Post-Circumcision Concerns: Swelling, Hardness, and Healing Tips - Urology

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Post-circumcision care


Hello doctor, I underwent a circumcision procedure last Wednesday (August 11) and followed the doctor's instructions to remove the dressing after the wound dried up yesterday (August 18).
Over the past two days, I noticed a raised ring above the staples on the circumcision site.
Could this be edema? Additionally, there is a small hard area within the raised ring; what could be causing this? If I squeeze it, it seems to reappear, is this normal? Also, could you please advise on any methods to expedite the removal of the staples in my daily life? Thank you.

D, 10~19 year old female. Ask Date: 2021/08/19

Dr. Du Shixi reply Urology


Hello: The information provided here is for reference only and cannot replace a physician's examination.
There may be some pressure between the nails, which could cause swelling.
If the swelling is uneven, especially if one area is more prominent, it could indicate a possible cyst.
The absence of redness or discharge is a good sign.
Additionally, there may be a small hard area within the swollen region; could you please explain what might be causing this? If I squeeze it, will it keep coming back? Is this normal? -- I apologize, but I cannot visualize the situation.
Please keep the area clean and dry, avoid any pressure, and once the wound heals, the nails should be fine.
Wishing you good health.

Reply Date: 2021/08/19

More Info


After undergoing circumcision, it is common to have concerns about the healing process, especially regarding swelling, hardness, and overall recovery. Based on your description, it seems that you are experiencing some typical post-operative symptoms, but let’s break down your concerns and provide some insights into what you might be experiencing.

1. Swelling and Hardness: The swelling you observe around the area where the sutures or staples are placed is likely a normal part of the healing process. Post-surgical swelling can occur due to inflammation as your body responds to the procedure. The hard area you mentioned could be a result of scar tissue formation, which is also a normal part of healing. However, if the swelling is significant or accompanied by severe pain, redness, or discharge, it could indicate an infection or other complications, and you should consult your healthcare provider.

2. Fluid Accumulation: The "hard" area you feel could be a hematoma (a localized collection of blood outside of blood vessels) or seroma (a pocket of clear fluid that can develop after surgery). These can occur after surgical procedures and may resolve on their own. It is important not to squeeze or manipulate the area, as this can exacerbate the situation or introduce bacteria, leading to infection.

3. Normal Healing Process: It is normal for the area to feel firm or hard as it heals. The body will gradually absorb any excess fluid, and the hardness should diminish over time. If you notice that the hardness persists or worsens, or if you have concerns about the swelling, it is advisable to follow up with your surgeon.

4. Promoting Healing: To promote healing and potentially expedite the process of the sutures or staples falling out, consider the following tips:
- Follow Post-Operative Care Instructions: Adhere strictly to the care instructions provided by your surgeon, including keeping the area clean and dry.

- Avoid Strain: Refrain from activities that could strain the surgical site, including heavy lifting or vigorous exercise, until cleared by your doctor.

- Stay Hydrated and Eat Well: Proper nutrition and hydration can support your body’s healing processes.

- Gentle Movement: If advised by your healthcare provider, gentle movement can help improve circulation to the area, which may aid in healing.

5. When to Seek Help: If you experience increased pain, fever, or any signs of infection (such as pus or increased redness), it is crucial to contact your healthcare provider immediately. They may need to evaluate the area to rule out complications.

In summary, while some swelling and hardness are normal after circumcision, it is essential to monitor your symptoms closely. If you have any concerns about the healing process or if the symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your health and comfort are paramount, and professional advice can help ensure a smooth recovery.

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