Post-Circumcision: Healing and Discomfort After Surgery - Urology

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Post-circumcision care


Hello Doctor, I underwent a laser circumcision on September 2nd, and today marks 42 days post-operation.
Aside from some lingering swelling, I am generally recovering well and can walk normally.
However, I have noticed that during full erection (only in this state; slight erections feel normal), I experience some mild pain and discomfort, which feels tighter compared to before the surgery, with a pulling sensation, especially at the lower part.
I took a photo and noticed a small bump at the bottom that looks like a scab.
I would like to ask if this indicates that I have not fully healed yet.
Would you recommend minimizing erections? I have attached a photo for your preliminary diagnosis.
Thank you.
https://imgur.com/T1duGKk

Chen Shih-hung, 20~29 year old female. Ask Date: 2021/10/14

Dr. Du Shixi reply Urology


Hello: Do you have any cleaning and disinfection? You may need to return for a follow-up with the doctor for examination.
As long as the surgical wound has healed and it has been a long time, there is no need to reduce erections.
Wishing you good health.

Reply Date: 2021/10/14

More Info


After undergoing a circumcision procedure, especially one performed with laser technology, it is common to experience a variety of sensations and discomfort during the healing process. The timeline you provided indicates that you are 42 days post-surgery, which is generally a significant period for recovery. However, it is essential to understand that healing can vary significantly from person to person, and some residual discomfort may persist for a while.


Understanding Post-Circumcision Healing
1. Normal Healing Process: After circumcision, the body goes through a healing process that can involve swelling, tenderness, and the formation of scabs. The presence of swelling (edema) is not unusual, especially if it has not fully resolved yet. The area may still be sensitive, particularly during erections, which can cause discomfort due to the stretching of the skin and underlying tissues.

2. Pain During Erection: The pain you describe during full erections, while less than what you experienced pre-surgery, suggests that the area is still adjusting to the changes made during the procedure. The sensation of tightness or pulling can be attributed to the healing of the skin and the underlying structures. It is not uncommon for patients to experience some discomfort during erections for several weeks or even months post-surgery.

3. Presence of Scabs: The "lump" you mentioned that appears to be a scab is likely part of the normal healing process. Scabs form as the skin heals, and they can sometimes take longer to resolve, especially in sensitive areas. However, if the scab appears unusual, is excessively painful, or shows signs of infection (such as increased redness, warmth, or discharge), it would be prudent to consult your healthcare provider.


Recommendations for Care
1. Avoiding Irritation: It may be advisable to minimize activities that could irritate the area, including vigorous sexual activity or any actions that may cause friction. If you experience pain during erections, consider discussing this with your doctor, who may suggest temporary abstinence or other measures to alleviate discomfort.

2. Monitoring Symptoms: Keep an eye on the healing process. If the pain persists or worsens, or if you notice any signs of infection, such as increased swelling, redness, or discharge, seek medical advice promptly.
3. Follow-Up Appointments: If you have not already done so, consider scheduling a follow-up appointment with your surgeon or urologist. They can provide a thorough examination, assess the healing process, and address any concerns you may have about the discomfort or the appearance of the surgical site.

4. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage discomfort, but always consult with your healthcare provider before taking any medication, especially if you have other health conditions or are taking other medications.


Conclusion
In summary, while some discomfort and swelling can be expected during the healing process after circumcision, persistent or severe pain should be evaluated by a healthcare professional. It is essential to monitor your symptoms closely and maintain open communication with your healthcare provider to ensure a smooth recovery. If you have any further questions or concerns, do not hesitate to reach out to your doctor for personalized advice and support.

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