Post-Circumcision Issues: Skin Shedding and Adhesion Concerns

Glans issues

Hello Doctor, six months ago I underwent a circumcision due to phimosis, and the surgical wound has healed normally.
However, I am currently experiencing some issues:
1.
The area where the glans rubs against the side of my abdomen (when positioned downward) and my underwear (tight-fitting briefs) has been experiencing peeling for the past six months.
Could this be due to a lack of keratinization? Six months seems a bit long...
2.
When removing my underwear, I sometimes experience adhesion near the urethral opening and the frenulum, but it doesn't feel like it's due to any discharge (I have checked and my underwear is dry).
It feels somewhat like being pinched by the underwear, and when I take it off, there is a sensation of skin being torn.
Is this also related to a lack of keratinization? Thank you for your response.

HUNG, 30~39 year old female. Ask Date: 2021/01/24

Dr. Li Xinyi reply Urology

It sounds like allergic contact dermatitis.
It is advisable to consult a dermatologist or urologist for examination and treatment.

Reply Date: 2021/01/24

More Info

Post-circumcision issues can be quite common, and your concerns regarding skin shedding and adhesion are valid. After a circumcision, the healing process can vary significantly from person to person, and it is essential to understand the underlying mechanisms at play.

1. Skin Shedding and Lack of Keratinization: The fact that you are experiencing skin shedding around the glans (the head of the penis) after six months post-surgery may indicate that the skin has not fully keratinized. Keratinization is the process by which skin cells mature and become more resilient, forming a protective barrier. In the case of circumcision, the glans is exposed to friction and moisture that it was not previously accustomed to, which can lead to irritation and shedding of the outer skin layer.
It is not uncommon for the glans to take several months to fully adapt to its new environment. If the skin is still shedding and feels sensitive, it may be beneficial to apply a gentle, fragrance-free moisturizer to the area to help with hydration and promote healing. Additionally, wearing loose-fitting underwear can minimize friction and irritation, allowing the skin to heal more effectively.

2. Adhesion Concerns: The sensation of the urethral opening and the frenulum (the band of tissue on the underside of the penis) sticking to your underwear is concerning. This could be due to a few factors. First, if the skin has not fully keratinized, it may be more prone to sticking to fabrics, especially if there is any moisture present. Second, the healing process can sometimes lead to the formation of adhesions, where the skin may stick together or to surrounding tissues.
If you are experiencing a sensation of tearing when removing your underwear, it is crucial to be gentle during this process. You might consider using a lubricant to ease the removal of your underwear and reduce the risk of skin irritation. If the issue persists, or if you notice any signs of infection (such as increased redness, swelling, or discharge), it is essential to consult with a healthcare provider for a thorough evaluation.

In summary, while some degree of skin shedding and sensitivity can be expected after circumcision, ongoing issues should not be ignored. It is advisable to monitor your symptoms closely and consult with a urologist or dermatologist if you have concerns about the healing process or if the symptoms worsen. They can provide a more personalized assessment and recommend appropriate treatments or interventions to ensure your comfort and health.

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