Post-Circumcision Concerns: Healing, Stitches, and Recovery Explained

Post-operative issues after circumcision?

Hello Doctor: I underwent a preputial fold surgery on January 21, and it has been 19 days since the procedure.
Some of the sutures have gradually fallen out, but one area has developed a slight fissure that is oozing a tiny bit of blood.
There is no pain when I touch it with a cotton swab.
I would like to ask if this indicates that the wound has opened.
Currently, my erect length is noticeably shorter than before the surgery; could this be due to the tension from the sutures? Will it return to normal after all the sutures have fallen out? Thank you for your guidance, Doctor.

NaNa, 20~29 year old female. Ask Date: 2021/02/02

Dr. Li Xinyi reply Urology

Hello, this is something that should have been clarified during the outpatient visit.
It's difficult to explain clearly online.
I can only say that it sounds like there might be an issue with the wound, and it's best to return to the original surgeon to discuss it thoroughly.

Reply Date: 2021/02/02

More Info

Post-circumcision recovery is an important aspect of the healing process following the procedure. It is common for patients to have concerns regarding the healing of the surgical site, the status of stitches, and overall recovery. Based on your description, it seems you are experiencing some typical post-operative symptoms, but let's break down your concerns for clarity.

Firstly, regarding the stitches: It is normal for stitches to dissolve or fall out after circumcision, especially if absorbable sutures were used. The fact that you have noticed some stitches falling out is expected. However, if you observe a crack or a slight opening in the skin where a stitch has come out, it is essential to monitor this closely. The presence of a small amount of blood and the absence of pain when touched are positive signs, indicating that the area may still be healing. It is not uncommon for minor openings to occur as the tissue heals, but you should keep the area clean and dry to prevent infection.

If the wound appears to be widening or if you notice increased bleeding, swelling, or signs of infection (such as redness, warmth, or discharge), it is crucial to contact your healthcare provider for further evaluation. They may want to assess the wound to ensure that it is healing properly and to rule out any complications.

Regarding your concern about the length of your penis during erections post-surgery, it is not unusual for patients to feel that their penis appears shorter immediately after circumcision. This can be attributed to several factors, including swelling, the tension of the stitches, and the healing process itself. As the swelling subsides and the stitches dissolve, many patients find that their penis returns to its normal size. It is essential to give your body time to heal fully, which can take several weeks to months.
Once the stitches have completely dissolved and the area has healed, you should see a return to your pre-surgery size and function. If you continue to have concerns about the length or function of your penis after the healing process is complete, it would be advisable to discuss these with your surgeon or a urologist. They can provide you with more specific information based on your individual case.

In summary, while it is normal to have some concerns post-circumcision, monitoring the healing process and maintaining communication with your healthcare provider is vital. If you notice any unusual changes or have persistent concerns, do not hesitate to reach out for professional guidance. Healing takes time, and with proper care, you should expect a full recovery.

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