Post-Circumcision Concerns: Delayed Dissolution of Stitches - Urology

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Post-circumcision concerns, particularly regarding the delayed dissolution of stitches, can be quite distressing for patients. It is understandable that you are feeling anxious about the situation, especially since it has been nearly two months since your procedure and many of the stitches remain intact.
In general, after a circumcision, stitches (or sutures) are used to close the incision made during the procedure. These stitches can be either absorbable or non-absorbable. Absorbable stitches are designed to dissolve on their own over time, typically within a few weeks to a couple of months, while non-absorbable stitches need to be removed by a healthcare professional. The timeline for the dissolution or removal of stitches can vary based on several factors, including the type of stitches used, the individual's healing process, and the overall health of the patient.

In your case, it seems that the stitches are not dissolving as expected. This could be due to a few reasons:
1. Type of Stitches: If non-absorbable stitches were used, they will not dissolve and will need to be removed by a doctor. If absorbable stitches were used, they may take longer to dissolve in some individuals, particularly if the healing process is robust.

2. Healing Process: Some individuals may experience a faster or slower healing process based on their body’s response to the surgery. Factors such as age, overall health, and even genetics can influence how quickly stitches dissolve or how well the wound heals.

3. Infection or Complications: While it sounds like your wound care has been good, any signs of infection or complications could potentially affect the healing process. It is essential to monitor for symptoms such as increased redness, swelling, discharge, or fever.

4. Tissue Integration: Sometimes, stitches can become embedded in the tissue, making them less visible and potentially delaying their dissolution. This can happen if the tissue heals around the stitches.

Given that you have already consulted your surgeon and received topical medication, it is crucial to maintain open communication with your healthcare provider. If the stitches have not dissolved after two months, and especially if you notice any discomfort or changes in the area, it would be advisable to follow up with your surgeon again. They may want to examine the area to determine the best course of action, which could include removing any non-absorbable stitches or providing further treatment if necessary.

In the meantime, here are some suggestions to help manage your anxiety and concerns:
- Stay Informed: Understanding the healing process and what to expect can help alleviate some anxiety. Ask your doctor for detailed information about the type of stitches used and the expected timeline for healing.

- Practice Self-Care: Engage in activities that promote relaxation and well-being, such as deep breathing exercises, meditation, or gentle physical activity, as long as it does not interfere with your healing.

- Seek Support: Talk to friends, family, or a mental health professional about your feelings. Sometimes, sharing your concerns can help reduce anxiety.

- Follow-Up Appointments: Ensure that you attend all follow-up appointments with your healthcare provider. If you feel that your concerns are not being addressed, do not hesitate to seek a second opinion.

In conclusion, while it is not uncommon for stitches to take time to dissolve, your situation warrants further evaluation, especially given the duration and your concerns. Please consult your healthcare provider for personalized advice and reassurance. Your health and peace of mind are important, and addressing these concerns promptly can help you feel more at ease.