Post-Circumcision Complications: Dealing with Painful Bumps

Q: Post-Circumcision Complications: Dealing with Painful Bumps

Hello： For reference, it is generally scar tissue. <br>If the physician determines that it cannot heal naturally, surgical excision may be necessary. <br>Wishing you good health, so you may want to see a urologist first.

Post-operative issues after circumcision?

Hello, Doctor.
It has been three years since I had my circumcision, and there is a hard, dark purple lump at the suture site.
The frenulum becomes very tight and painful during an erection.
What should I do to resolve this issue?

Xiao Lin, 10~19 year old female. Ask Date: 2021/08/03

Dr. Du Shixi reply Urology

Hello: For reference, it is generally scar tissue.
If the physician determines that it cannot heal naturally, surgical excision may be necessary.
Wishing you good health, so you may want to see a urologist first.

Reply Date: 2021/08/03

More Info

Post-circumcision complications can sometimes arise, and it’s important to address any concerns you may have, especially if you are experiencing pain or discomfort. Based on your description, it sounds like you have developed a hard lump at the site of the circumcision, which is purple-black in color, and you are experiencing tightness and pain during erections. Here are some insights and recommendations regarding your situation.

Understanding the Condition
1. Scar Tissue Formation: After circumcision, it is common for scar tissue to form as the area heals. This scar tissue can sometimes become dense or fibrous, leading to the formation of a lump. The color change to purple-black could indicate bruising or a hematoma, which is a localized collection of blood outside of blood vessels.

2. Frenulum Tightness: The tightness you are experiencing during erections may be related to the frenulum, which is the band of tissue on the underside of the penis. If the frenulum is too tight or if there is excessive scar tissue, it can cause discomfort or pain when the penis is erect.

3. Possible Infection or Other Complications: While less common, it’s important to rule out any potential infections or other complications that could arise post-surgery. Signs of infection may include redness, swelling, warmth, or discharge from the area.

Recommendations
1. Consult a Urologist: The best course of action is to consult with a urologist or a healthcare provider who specializes in male reproductive health. They can perform a physical examination to assess the lump and determine the underlying cause of your symptoms.

2. Imaging Studies: Depending on the examination findings, your doctor may recommend imaging studies, such as an ultrasound, to evaluate the lump further and rule out any serious conditions.

3. Treatment Options:
- Observation: If the lump is determined to be benign scar tissue and not causing significant issues, your doctor may recommend monitoring it over time.

- Surgical Intervention: If the lump is causing significant pain or discomfort, or if it is determined to be problematic, surgical intervention may be necessary to remove the scar tissue or to revise the frenulum.

- Pain Management: In the meantime, over-the-counter pain relief medications such as ibuprofen or acetaminophen may help manage discomfort. However, consult your doctor before taking any medication.

4. Avoiding Irritation: Until you can see a doctor, try to avoid activities that may irritate the area, such as vigorous sexual activity or tight clothing that may put pressure on the site.

5. Follow-Up Care: After any treatment, follow your doctor’s recommendations for care and follow-up appointments to ensure proper healing and to monitor for any recurrence of symptoms.

Conclusion
It’s understandable to be concerned about changes in your body, especially after a surgical procedure like circumcision. While many post-circumcision complications can be managed effectively, it’s crucial to seek professional medical advice to address your specific situation. A urologist will provide you with the best guidance tailored to your needs, ensuring that any complications are appropriately managed and that you can return to a pain-free state.

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