Post-Circumcision Swelling: Causes, Treatments, and Recovery Tips - Urology

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Post-circumcision care


Doctor, I had a traditional circumcision on April 5th, and it has been four months.
The wound has healed, but there is still a ring of swelling that doesn't hurt and hasn't improved.
Is this swelling permanent, or is there any medication I can take, or injections or other methods to reduce the swelling?

A Chuan, 20~29 year old female. Ask Date: 2021/07/01

Dr. Du Shixi reply Urology


Hello: Generally, it will gradually improve without treatment.
However, if there is no progress after a long time, you should seek medical attention.
Wishing you good health.

Reply Date: 2021/07/01

More Info


Post-circumcision swelling can be a common concern for many patients after the procedure. It’s great to hear that your wound has healed well after four months. However, persistent swelling can be frustrating, and it’s important to understand the potential causes and treatment options available to you.


Causes of Post-Circumcision Swelling
1. Normal Healing Process: After circumcision, some swelling is expected as part of the body’s natural healing response. This can last for several weeks, but in some cases, it may persist longer.

2. Fluid Accumulation: Sometimes, fluid can accumulate in the area, leading to a condition known as seroma. This is generally not painful and can resolve on its own, but it may take time.

3. Scar Tissue Formation: As the skin heals, scar tissue can form, which may contribute to the appearance of swelling. This is often a normal part of the healing process.

4. Infection: Although you mentioned that the wound has healed, it’s still important to consider the possibility of a low-grade infection that might not be immediately apparent. Signs of infection can include redness, warmth, or discharge.

5. Allergic Reaction: If you have used any topical medications or creams, an allergic reaction could also cause localized swelling.


Treatment Options
1. Observation: If the swelling is not accompanied by pain, redness, or other concerning symptoms, it may be best to simply monitor the situation. Many cases of post-surgical swelling resolve on their own over time.

2. Cold Compresses: Applying a cold compress to the area can help reduce swelling. Make sure to wrap ice in a cloth to avoid direct contact with the skin.

3. Over-the-Counter Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce inflammation and discomfort. Always consult with your healthcare provider before starting any medication.

4. Topical Treatments: If you suspect that the swelling might be due to an allergic reaction or irritation, consider using a mild topical steroid cream, but only after discussing it with your doctor.

5. Hydration and Diet: Staying well-hydrated and maintaining a balanced diet can support your body’s healing process. Foods rich in omega-3 fatty acids, such as fish, walnuts, and flaxseeds, may help reduce inflammation.

6. Follow-Up with Your Doctor: Since you are concerned about the swelling, it’s advisable to schedule a follow-up appointment with your healthcare provider. They can assess the area to rule out any complications and provide specific recommendations tailored to your situation.


Recovery Tips
- Gentle Care: Continue to practice gentle care of the area. Avoid any activities that might irritate the site, such as vigorous exercise or tight clothing.


- Patience: Healing can take time, and each individual’s recovery process is different. It’s important to be patient and allow your body the time it needs to heal.

- Monitor Symptoms: Keep an eye on any changes in the swelling or if new symptoms develop, such as pain or discharge. If you notice any concerning signs, seek medical attention promptly.

In conclusion, while post-circumcision swelling can be concerning, it is often a normal part of the healing process. However, if you have ongoing concerns, it’s best to consult with your healthcare provider for a thorough evaluation and tailored treatment options.

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