Post-Circumcision Urination Issues: Why Is My Stream Splitting?

Post-circumcision urinary stream bifurcation?

Hello Dr.
Chen: I am 25 years old and four days ago I underwent a circumcision.
The biggest issue I am facing now is that when I urinate, the stream is completely erratic, not forming a straight line but instead spraying to the left, right, and even upwards, making a mess in the bathroom and on myself.
Currently, I can only temporarily wrap my glans with toilet paper to urinate.
Is this situation normal? Or could there have been a problem during one of the steps of the surgery? If this is normal, how many days will it take for my urination to return to normal? If it is not normal, should I seek help from a urologist or a plastic surgeon? I am really very worried.
Sincerely, a concerned individual.

Da Da, 20~29 year old female. Ask Date: 2003/03/31

Dr. Chen Zhihong reply Urology

Most patients who undergo circumcision may experience temporary urinary obstruction due to swelling of the surgical tissue, which can lead to intermittent urination difficulties.
However, this condition is usually transient and will gradually resolve within 1 to 2 weeks, so there is no need for concern.

Reply Date: 2003/03/31

More Info

After undergoing a circumcision, it is not uncommon for patients to experience changes in their urination patterns, including a splitting or spraying of the urine stream. This phenomenon can be attributed to several factors related to the surgical procedure and the healing process.

Firstly, during circumcision, the foreskin is removed, which alters the anatomy of the penis. This alteration can affect how urine exits the urethra, especially if there is any swelling or inflammation in the area post-surgery. Swelling can lead to a temporary narrowing of the urethra or changes in the angle at which urine is expelled, resulting in a split stream. Additionally, the healing process can cause some sensitivity and discomfort, which may lead to an altered posture during urination, further contributing to the issue.

It is also important to consider the possibility of residual tissue or scabs from the surgery that might be affecting the flow of urine. As the surgical site heals, these tissues may cause temporary blockages or changes in the direction of the urine stream.
In most cases, this condition is temporary and should resolve as the surgical site heals, which typically takes about one to two weeks. However, if the issue persists beyond this period, or if you experience additional symptoms such as pain, burning during urination, or any signs of infection (such as fever or unusual discharge), it would be advisable to seek medical attention.

If you are concerned about the changes in your urination, it is best to consult with a urologist. They specialize in urinary tract issues and can provide a thorough evaluation to determine if there are any underlying complications from the surgery that need to be addressed. They can also assess whether the healing process is proceeding normally or if there are any anatomical issues that need correction.

In summary, while it is not unusual to experience a split urine stream after circumcision due to swelling and changes in anatomy, it is essential to monitor your symptoms. If the condition does not improve within a week or two, or if you have any concerning symptoms, do not hesitate to reach out to a healthcare professional for further evaluation and guidance. Your health and comfort are paramount, and addressing any concerns early can help ensure a smooth recovery.

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