Post-Circumcision Hematoma: Symptoms and Recovery

Post-operative hematoma issues after circumcision?

I underwent circumcision on April 30, and I experienced hematoma issues post-surgery.
I had follow-up appointments within a week, and the doctor advised that I no longer need to bandage the wound, just to apply iodine twice a day.
However, starting from May 11, I noticed some dark red oozing from the wound.
Is this a normal occurrence following a hematoma? On May 12, there was also some bleeding, but it stopped on its own without any special measures to control it.
The stitches are still intact, and I feel that my genital area is slightly misaligned.
Could this be due to residual swelling? I'm quite distressed! Could you please provide some clarification? Thank you (as I am in quarantine and unable to see a doctor).

Xiao Yu, 30~39 year old female. Ask Date: 2022/05/12

Dr. Li Xinyi reply Urology

It sounds like there is an issue that needs to be addressed.
You should promptly return to the urology clinic for a check-up and treatment by the physician.

Reply Date: 2022/05/12

More Info

Post-circumcision hematoma is a complication that can occur after the surgical procedure of circumcision. It is characterized by the accumulation of blood in the tissue surrounding the surgical site, which can lead to swelling, discoloration, and sometimes pain. Understanding the symptoms and recovery process is crucial for managing this condition effectively.

In your case, it seems that you are experiencing some common post-operative symptoms. The dark red discharge you observed starting on May 11 could indeed be related to the hematoma. It is not uncommon for some bleeding or oozing to occur after circumcision, especially if there is a hematoma present. The fact that the bleeding stops on its own is a positive sign, indicating that your body is managing the situation. However, it is essential to monitor the amount and frequency of bleeding, as excessive bleeding could indicate a more serious issue.

The presence of stitches (or "pins" as you referred to them) that have not yet dissolved or fallen out can also contribute to the feeling of discomfort or misalignment in the genital area. It is normal for the area to feel swollen and for the appearance to be somewhat distorted during the healing process. The swelling from the hematoma can cause the penis to appear crooked or misaligned, which should improve as the swelling decreases and the hematoma resolves.

Here are some additional points to consider regarding your recovery:
1. Monitoring Symptoms: Keep an eye on the color and amount of discharge. If it becomes bright red, increases significantly, or is accompanied by severe pain, fever, or other concerning symptoms, it would be advisable to seek medical attention, even if you are in isolation.

2. Hygiene: Continue to follow your doctor's advice regarding wound care. Keeping the area clean and applying antiseptic as directed is vital to prevent infection.

3. Rest and Recovery: Allow your body time to heal. Avoid any activities that could strain the area, such as vigorous exercise or sexual activity, until you receive clearance from your healthcare provider.

4. Follow-Up Care: If you have concerns about the healing process or if symptoms worsen, it may be necessary to arrange a follow-up consultation with your doctor. Many healthcare providers can offer telehealth services, which could be beneficial given your current isolation.

5. Pain Management: If you experience discomfort, over-the-counter pain relief medications may help, but consult your doctor before taking any new medications.

6. Long-Term Outlook: Most cases of post-circumcision hematoma resolve without significant long-term issues, but it is essential to remain vigilant during the recovery process. If the hematoma does not resolve or if you continue to experience symptoms, further evaluation may be necessary.

In summary, while some bleeding and discomfort can be normal after circumcision, it is crucial to monitor your symptoms closely. If you have any doubts or if your condition changes, do not hesitate to reach out to your healthcare provider for guidance. Your recovery is important, and ensuring that you are healing properly will help you avoid complications in the future.

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