Post-Circumcision Issues: Foreign Objects on the Foreskin - Urology

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Preputial issues: Foreign body on the foreskin?


As a child, I underwent a circumcision procedure, and I later noticed small holes around the edge of the foreskin that appear to be surgical scars.
Periodically, foreign objects like the one shown in the image below emerge, which can be easily removed.
Sometimes, they even fall off during the cleaning process, and they haven't caused any discomfort.
However, I would like to confirm what they are.

bjwoialien, 20~29 year old female. Ask Date: 2021/11/22

Dr. Jian Weihong reply Urology


Hello: I'm not sure, it should be smegma.
It's important to maintain cleanliness, and you may need to clean it daily.
Wishing you good health.

Reply Date: 2021/11/22

More Info


After undergoing circumcision, it is not uncommon for individuals to notice changes in the appearance of the skin around the circumcision site. The presence of small holes or openings, as you described, can be attributed to several factors related to the healing process and the nature of the skin itself.

Firstly, the circumcision procedure involves the removal of the foreskin, which can lead to changes in the skin's texture and appearance. The small holes you are observing may be remnants of hair follicles or sebaceous glands that were not completely removed during the procedure. These structures can sometimes become more prominent or noticeable as the skin heals and adjusts to its new configuration.

Additionally, the appearance of foreign objects or debris around the circumcision site could be related to the accumulation of dead skin cells, sebum (the natural oil produced by the skin), or even small pieces of tissue that may have been shed during the healing process. This is generally not a cause for concern, especially if these objects can be easily removed and do not cause pain or discomfort.

However, it is essential to monitor the area for any signs of infection or complications. If you notice increased redness, swelling, pain, or discharge that appears unusual, it would be advisable to consult a healthcare professional for a thorough evaluation. Infections can sometimes occur post-surgery, and prompt treatment is crucial to prevent further complications.

In terms of hygiene, it is important to keep the area clean and dry. Regular washing with mild soap and water can help prevent the buildup of debris and reduce the risk of infection. If you are experiencing any discomfort during cleaning or if the area becomes irritated, consider using a gentle, non-irritating cleanser and avoiding harsh soaps or scrubs.

If the foreign objects continue to appear and you find them bothersome, or if you have any concerns about the appearance or health of the circumcision site, it may be beneficial to seek a follow-up appointment with your urologist or the surgeon who performed the procedure. They can provide a more personalized assessment and determine if any further intervention is necessary.

In summary, while the presence of small holes and foreign objects around the circumcision site can be a normal part of the healing process, it is essential to remain vigilant for any signs of complications. Maintaining good hygiene and consulting with a healthcare provider if concerns arise will help ensure that your recovery continues smoothly.

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