Post-operative issues after circumcision?
Hello, doctor.
I was previously in a state of complete phimosis, so I underwent laser circumcision.
Today is the third day post-surgery, and I have some questions:
(1) I have been experiencing splashing while urinating.
The doctor suggested urinating into a cup, but I am concerned about wetting the dressing.
Therefore, I used a method recommended online, wrapping the dressing area with plastic wrap and placing tissue paper underneath, then controlling the force of urination (urinating slowly).
After urinating, I remove the plastic wrap and use tissue paper to absorb any residual urine on the dressing (sometimes there is still a little residual urine on the dressing).
Is this method acceptable?
(2) Since I am currently on summer vacation, I am staying home to recover.
However, because I was previously in a state of complete phimosis, my glans is very sensitive.
I try to avoid contact with my underwear and sleep without clothes (to prevent waking up from contact with the glans).
Would you recommend this approach, or should I gradually allow the glans to make contact and adapt?
(3) I went to a hospital where a doctor helps with dressing changes.
On the second day post-surgery, the doctor mentioned that I could come back the following week to remove the bandage (and that I wouldn't need to dress it afterward).
I can choose the date to return.
Would you recommend removing the bandage sooner or waiting until the wound has healed more before going to remove it?
Shihong, 20~29 year old female. Ask Date: 2021/09/05
Dr. Du Shixi reply Urology
Hello: 1) I experience splashing while urinating, and the doctor suggested urinating into a cup.
However, I am concerned about the possibility of wetting the dressing, so I used a method recommended online: I first wrapped the dressing area with plastic wrap, then placed tissue paper underneath, and controlled the force of urination (urinating slowly).
After urinating, I removed the plastic wrap and used tissue paper to absorb any residual urine on the dressing (sometimes there is still a little residual urine on the dressing).
Is this method feasible? --> As long as the wound does not get wet or dirty, it is acceptable.
(2) Since I am currently on summer vacation, I am staying home to recover.
However, because I was completely bandaged before, the glans is very sensitive, so I try to avoid contact with my underwear and sleep without clothes (to prevent waking up from contact with the glans).
Is this approach advisable, or should I gradually allow the glans to make contact to adapt? --> If you can tolerate it, the glans should gradually be exposed to contact to help it adapt.
(3) I go to a clinic where a doctor helps me change the dressing.
When I went for a dressing change the day after surgery, the doctor said I could come back the following week to remove the bandage (and that I wouldn't need to dress it afterward).
I can choose the date to go in.
Should I recommend removing the bandage earlier or waiting until the wound has healed more before going to remove it? --> If the wound is well cared for, it should be fine to remove the bandage in about 5 days.
Reply Date: 2021/09/05
More Info
Post-circumcision care is crucial for ensuring proper healing and minimizing complications. Here are some insights and recommendations based on your questions:
1. Urination Technique: Your concern about urine splashing and potentially wetting the dressing is valid. The method you described—using plastic wrap to cover the dressing and placing tissue underneath—is a creative solution to manage urine flow while protecting the surgical site. However, it’s essential to ensure that the plastic wrap does not cause any irritation or trap moisture, which could lead to infection. If you find that this method is causing discomfort or if you notice any signs of infection (such as increased redness, swelling, or discharge), it would be wise to consult your healthcare provider for alternative suggestions. Additionally, using a urinal or a cup as recommended by your doctor is a good practice, as it allows for better control over the urine stream and minimizes the risk of soiling the dressing.
2. Sensitivity of the Glans: After circumcision, it is common for the glans (the head of the penis) to be sensitive, especially if it has been covered for an extended period. While it is understandable to want to avoid contact with clothing during the healing process, it is also important to gradually acclimate the glans to normal conditions. This can help reduce sensitivity over time. If you choose to sleep without underwear, ensure that the area is clean and dry to prevent irritation. However, if you feel uncomfortable or if the sensitivity is too much, you may continue to wear loose-fitting underwear to provide some protection while still allowing for air circulation.
3. Dressing Change Timing: The timing for removing the dressing after circumcision can vary based on the individual’s healing process. If your doctor has advised that you can come back to remove the dressing in a week, it is generally safe to follow that guidance. However, if you notice any signs of delayed healing or if the dressing is becoming overly saturated or uncomfortable, you may want to consult your doctor about the possibility of an earlier change. It is crucial to ensure that the wound is healing properly before removing the dressing completely. If you are unsure, erring on the side of caution and waiting for your follow-up appointment is advisable.
Additional Care Tips:
- Hygiene: Keep the area clean and dry. Gently wash the area with mild soap and water, avoiding any harsh chemicals or fragrances that could irritate the skin.
- Signs of Infection: Monitor for any signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, contact your healthcare provider immediately.
- Pain Management: If you experience discomfort, over-the-counter pain relievers may help. Always consult your doctor before taking any medication.
- Follow-Up Appointments: Attend all scheduled follow-up appointments to ensure proper healing and address any concerns you may have.
In summary, your post-circumcision care should focus on maintaining hygiene, managing sensitivity, and following your doctor's advice regarding dressing changes. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized guidance.
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