Post-Surgery Edema: Is Compression Necessary? - Urology

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Ligament edema issue


Hello Doctor, it has been 21 days since my laser circumcision.
I tried to remove the dressing for about one to two hours over the last couple of days, but I noticed swelling around the incision site, so I quickly re-applied the compression dressing.
Is it normal to experience swelling around the incision after surgery? Should I continue to apply compression dressing to prevent the swelling? Thank you!

Niming, 30~39 year old female. Ask Date: 2021/07/28

Dr. Du Shixi reply Urology


Hello: Swelling is a common occurrence after circumcision surgery, as circulation has not yet returned to normal.
If the wound is intact and there is no drainage, it is usually best to observe and wait for the swelling to subside.
Whether or not to cover the area is a personal choice; there is no strict requirement to keep it covered for 21 days.
Wishing you good health.

Reply Date: 2021/07/28

More Info


Post-surgery edema, or swelling, is a common occurrence following various surgical procedures, including laser circumcision. It is essential to understand that edema is a natural part of the healing process. When tissue is injured or manipulated during surgery, the body responds with inflammation, which can lead to swelling. This response is typically a sign that the body is working to heal itself, but it can also be uncomfortable and concerning for patients.

In your case, experiencing swelling in the area around the circumcision site after 21 days is not unusual. The fact that you noticed edema after removing the bandage for a short period indicates that your body may still be in the healing phase. It is common for swelling to fluctuate based on activity levels, position, and even temperature. When you remove the bandage, the area may be exposed to gravity and movement, which can exacerbate swelling.

Compression bandaging can be beneficial in managing post-surgical edema. The application of gentle pressure can help reduce swelling by promoting venous return and preventing fluid accumulation in the tissues. However, it is crucial to ensure that the compression is not too tight, as this could impede blood flow and lead to further complications.
Here are some considerations regarding the use of compression bandaging post-surgery:
1. Duration of Compression: It is often recommended to use compression bandaging for a specific period post-surgery, especially during the initial healing phase. If your surgeon or healthcare provider has advised you to use compression, it is wise to follow their recommendations.

2. Monitoring Swelling: Keep an eye on the swelling. If it worsens or is accompanied by other symptoms such as increased pain, redness, or discharge, it may indicate an infection or other complications that require medical attention.

3. Elevation: Elevating the affected area can also help reduce swelling. When resting, try to keep the area elevated above the level of your heart to facilitate fluid drainage.

4. Gradual Reduction of Compression: As healing progresses, you may be able to gradually reduce the use of compression bandaging. It is essential to listen to your body and consult with your healthcare provider about when it is appropriate to do so.

5. Follow-Up Care: Regular follow-up appointments with your surgeon or healthcare provider are crucial. They can assess your healing progress and provide personalized advice on managing swelling and any other post-operative concerns.

In summary, experiencing swelling after laser circumcision is normal, and using compression bandaging can help manage it. However, it is essential to do so under the guidance of your healthcare provider. If you have any concerns about the swelling or your healing process, do not hesitate to reach out to your surgeon for further evaluation and advice. They can provide the best recommendations tailored to your specific situation and ensure that your recovery is on track.

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