Post-Circumcision Concerns: Delayed Dissolution of Stitches - Urology

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Postoperative issues with penile circumcision?


Hello, Doctor.
I underwent a circumcision procedure on September 29th, and I have been taking good care of the surgical site post-operation.
After researching online, I found that the typical time for stitches to dissolve is about 14 days to 1 month.
However, it has been almost two months now, and only 3 stitches have fallen out, while the other dozen remain intact.
During my follow-up appointment one month post-surgery, I informed my attending physician that the stitches were not coming out, and several of them had embedded into the tissue, making the stitch heads invisible.
The doctor mentioned that the wound was healing too well, so I was given ointment and advised to wait and see.
Now, in the second month, the stitches still haven't fallen out.
Could this be related to my body’s condition? I am feeling down and anxious, and I am unsure how to deal with these remaining stitches, which are affecting my mood and daily life.
I would appreciate your advice.
Thank you.

Niming H, 40~49 year old female. Ask Date: 2021/11/21

Dr. Du Shixi reply Urology


Hello: Your condition should be followed up in a clinic.
Wishing you good health.

Reply Date: 2021/11/21

More Info


Post-circumcision concerns, particularly regarding the delayed dissolution of stitches, can understandably cause anxiety and distress for patients. In your case, it has been nearly two months since your circumcision, and you have observed that only a few stitches have dissolved while the majority remain intact. This situation can be concerning, especially when you have been informed by your physician that the healing process appears to be progressing well.

First, it is important to understand that the healing process after circumcision can vary significantly from person to person. Factors such as individual healing rates, the type of sutures used, and the overall health of the patient can all influence how quickly stitches dissolve or fall out. In many cases, absorbable sutures are used, which are designed to dissolve over time as the tissue heals. However, the timeline for this process can differ, with some patients experiencing slower dissolution than others.

In your situation, where several stitches have not yet dissolved after two months, it is essential to consider a few key points:
1. Type of Sutures: If the sutures used were absorbable, they typically dissolve within a few weeks to a couple of months. However, some types of sutures may take longer to dissolve, and in some cases, non-absorbable sutures may have been used, which would require removal by a healthcare professional.

2. Healing Process: The fact that your physician noted that your wound is healing well is a positive sign. It suggests that your body is responding appropriately to the surgery. Sometimes, if the tissue heals too well, it can encapsulate the sutures, making them less likely to dissolve or be expelled.

3. Follow-Up Care: Since you have already consulted with your physician about this issue, it is crucial to maintain open communication. If the stitches remain a concern, especially if they are embedded in the tissue and not visible, it may be necessary to schedule another follow-up appointment. Your doctor can assess the situation more closely and determine whether any intervention is needed, such as removing the sutures if they are non-absorbable.

4. Emotional Well-Being: It is entirely normal to feel anxious or low due to this situation. The healing process can be frustrating, especially when it does not go as expected. Engaging in relaxation techniques, talking to friends or family about your feelings, or even seeking support from a mental health professional can be beneficial in managing anxiety during this time.

5. Next Steps: If you continue to experience discomfort or if the stitches do not resolve in the coming weeks, I recommend reaching out to your healthcare provider again. They may suggest a more thorough examination or even a minor procedure to remove any stubborn stitches if necessary.

In conclusion, while it is understandable to feel concerned about the delayed dissolution of your stitches, it is essential to remember that healing varies among individuals. Keeping in touch with your healthcare provider and discussing your concerns openly will help ensure that you receive the appropriate care and support. Your well-being is paramount, and addressing both the physical and emotional aspects of your recovery is crucial.

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