Post-Circumcision Care: Normal Healing and Concerns - Urology

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Post-circumcision care


It is currently the 7th day post-surgery, and I would like to ask if it is normal for the gauze to have a yellowish discoloration.
I have also experienced some minor bleeding from the bandage over the past few days (just a little, and it stops quickly).
Additionally, when the gauze was removed yesterday, there was a bit more bleeding from the incision site, but it also stopped after applying pressure for two minutes.
Prior to this, there was no bleeding, just a slight superficial abrasion at the surface of the incision, which has been itchy and painful to the touch.
Is this normal, or should I schedule a follow-up appointment?

Lin Xiansheng, 20~29 year old female. Ask Date: 2021/08/28

Dr. Du Shixi reply Urology


Hello: There is bleeding and discharge.
In addition to taking care of the wound yourself and avoiding erections, you should return for a follow-up to check the wound to promote faster healing.
As for the itching, it is not a concern, and mild bruising is also acceptable.
Wishing you good health.

Reply Date: 2021/08/28

More Info


Post-circumcision care is crucial for ensuring proper healing and minimizing complications. It's important to understand what is considered normal during the healing process and when to seek medical attention.
Firstly, it's common for the area to appear yellowish after circumcision. This yellow discharge is typically a mixture of dried blood and tissue fluid, which can be a normal part of the healing process. As the surgical site heals, the body produces a natural protective barrier, which may appear yellowish. However, if the discharge has a foul odor or is accompanied by increased redness, swelling, or fever, these could be signs of infection, and you should contact your healthcare provider.

Regarding the bleeding you mentioned, a small amount of bleeding can occur after circumcision, especially when removing the dressing or during the first week of healing. If the bleeding is minimal and stops quickly (as you described), it is generally not a cause for concern. However, if you notice persistent bleeding or if the bleeding is more than a few drops, it is advisable to consult your doctor.

The sensation of itching and pain at the site of the incision is also common as the nerves heal and the tissues regenerate. Itching can be a sign of healing, but if the pain is severe or worsening, it may indicate a complication, such as infection or improper healing.

In terms of care, here are some general guidelines to follow during the healing process:
1. Keep the Area Clean: Gently clean the area with mild soap and water. Avoid using alcohol or hydrogen peroxide, as these can irritate the healing tissue.

2. Apply Ointment: If your doctor has recommended a specific ointment, apply it as directed to keep the area moist and promote healing.

3. Monitor for Signs of Infection: Watch for increased redness, swelling, warmth, or discharge that has a foul odor. If any of these symptoms occur, contact your healthcare provider.

4. Avoid Irritation: Dress the area loosely to avoid friction from clothing. Avoid activities that may cause trauma to the area, such as vigorous exercise or sexual activity, until cleared by your doctor.

5. Pain Management: If you experience discomfort, over-the-counter pain relievers like acetaminophen or ibuprofen can be used, but consult your doctor for the appropriate dosage.

6. Follow-Up Appointments: Attend all scheduled follow-up appointments with your healthcare provider to ensure proper healing and address any concerns.

If you are uncertain about any symptoms or if the situation worsens, it is always best to err on the side of caution and consult your healthcare provider. They can provide personalized advice based on your specific situation and ensure that your healing process is on track.
In summary, while some yellow discharge, minor bleeding, itching, and pain can be normal post-circumcision, it is essential to monitor these symptoms closely. If you have any doubts or if symptoms escalate, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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