20~29 year old female. Ask Date: 2020/12/30

Dr. Li Xinyi reply Urology

This type of issue should primarily be addressed by consulting the attending surgeon.
Alternatively, a visit to a urologist for an in-person examination is also necessary.

Reply Date: 2020/12/30

More Info

Post-surgery hematoma under the glans can be a concerning issue, especially when it appears significantly swollen and discolored. In your case, being three days post-surgery and noticing a hematoma that is about twice the size of the glans, along with a dark purple coloration, raises some important considerations.

Firstly, it is not uncommon to experience some degree of swelling and bruising after surgical procedures, particularly in sensitive areas such as the genital region. Hematomas occur when blood collects outside of blood vessels, often due to trauma or surgical intervention. The body typically absorbs these hematomas over time, but the duration and extent of swelling can vary based on several factors, including the size of the hematoma, the surgical technique used, and individual healing responses.

In your situation, the presence of a hematoma that is significantly larger than the glans and the dark purple coloration could indicate that the hematoma is substantial. While some swelling is expected, excessive swelling, especially if it is not improving, can be a sign of complications. It is crucial to monitor for additional symptoms such as increased pain, fever, or any signs of infection (like pus or increased redness), as these could indicate a more serious issue.

The fact that you are applying pressure to the area is a common practice to help reduce swelling, but if there is no noticeable improvement, it may be time to consult your surgeon or healthcare provider. They may want to evaluate the hematoma further, possibly through a physical examination or imaging studies, to determine if it requires drainage or further intervention.
In general, the management of a hematoma can include conservative measures such as rest, ice application, and elevation of the affected area. However, if the hematoma is large and symptomatic, surgical intervention may be necessary to alleviate pressure and promote healing.

It is also important to consider that the healing process can vary significantly among individuals. Factors such as age, overall health, and any underlying medical conditions can influence recovery. If you have any underlying conditions that affect blood clotting or healing, this could also play a role in the development and resolution of a hematoma.

In summary, while some swelling and bruising post-surgery can be normal, the size and characteristics of your hematoma warrant further evaluation. It is advisable to reach out to your healthcare provider to discuss your symptoms and receive appropriate guidance. They can provide you with the best course of action based on your specific situation and ensure that your recovery proceeds smoothly.

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