Concerns About Glans Exposure After Circumcision: When to Seek Help - Urology

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On the day of the circumcision, the glans cannot be exposed?


On the day after a circumcision, the doctor advised resting in bed and keeping the glans exposed.
However, if the penis appears to be retracted and cannot be exposed, is this a concern? Should I go to the hospital immediately for evaluation?

Niming, 30~39 year old female. Ask Date: 2021/10/12

Dr. Du Shixi reply Urology


Hello: If you can keep the wound clean and it is not bleeding, there is no need to go to the hospital immediately.
Wishing you good health.

Reply Date: 2021/10/12

More Info


After circumcision, it is common for patients to have concerns regarding the exposure of the glans (the head of the penis). The advice given by your physician to keep the glans exposed is typically aimed at promoting healing and preventing complications such as infection. However, it is also important to understand that post-operative changes can occur, including swelling, which may temporarily affect the appearance and exposure of the glans.

In your case, if you are experiencing significant shrinkage of the penis or if the glans is not exposed as instructed, it is essential to assess the situation carefully. Here are some key points to consider:
1. Normal Post-Operative Changes: After circumcision, it is normal for the penis to experience some swelling and changes in size due to the surgical procedure. This can make it seem smaller or less exposed than usual. Swelling typically peaks within the first few days post-surgery and should gradually subside.

2. Signs of Complications: While some degree of swelling is expected, certain symptoms may indicate complications that require immediate medical attention. These include:
- Severe pain that is not relieved by prescribed medications.

- Excessive swelling that does not improve over time.

- Signs of infection, such as increased redness, warmth, or discharge from the surgical site.

- Difficulty urinating or blood in the urine.

- Any unusual changes in the appearance of the glans or surrounding tissue.

3. When to Seek Help: If you notice any of the above concerning symptoms, it is advisable to seek medical attention promptly. Additionally, if you feel that the glans is not exposed at all and you are unable to maintain the recommended post-operative care, it would be prudent to consult your healthcare provider. They can assess your condition and determine if any intervention is necessary.

4. Follow-Up Care: It is essential to attend any scheduled follow-up appointments with your surgeon or urologist. They will monitor your healing process and provide guidance on care practices to ensure optimal recovery.

5. Self-Care Recommendations: In the meantime, ensure that you are following all post-operative care instructions provided by your physician. This may include keeping the area clean, avoiding strenuous activities, and managing pain as directed.

In summary, while some changes in the appearance of the penis after circumcision are normal, it is crucial to remain vigilant for any signs of complications. If you have concerns about the exposure of the glans or any other symptoms, do not hesitate to reach out to your healthcare provider for guidance. Early intervention can help prevent potential complications and ensure a smoother recovery process.

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