Post-Circumcision Concerns: Swelling and Infection Risks

Post-operative issues after circumcision?

Hello Doctor, I just had a circumcision three days ago, and I have been experiencing swelling since the procedure.
I read online that this should gradually subside, but I am unsure if my situation is normal.
There is a ring of swelling around the glans, and the area below is almost the same size as the glans, feeling heavy.
Is this considered normal? Additionally, how can I determine if the wound or swelling is infected? Thank you for your guidance.

dfgjhm, 20~29 year old female. Ask Date: 2021/01/23

Dr. Li Xinyi reply Urology

If there is significant swelling, you should find a way to position the penis upwards and secure it to the abdomen with 3M tape.
If the swelling is severe, the time for it to subside will be prolonged.
However, any concerns regarding this type of surgery should be addressed during the postoperative follow-up visit, as online physicians cannot provide clear assessments or recommendations.

Reply Date: 2021/01/23

More Info

After undergoing a circumcision procedure, it is common to experience some degree of swelling (edema) in the area surrounding the glans (the head of the penis). This swelling is typically a normal part of the healing process and can occur due to the surgical trauma inflicted during the procedure. However, it is essential to monitor the swelling and other symptoms to ensure that they remain within the expected range of post-operative recovery.

In the first few days following circumcision, it is not unusual for the area to appear swollen and for the skin to feel tight. The swelling may make the glans appear larger than usual, and you might also notice some bruising or discoloration. This is generally due to the accumulation of fluid and the body's inflammatory response to the surgery. Most of the time, this swelling will gradually subside over the course of a week or two as the tissue heals.

However, it is crucial to differentiate between normal post-operative swelling and signs of infection. Here are some indicators that may suggest an infection:
1. Increased Redness: While some redness is normal, if you notice that the redness is spreading or becoming more intense, this could be a sign of infection.

2. Warmth: The area may feel warm to the touch, but if it feels excessively hot, this could indicate an infection.

3. Pus or Discharge: Any yellow or green discharge from the surgical site is a concerning sign. Normal healing may involve some clear fluid, but pus is not typical.

4. Foul Odor: An unpleasant smell coming from the area can also be a sign of infection.

5. Fever: If you develop a fever (temperature above 100.4°F or 38°C), this could indicate a systemic infection.

6. Increased Pain: While some discomfort is expected, if the pain worsens or becomes severe, this could be a sign of complications.

If you notice any of these signs, it is essential to contact your healthcare provider promptly for further evaluation. They may recommend an examination to determine if an infection is present and whether any treatment, such as antibiotics, is necessary.

In terms of managing the swelling, here are some general recommendations:
- Rest: Avoid strenuous activities and give your body time to heal.

- Ice Packs: Applying ice packs wrapped in a cloth to the swollen area for 15-20 minutes at a time can help reduce swelling and discomfort.

- Elevation: Keeping the area elevated can also assist in minimizing swelling.

- Hygiene: Maintain proper hygiene by gently cleaning the area with mild soap and water. Avoid using harsh soaps or scrubbing the area too vigorously.

- Follow-Up: Attend any scheduled follow-up appointments with your healthcare provider to monitor your healing progress.

In summary, while some swelling after circumcision is normal, it is essential to be vigilant for signs of infection. If you have any concerns about your recovery or if the swelling does not improve, do not hesitate to reach out to your healthcare provider for guidance. They can provide personalized advice and ensure that your healing process is on track.

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