Urethral Stricture: Concerns After Circumcision

May I ask the doctor?

Urethral stricture sounds alarming.
If there is a wound near the urethral opening at the glans, could it lead to urethral stricture? I recently had a circumcision, but I noticed peeling on the glans.
Once, I saw a piece of peeling skin near the urethral opening that was about 2 mm long and 1 mm wide.
I tried to remove that small piece of skin with my hand, and at the time, I didn't notice any bleeding or signs of a wound.
However, I am still very concerned that this peeling might have caused a tear near the urethral opening.
Could you please clarify my concerns, doctor? Thank you!

Aguo, 10~19 year old female. Ask Date: 2003/08/25

Dr. Liu Jianting reply Urology

You're overthinking it, it's not that scary! There's no need to worry.
There's a book called "The Love of Little Brother," you should find it and take a look!

Reply Date: 2003/08/25

More Info

Urethral stricture can indeed be a concerning condition, especially when it occurs near the urethral meatus (the opening of the urethra at the tip of the penis). After circumcision, it is not uncommon for patients to experience changes in the skin and mucosal surfaces of the glans (the head of the penis) and the urethral opening.
To address your specific concerns, it is important to understand that while any injury or irritation to the urethra can potentially lead to scarring and subsequent stricture, not every instance of skin irritation or peeling will result in this complication. Urethral strictures are often caused by trauma, infection, or inflammation that leads to scar tissue formation. In your case, the peeling skin you described does not necessarily indicate that you will develop a stricture, especially if there was no bleeding or significant injury to the underlying tissues.

Circumcision can lead to changes in the sensitivity and appearance of the glans and the surrounding skin. It is not uncommon for the skin to peel or become irritated as it adjusts to the new exposure. The small piece of skin you mentioned, which you removed without any bleeding, is likely a superficial layer of skin that was not deeply attached to the underlying tissues. If there was no visible injury or bleeding, the risk of developing a stricture from that incident is low.

However, it is essential to monitor the area for any signs of complications. Symptoms that may indicate a problem include:
1. Pain or Discomfort: Persistent pain at the urethral opening or during urination.

2. Changes in Urination: Difficulty urinating, a weak urine stream, or a feeling of incomplete emptying.

3. Swelling or Redness: Any significant swelling or redness around the urethral opening or the glans.

4. Discharge: Any unusual discharge from the urethra.

If you experience any of these symptoms, it would be prudent to consult a healthcare professional. They may perform a physical examination and, if necessary, imaging studies or a urethroscopy to assess the urethra's condition.

In summary, while urethral stricture is a potential complication following any injury or irritation to the urethra, the specific incident you described does not appear to pose a significant risk for developing a stricture, especially in the absence of bleeding or deep injury. However, it is always best to remain vigilant and consult a healthcare provider if you have any ongoing concerns or symptoms. Regular follow-up with your healthcare provider after circumcision is also advisable to ensure proper healing and to address any complications that may arise.

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