Post-Circumcision Bumps: When to Seek Medical Advice - Urology

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The suture site is raised like a small mound?


Hello Doctor, I underwent a traditional circumcision on March 1st of this year, not using a circumcision device, and it has been about three months since the procedure.
Everything has healed normally post-surgery, but I have been troubled by one cosmetic issue: there is still a small raised bump at the suture site beneath the glans, which feels hard to the touch.
When not erect, this small bump tends to retract into the glans when the foreskin is pushed back, resembling a tongue sticking out.
While it doesn't significantly affect my daily life, it does cause some discomfort for my partner during intercourse, similar to the sensation of a piercing, which is quite bothersome.
I would like to ask the doctor whether this condition is likely to resolve on its own over time or if I need to undergo another surgical procedure for removal.

Van, 30~39 year old female. Ask Date: 2021/05/25

Dr. Du Shixi reply Urology


Hello: Generally, scar tissue will gradually soften over a period of several months.
If it has been slowly softening over the past three months, you may consider monitoring it.
However, if there has been little to no change, scar management can be considered, but it should be discussed with a physician, as scarring is also related to individual physiology, and we want to avoid the formation of new scars.
Wishing you good health.

Reply Date: 2021/05/25

More Info


After undergoing a circumcision procedure, it is not uncommon for patients to experience some post-operative changes, including the formation of bumps or irregularities at the surgical site. In your case, the small bump you describe beneath the glans (the head of the penis) at the suture line is likely a result of the healing process. Here’s a detailed explanation of what you might be experiencing and when it would be appropriate to seek medical advice.


Understanding Post-Circumcision Changes
1. Healing Process: After circumcision, the body goes through a natural healing process. This can involve the formation of scar tissue, which may feel firm or raised compared to the surrounding skin. The bump you are feeling could be a normal part of this healing process, especially if it has been only three months since your surgery.

2. Suture Material: If absorbable sutures were used during your procedure, they typically dissolve over time. However, the area where the sutures were placed may remain slightly raised until the tissue fully heals. If non-absorbable sutures were used, they would need to be removed by a healthcare provider, and the area may also appear raised until complete healing occurs.

3. Sensitivity and Pain: The bump you describe causing discomfort during sexual activity could be due to the sensitivity of the area as it continues to heal. The sensation of pain or discomfort during intercourse can also be attributed to the friction against the raised tissue.


When to Seek Medical Advice
While many post-operative changes are normal, there are specific signs that warrant a visit to your healthcare provider:
1. Persistent or Increasing Pain: If the discomfort during intercourse worsens or becomes more frequent, it’s advisable to consult your doctor. They can assess whether the bump is causing any complications.

2. Changes in Appearance: If the bump changes in color, size, or texture, or if you notice any unusual discharge or signs of infection (such as redness, swelling, or warmth), seek medical attention promptly.

3. Impact on Daily Life: If the bump continues to cause significant discomfort or affects your quality of life, including sexual activity, it may be worth discussing surgical options with your healthcare provider.

4. Duration of Symptoms: If the bump does not show signs of improvement over the next few months, or if it remains unchanged after six months, it would be prudent to have it evaluated.


Potential Treatment Options
If it is determined that the bump is indeed scar tissue or a result of the surgical procedure, treatment options may include:
- Observation: In many cases, simply monitoring the area is sufficient, especially if there are no significant symptoms.


- Surgical Revision: If the bump is bothersome and does not resolve on its own, a minor surgical procedure may be performed to remove the excess tissue or correct any irregularities.

- Topical Treatments: In some cases, topical treatments may help with sensitivity or discomfort, but this should be discussed with your healthcare provider.


Conclusion
In summary, while the bump you are experiencing post-circumcision may be a normal part of the healing process, it is essential to monitor its characteristics and any associated symptoms. If you have concerns about pain during sexual activity or the appearance of the bump, do not hesitate to reach out to your healthcare provider for a thorough evaluation and personalized advice. They can provide reassurance, potential treatment options, and help you navigate any concerns you may have regarding your recovery.

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