Post-Surgery Complications: Unusual Discharge from Circumcision Site

Q: Post-Surgery Complications: Unusual Discharge from Circumcision Site

Hello： If there is discharge, it may indicate that the wound is separating, even if it's just a small opening. <br>If you are certain there is no separation, it should be fine with just the ointment. <br>If you are still concerned, you should return for a follow-up appointment. <

Issues with foreskin wounds

Hello, doctor.
It has been two weeks since my surgery, and I followed your instructions to start showering only after one week post-operation.
Recently, I noticed some unknown discharge from the wound area.
I have been cautious not to let the wound come into contact with water.
Sometimes, this discharge appears after I apply the medication (which was prescribed by the doctor, and I did not purchase anything on my own).
Other times, it appears just from contact with water, or when I wipe the area with a tissue after it has become moist.
I would like to ask if this is a sign of wound infection, or if it could be residue from the ointment, or perhaps just the sutures coming loose.
I have attached images of the discharge and the ointment used.

A Jie, 20~29 year old female. Ask Date: 2021/03/18

Dr. Du Shixi reply Urology

Hello: If there is discharge, it may indicate that the wound is separating, even if it's just a small opening.
If you are certain there is no separation, it should be fine with just the ointment.
If you are still concerned, you should return for a follow-up appointment.
If it is a loose suture, it should only appear once in the same area.
Wishing you good health.

Reply Date: 2021/03/18

More Info

After undergoing a circumcision procedure, it is not uncommon to experience some unusual discharge from the surgical site. Given that you are two weeks post-surgery and have noticed an unclear discharge, it is important to consider several factors that could be contributing to this situation.

First, it is essential to understand that after any surgical procedure, including circumcision, the healing process can vary significantly from person to person. During the initial healing phase, it is normal for the surgical site to produce some discharge, which may include blood, serum, or even remnants of the surgical materials used, such as sutures. This discharge can sometimes appear more pronounced when the area is wet or when you apply topical medications.

1. Infection: One of the primary concerns with any surgical site is the risk of infection. Signs of infection can include increased redness, swelling, warmth around the area, and the presence of pus or foul-smelling discharge. If the discharge you are observing is yellow or greenish and accompanied by any of these symptoms, it may indicate an infection that requires medical attention.

2. Suture Reaction: If absorbable sutures were used during your circumcision, it is possible that the discharge you are seeing is related to the sutures breaking down. As the sutures dissolve, they can sometimes cause a discharge that may appear unusual but is a normal part of the healing process.

3. Medication Residue: The topical medication prescribed by your doctor could also contribute to the discharge. If the medication is greasy or has a thick consistency, it might mix with bodily fluids and appear as discharge when the area is disturbed or comes into contact with water.

4. Moisture and Hygiene: Keeping the area too moist can also lead to increased discharge. It is crucial to follow your doctor's instructions regarding bathing and wound care. If the area remains wet for extended periods, it may lead to maceration of the skin, which can cause increased discharge.

5. Healing Process: The healing process itself can produce serous fluid, which is a clear or slightly yellow fluid that can ooze from the site as the body works to repair itself. This is generally not a cause for concern unless it is excessive or changing in character.

In conclusion, while some discharge can be a normal part of the healing process, it is essential to monitor the situation closely. If you notice any signs of infection, such as increased pain, swelling, or a change in the color or odor of the discharge, it is crucial to contact your healthcare provider immediately. They may recommend an examination to determine the cause of the discharge and whether any treatment is necessary. Additionally, if you are unsure whether the discharge is related to the medication or the healing process, discussing this with your doctor can provide clarity and peace of mind. Always prioritize your health and follow up with your healthcare provider if you have any concerns regarding your recovery.

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