Post-Circumcision Concerns: Pain, Swelling, and Healing

Penile issues

I'm sorry to disturb you, doctor.
I have a few questions:
1.
I just had a circumcision, and on the first night, I experienced an erection while sleeping, which caused some swelling and pain in the glans.
Is this normal since the wound hasn't healed yet? Does the glans swell and feel larger after circumcision? I'm unsure if it's healing properly.
2.
If the foreskin is cut too short during circumcision, could it affect erections, such as causing pain or preventing a full erection?
3.
Is it too short if the circumcision is done just above the coronal sulcus, leaving the glans exposed without coverage?

Hao, 20~29 year old female. Ask Date: 2021/01/09

Dr. Li Xinyi reply Urology

Whether the foreskin is cut too short is something one may only realize after the wound has healed and stabilized, which may take around three weeks.
If it is indeed cut too short, it could potentially affect erections; however, the likelihood of this occurring is generally low.
For any other concerns regarding postoperative issues, it is best to consult the surgeon directly and ask for clarification in person.

Reply Date: 2021/01/09

More Info

Post-circumcision concerns are quite common, especially in the initial days following the procedure. Let's address your questions one by one.

1. Pain and Swelling After Circumcision: It is entirely normal to experience some pain and swelling after circumcision, particularly during the first few days. The sensation of the glans (the head of the penis) feeling swollen or painful, especially during an erection, can occur because the area is healing. When you have an erection, the increased blood flow can cause the tissues to swell, which may feel uncomfortable or painful if the area is still sensitive from the surgery. This discomfort is usually temporary and should improve as the healing progresses. It's important to follow your doctor's post-operative care instructions, which may include avoiding erections for a certain period to allow the area to heal properly.

2. Impact of Shortened Frenulum: If the circumcision is performed too short, it can potentially lead to complications during erections. A too-short circumcision can restrict the skin's ability to stretch, leading to discomfort or pain during an erection. This is often referred to as "tight circumcision." If you find that you are experiencing significant pain or if your erections feel restricted, it is essential to consult your healthcare provider. They can assess whether the circumcision was performed appropriately and if any corrective measures are necessary.

3. Length of the Circumcision: The ideal length of the circumcision can vary based on individual anatomy and the surgeon's technique. If the circumcision is performed too close to the corona (the ridge of the glans), it may expose the glans more than desired, which can lead to increased sensitivity and discomfort. However, if the glans is fully exposed and you are experiencing discomfort, it is crucial to discuss this with your doctor. They can evaluate whether the circumcision was performed adequately and if any adjustments are needed.

In summary, while some pain and swelling are normal after circumcision, it is essential to monitor your symptoms. If you experience persistent pain, significant swelling, or any other concerning symptoms, it is advisable to seek medical attention. Your healthcare provider can provide guidance on managing discomfort and ensuring proper healing. Additionally, if you have concerns about the length of the circumcision or its impact on your sexual function, do not hesitate to discuss these with your doctor. They can offer reassurance and, if necessary, explore options for further treatment or intervention. Remember, healing takes time, and following your doctor's advice is crucial for a smooth recovery.

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