Post-Circumcision Care: Addressing Sensitivity and Itching Issues - Urology

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Postoperative Care After Circumcision Surgery


Hello, Doctor.

1.
I would like to ask if not wearing underwear after a recent circumcision due to sensitivity of the glans can lead to penile inflammation?
2.
Is it normal to feel itching at the urethral opening when I urinate? How should I address this?

Mr. Wang, 10~19 year old female. Ask Date: 2021/08/05

Dr. Du Shixi reply Urology


Hello: 1) It is not recommended to leave the wound uncovered for the past few days.
2) If there is no redness, drink plenty of water.
Wishing you good health.

Reply Date: 2021/08/05

More Info


After circumcision, it is common for patients to experience sensitivity and itching in the genital area, particularly around the glans (the head of the penis). Here are some important considerations and recommendations for post-circumcision care, especially addressing your concerns about sensitivity and itching.

1. Sensitivity and Exposure: It is normal for the glans to be sensitive after circumcision because it has been covered by the foreskin for a long time. Exposing the glans to air and friction can lead to discomfort. Not wearing underwear may not directly cause inflammation, but it can lead to increased sensitivity and irritation due to friction against clothing or other surfaces. It is advisable to wear loose-fitting underwear to provide some protection and reduce friction while allowing the area to heal.

2. Itching and Irritation: Itching around the urinary opening (meatus) can occur after circumcision. This can be due to several factors, including healing tissue, dryness, or irritation from urine. It is important to keep the area clean and dry. You can gently wash the area with mild soap and water, ensuring that you rinse thoroughly. Avoid using harsh soaps or products that may irritate the sensitive skin.

3. Moisturizing: If the glans feels dry, applying a thin layer of a gentle, fragrance-free moisturizer or a barrier cream may help alleviate dryness and itching. However, avoid using any products that contain alcohol or fragrances, as these can further irritate the skin.

4. Signs of Infection: While some sensitivity and itching are normal, it is crucial to monitor for signs of infection. Symptoms of infection may include increased redness, swelling, discharge (especially if it is yellow or has an unpleasant odor), or fever. If you notice any of these symptoms, it is essential to contact your healthcare provider for further evaluation.

5. Avoiding Irritants: During the healing process, avoid activities that may irritate the area, such as vigorous sexual activity or excessive rubbing. If you are experiencing significant discomfort, consider taking over-the-counter pain relief medications, such as acetaminophen or ibuprofen, as directed.

6. Follow-Up Care: It is important to attend any follow-up appointments with your healthcare provider to ensure proper healing. They can assess your healing progress and address any concerns you may have.

In summary, while sensitivity and itching are common after circumcision, it is essential to maintain good hygiene, protect the area from irritation, and monitor for signs of infection. If you have persistent discomfort or any concerning symptoms, do not hesitate to reach out to your healthcare provider for guidance. Your comfort and health are paramount during the healing process.

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