Skin Issues Around the Urethral Opening After Circumcision - Dermatology

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It sounds like you are experiencing some concerning symptoms following your circumcision, particularly around the urethral opening. The issues you describe, such as the sensation of the skin being "torn" when removing your underwear and the redness around the urethral area, can be quite distressing.
Firstly, it is important to understand that after a circumcision, the skin around the urethral opening can be sensitive and may take time to heal completely. The sensation of the skin sticking to your underwear could be due to a few factors, including residual healing tissue, dryness, or even irritation from the fabric of your underwear.
The redness you observe could indicate irritation or inflammation. This is not uncommon, especially if there is friction from clothing or if the area is not kept adequately moisturized. It is crucial to maintain proper hygiene in this area to prevent any potential infections. Gentle cleansing with mild soap and water, followed by patting the area dry, can help.
Regarding the treatments you have received, it seems you have been prescribed a topical ointment (likely a steroid or a healing ointment) by one urologist, while another suggested a dermatological evaluation. Both approaches have merit. A topical ointment can help reduce inflammation and promote healing, but if the issue persists or worsens, a dermatologist may provide additional insights, especially if there is a concern about skin conditions or infections.

In terms of managing your symptoms, here are some recommendations:
1. Moisturization: Applying a gentle, fragrance-free moisturizer to the area can help reduce dryness and irritation. Look for products that are specifically designed for sensitive skin.

2. Avoid Irritants: Ensure that your underwear is made from breathable materials, such as cotton, and avoid tight-fitting clothing that may cause friction.

3. Hygiene: Maintain good hygiene by gently washing the area with mild soap and water. Avoid harsh soaps or products that may irritate the skin further.

4. Monitor Symptoms: Keep an eye on the redness and any other symptoms. If you notice increased swelling, pus, or worsening pain, it is essential to seek medical attention promptly.

5. Follow-Up Care: Since you have already consulted with two different specialists, it may be beneficial to follow up with a dermatologist if your symptoms do not improve. They can assess for any underlying skin conditions that may be contributing to your symptoms.

6. Avoid Self-Medication: While it may be tempting to try over-the-counter treatments, it is best to consult with a healthcare provider before starting any new medications or ointments.

In conclusion, while some degree of sensitivity and irritation can be expected after circumcision, persistent symptoms warrant further evaluation. It is essential to communicate openly with your healthcare providers about your symptoms and concerns to ensure you receive the appropriate care. If you feel that your current treatment plan is not effective, do not hesitate to seek a second opinion or further evaluation from a specialist.