Post-Circumcision Concerns: Swelling, Pain, and Urination Issues Explained

Q: Post-Circumcision Concerns: Swelling, Pain, and Urination Issues Explained

Hello： The responses provided here are for reference only and cannot replace a physician's examination and testing.<br>1. <br>I underwent a circumcision on January 4th, and today is January 12th. <br>I had a follow-up appointment two days ago, and the doctor said the surgical wou

Post-circumcision care

Hello, Doctor.

1.
I underwent a circumcision procedure on January 4th, and today is January 12th.
I had a follow-up appointment two days ago, and the doctor said the surgical wound looks normal.
However, I have noticed a swollen ring around the glans penis, resembling a swimming ring, over the past two days.
Is this normal? The swelling becomes more pronounced when I have an erection at night.
Should I schedule another appointment to see the doctor?
2.
The sutures are irritating the swollen area, causing significant pain and discomfort.
Additionally, none of the sutures have fallen out yet.
Is it normal for the sutures to take time to dissolve? Should I wear fitted or loose underwear during this recovery period?
3.
Since the circumcision, I have been experiencing frequent urges to urinate, but the volume of urine is minimal.
Is this a temporary effect of the surgery?
I appreciate your assistance in answering my questions when you have the time.
Thank you.

Ye Xiansheng, 40~49 year old female. Ask Date: 2022/01/12

Dr. Du Shixi reply Urology

Hello: The responses provided here are for reference only and cannot replace a physician's examination and testing.
1.
I underwent a circumcision on January 4th, and today is January 12th.
I had a follow-up appointment two days ago, and the doctor said the surgical wound is healing normally.
However, I have noticed a swollen ring around the glans between the sutures over the past two days.
Is this normal? The swelling becomes more pronounced during erections at night.
Should I return for another appointment? -- There is no redness or discharge, which is likely a normal post-operative phenomenon.
2.
The sutures are irritating the swollen area, causing significant pain and discomfort.
Additionally, none of the sutures have fallen out yet.
Does it take time for the sutures to dissolve? -- Yes.
Should I wear tight or loose underwear? -- It is personally recommended to wear loose-fitting underwear.
3.
Since the circumcision, I have been experiencing frequent urges to urinate, but the volume of urine is minimal.
Is this a temporary effect of the surgery? -- Drink plenty of water.
If urination is not painful, you can monitor the situation.
If there is pain, seek medical attention.
Wishing you good health.

Reply Date: 2022/01/12

More Info

Post-circumcision concerns, such as swelling, pain, and urination issues, are common and can be distressing for patients. After undergoing a circumcision procedure, it is essential to monitor the healing process and recognize what is considered normal versus what may require further medical attention.

1. Swelling and Pain: It is not unusual to experience some swelling around the surgical site following circumcision. The "ring" of swelling you describe between the glans (the head of the penis) and the shaft may be a normal part of the healing process. However, if the swelling is significant or accompanied by severe pain, redness, or discharge, it could indicate an infection or other complications. The fact that the swelling becomes more pronounced during erections is also common, as increased blood flow can exacerbate swelling. If the swelling persists or worsens, or if you experience increasing pain, it would be advisable to return to your healthcare provider for an evaluation.

2. Sutures: The sutures used in circumcision are typically absorbable, meaning they will dissolve over time without needing to be removed. It is normal for them to take a week or two to fall out, depending on the type of sutures used. If you are experiencing discomfort from the sutures rubbing against the swollen area, wearing loose-fitting underwear can help alleviate some of that irritation. Tight clothing may exacerbate discomfort and should be avoided during the healing process. If the pain becomes unbearable or if you notice any signs of infection (such as increased redness, warmth, or discharge), you should seek medical advice.

3. Urination Issues: Increased frequency of urination and reduced urine output can occur after circumcision, often due to swelling and irritation in the area. The surgical trauma can lead to temporary changes in bladder function, and it may take some time for your body to adjust. If you find that you are experiencing significant discomfort while urinating or if the frequency does not improve over the next few days, it would be wise to consult your doctor. They may want to rule out any potential complications, such as urinary tract infections or other issues related to the surgery.

In summary, while some swelling, pain, and changes in urination are common after circumcision, it is crucial to monitor your symptoms closely. If you have any concerns about the severity of your symptoms or if they do not improve, do not hesitate to reach out to your healthcare provider. They can provide guidance tailored to your specific situation and ensure that your recovery proceeds smoothly. Remember, it is always better to err on the side of caution when it comes to your health.

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