Post-Circumcision Recovery: Addressing Swelling and Healing Concerns

Q: Post-Circumcision Recovery: Addressing Swelling and Healing Concerns

Hello： Different areas of the body have varying circulation, which can lead to differences in growth. <br>Wound healing requires keeping the area clean and dry; after washing, it should be dried thoroughly. <br>Currently, normal activities can be resumed. <br>Generally, if there

Post-circumcision care

Hello, doctor.
I recently underwent a laser circumcision surgery, and today marks 20 days post-operation.
I still have some mild swelling around the area.
The swelling at the bottom has healed and is scabbing over, slowly peeling off, but the swelling at the top appears to have an unhealed area (as diagnosed by the doctor two days ago).
However, there has been no bleeding or drainage of tissue fluid.
The doctor asked if I needed anti-inflammatory medication, stating it was optional (it seems to be a minor issue).
He advised me to walk less and to apply ointment regularly.

I am a bit confused as to why the healing process is so different between the upper and lower areas.
Since the surgery, I have not left the house except for follow-up appointments, and I only showered once during the third week.
There should have been minimal friction on the wound.
I am wondering if sometimes pubic hair might be coming into contact with the wound, affecting the healing (my penis is shorter when not erect, so the hair sometimes touches the wound) — it was shaved during the surgery, but is now slowly growing back.

Could you please provide any related solutions or suggestions to help with the wound healing?

Shihong, 20~29 year old female. Ask Date: 2021/09/22

Dr. Du Shixi reply Urology

Hello: Different areas of the body have varying circulation, which can lead to differences in growth.
Wound healing requires keeping the area clean and dry; after washing, it should be dried thoroughly.
Currently, normal activities can be resumed.
Generally, if there is no redness around the circumcision wound and healing is slow, as long as it is properly cared for, it will heal well.
The wound may take some time to become smooth.
Wishing you good health.

Reply Date: 2021/09/22

More Info

Post-circumcision recovery can be a delicate process, and it's not uncommon to experience some swelling and uneven healing at the surgical site. Based on your description, it seems that you are experiencing localized swelling around the incision site, with some areas healing better than others. Here are some insights and recommendations to help address your concerns.

Understanding Swelling and Healing
1. Swelling: It's normal to have some swelling after circumcision, especially in the first few weeks. This is part of the body's natural inflammatory response to surgery. However, if the swelling persists beyond a few weeks or is accompanied by pain, redness, or discharge, it may indicate a complication such as infection or improper healing.

2. Uneven Healing: The fact that the lower part of your incision is healing while the upper part shows signs of delayed healing can be attributed to several factors:
- Blood Supply: Different areas of the surgical site may have varying blood supply, affecting healing rates.

- Tension on the Wound: If the upper part of the incision is under more tension (for example, due to movement or the position of the penis), it may heal more slowly.

- Irritation: As you mentioned, hair regrowth can irritate the healing skin, potentially affecting the healing process.

Recommendations for Recovery
1. Follow-Up with Your Doctor: Since you have already seen your doctor, it's important to continue monitoring the healing process. If you notice any changes, such as increased swelling, pain, or discharge, contact your healthcare provider immediately.

2. Medication: If your doctor suggested anti-inflammatory medication, consider taking it if you feel it would help manage any discomfort. However, if the doctor indicated that it’s optional, you may choose to monitor your symptoms without it.

3. Hygiene: Maintain good hygiene around the surgical site. Gently clean the area with mild soap and water during showers, and avoid any harsh chemicals or scrubbing that could irritate the skin.

4. Avoid Irritation: To minimize irritation from hair, consider trimming the hair around the area carefully. You might also want to use a soft cloth or gauze to cover the area when necessary to prevent hair from coming into contact with the incision.

5. Limit Activity: As advised by your doctor, limit walking and other activities that may put strain on the area. Rest is crucial for healing.

6. Moisturizing: Applying a gentle, fragrance-free moisturizer or a healing ointment (like Aquaphor) may help keep the area hydrated and promote healing. However, consult with your doctor before applying any products to ensure they are safe for your situation.

7. Patience: Healing can take time, and everyone's body responds differently to surgery. It's important to be patient and give your body the time it needs to heal.

When to Seek Further Help
If you notice any of the following, seek medical attention:
- Increased swelling or redness
- Pus or unusual discharge from the wound
- Fever or chills
- Increased pain that is not relieved by over-the-counter medications
In summary, while some swelling and uneven healing can be normal after circumcision, it’s essential to monitor your recovery closely. Follow your doctor's advice, maintain good hygiene, and take steps to minimize irritation. If you have any concerns, don’t hesitate to reach out to your healthcare provider for further evaluation and guidance.

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