Urination Issues After Circumcision: When to Seek Help

Q: Urination Issues After Circumcision: When to Seek Help

Hello： If urination is painless and comfortable, and the urine color is normal, no special examination is needed. <br>Wishing you good health.

Urinary problems

Hello, doctor.
I underwent a circumcision surgery at the beginning of this year, and my recovery has been good.
However, when I urinate, the urine initially splits into two streams but quickly returns to one.
I do not feel any discomfort in the urethra.
Should I seek medical evaluation for this?

speaker shen, 20~29 year old female. Ask Date: 2021/06/26

Dr. Du Shixi reply Urology

Hello: If urination is painless and comfortable, and the urine color is normal, no special examination is needed.
Wishing you good health.

Reply Date: 2021/06/26

More Info

After circumcision, it is not uncommon for patients to experience some changes in urination. The phenomenon of urine splitting into two streams before returning to a single stream can occur due to several factors related to the surgical procedure and the healing process.
Firstly, the anatomy of the urethra may be temporarily altered due to swelling or changes in the surrounding tissues after surgery. This can lead to a temporary splitting of the urine stream. As the healing progresses and any swelling subsides, the urine flow typically normalizes. If you are not experiencing any pain, discomfort, or other symptoms such as blood in the urine, it may not be a cause for immediate concern.

However, it is important to monitor your symptoms. If the splitting of the urine stream persists, or if you begin to experience any discomfort, pain, or changes in urinary habits (such as increased frequency, urgency, or difficulty urinating), it would be advisable to seek medical attention. A healthcare professional can perform a thorough examination to rule out any complications such as scar tissue formation, urethral stricture, or other issues that may arise post-surgery.

In general, after circumcision, patients should be aware of the following signs that warrant a visit to the doctor:
1. Persistent Pain or Discomfort: If you experience ongoing pain during urination or in the genital area, it is essential to consult a healthcare provider.

2. Changes in Urination Patterns: Any significant changes in how you urinate, such as difficulty starting urination, a weak stream, or the presence of blood in the urine, should be evaluated.

3. Signs of Infection: Symptoms such as fever, chills, or unusual discharge can indicate an infection, which requires prompt medical attention.

4. Swelling or Redness: If you notice increased swelling, redness, or discharge from the surgical site, it may be a sign of infection or other complications.

5. Urinary Retention: If you find it difficult to urinate or feel like you cannot empty your bladder completely, this is a concerning symptom that should be addressed.

In conclusion, while the initial changes in urination you are experiencing may be a normal part of the healing process after circumcision, it is crucial to remain vigilant. If symptoms persist or worsen, seeking medical advice is the best course of action to ensure that any potential complications are addressed promptly. Regular follow-ups with your healthcare provider can help monitor your recovery and address any concerns you may have.

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