Post-Circumcision Sensitivity: How Long Until Adaptation? - Urology

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It has been one month since the circumcision, and the glans and urethral opening are still sensitive. When can I expect to adapt to this sensitivity?


Hello doctor, I chose to undergo circumcision using a circumcision device because I experienced pain during intercourse due to phimosis.
It has been one month since the surgery, but I currently have several concerns:
1.
Because I have a hidden penis, it sometimes retracts inside, exposing only the area near the urethral opening, which causes pain when it rubs against my underwear.
Will this area also become keratinized like the glans? How long will it take to adapt? I'm very worried that it will always be like this.
2.
The rubbing pain is quite bothersome.
Are there any methods (such as products or medications) to alleviate this discomfort during the adaptation period?
3.
I’ve read online that some people adapt in 1 to 2 months, while others say it takes up to six months.
Is it really that long?
4.
Due to the pressure of wanting to have children, I need to test my sperm motility, but it’s difficult to obtain a sample because touching the glans is very sensitive and painful.
How long does it typically take to adapt to this discomfort? Is there an approximate timeframe for when the glans, urethral opening, and the skin around the surgical site will thicken?

Kairy, 40~49 year old female. Ask Date: 2022/06/21

Dr. Du Shixi reply Urology


Hello: 1.
Because I have a hidden penis that sometimes retracts inside, exposing only the area near the urethral opening, it can rub against my underwear and cause pain.
Will this area also become keratinized like the glans? -- How long does it take to adapt? Usually a few weeks.
2.
The rubbing pain is very bothersome.
Are there any methods to improve this (such as products or medications) during the adaptation period? -- The help is minimal.
3.
I found online that some people say it takes 1-2 months to adapt, while others say it takes up to six months.
Is it really that long? -- Six months is too long; it should improve in a few weeks.
4.
Due to the pressure of having children, I need to test sperm motility, but it is difficult for me to collect a sample.
Touching the glans with my fingers is very sensitive and painful.
How long does this discomfort typically take to adapt? Is there an approximate timeframe for when the glans, urethral opening, and postoperative wound skin will thicken? -- Just wait and see.
Wishing you good health.

Reply Date: 2022/06/21

More Info


Post-circumcision sensitivity is a common concern for many individuals who undergo this procedure. It is important to understand that the healing process and adaptation period can vary significantly from person to person. Here’s a comprehensive overview of what you might expect and some strategies to manage your symptoms.


1. Healing and Sensitivity
After circumcision, the glans (the head of the penis) is exposed for the first time, which can lead to increased sensitivity. This sensitivity is due to the glans being covered by the foreskin prior to the procedure, which protects it from friction and exposure. As a result, it may take time for the glans to adapt to its new environment.
Typically, the initial healing period lasts about 4 to 6 weeks, during which the surgical site should heal properly. However, the adaptation period for sensitivity can take longer, often ranging from a few weeks to several months. Some individuals report that it can take up to six months for the sensitivity to decrease to a more manageable level.

2. Skin Adaptation
Regarding your concern about the skin around the glans and the potential for keratinization (thickening of the skin), this is a natural process that can occur as the skin adapts to exposure. The skin may become less sensitive over time as it thickens and adjusts to the friction from clothing and other activities.
To facilitate this adaptation, it is advisable to allow the area to breathe as much as possible. Wearing loose-fitting underwear can help minimize friction and discomfort. Additionally, applying a gentle moisturizer can help keep the skin supple and may reduce irritation.


3. Managing Discomfort
If you are experiencing pain from friction against your underwear, consider the following strategies:
- Protective Barriers: You might want to use a soft, breathable fabric as a barrier between your skin and your underwear. Some individuals find that wearing a snug-fitting but soft garment can help reduce friction.

- Topical Treatments: Over-the-counter creams or ointments designed for sensitive skin may help alleviate discomfort. Look for products that are fragrance-free and designed for sensitive areas.

- Pain Relief: If the pain is significant, consider discussing with your healthcare provider the possibility of using topical analgesics or oral pain relief medications.


4. Timeframe for Adaptation
As for the timeframe for adaptation, while some individuals may feel comfortable within a month or two, others may take longer. It is not uncommon for the adaptation process to extend up to six months or more, especially if you have a hidden penis or experience significant friction.

5. Concerns About Fertility Testing
Regarding your concerns about sperm testing, if you find that touching the glans is painful, it may be helpful to communicate this with your healthcare provider. They may suggest alternative methods for sperm collection that minimize discomfort.

Conclusion
In summary, post-circumcision sensitivity is a normal part of the healing and adaptation process. While it can be uncomfortable, most individuals find that their sensitivity decreases over time as the skin adapts. If you continue to experience significant discomfort or have concerns about your healing process, it is crucial to consult with your healthcare provider. They can provide personalized recommendations and ensure that your recovery is progressing as expected. Remember, patience is key, and with time, many individuals find relief from their symptoms.

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