Post-Circumcision Care: Managing Swelling and Wound Concerns

Q: Post-Circumcision Care: Managing Swelling and Wound Concerns

Hello： It is common for a wound to swell after surgery, and this usually subsides within 1-2 weeks. <br>Theoretically, the wound should remain dry. <br>It is important to keep the area clean and dry, with disinfection twice a day. <br>Please schedule a follow-up appointment. <br>

After circumcision

I had a circumcision (using a circumcision device) last Tuesday.
After being bandaged for a day, the doctor asked me to return for a follow-up the next day.
On that day, I felt a bit tight, so I loosened the bandage.
When I returned for my follow-up on Wednesday, there was no swelling, and the doctor applied Betadine.
However, the next morning, Thursday, I noticed swelling starting below the glans.
Could this be due to excessive heat or friction? Because of the swelling, I have to open it up to apply the medication.
Do I need to return for a follow-up? The swollen area has some blood streaks, and every day when I change the gauze, there are yellowish substances and slight blood stains near the sutures.
Could this indicate that the wound is infected?

Mr. Chen, 30~39 year old female. Ask Date: 2022/07/03

Dr. Du Shixi reply Urology

Hello: It is common for a wound to swell after surgery, and this usually subsides within 1-2 weeks.
Theoretically, the wound should remain dry.
It is important to keep the area clean and dry, with disinfection twice a day.
Please schedule a follow-up appointment.
If there is any oozing, it indicates that the wound has not fully healed.
Wishing you good health.

Reply Date: 2022/07/03

More Info

Post-circumcision care is crucial for ensuring proper healing and minimizing complications. After undergoing a circumcision, it is common to experience some swelling and discomfort, but it is important to monitor these symptoms closely.

Firstly, the swelling you are experiencing under the glans (the head of the penis) can be attributed to several factors. It may be due to the tightness of the dressing, which can restrict blood flow and cause localized swelling. Additionally, friction from clothing or movement can exacerbate this issue. It is essential to ensure that the dressing is not too tight and that you are wearing loose-fitting underwear to minimize friction and allow for proper airflow.

The presence of yellow discharge and slight bleeding when changing the dressing can be concerning. While some discharge is normal as the wound heals, especially in the early stages, the presence of blood and yellowish material could indicate a potential infection or that the wound is not healing as expected. It is crucial to keep the area clean and dry, and to follow your doctor's instructions regarding wound care.

Regarding the use of antiseptics like Betadine (povidone-iodine), it is important to apply it gently and avoid excessive manipulation of the area, as this can lead to further irritation and swelling. If you find that you need to open the dressing to apply medication, do so carefully and ensure that you are not causing additional trauma to the area.

Given your symptoms—swelling, discharge, and slight bleeding—it is advisable to return to your doctor for a follow-up appointment. They can assess the wound for signs of infection, such as increased redness, warmth, or pus, and determine if any additional treatment is necessary. If you notice any worsening symptoms, such as increased pain, fever, or significant changes in the appearance of the wound, seek medical attention promptly.

In summary, post-circumcision care involves:
1. Monitoring Swelling: Ensure that the dressing is not too tight and that you are wearing loose clothing to reduce friction.

2. Wound Care: Keep the area clean and dry, and follow your doctor's instructions for applying antiseptics.

3. Observation for Infection: Watch for signs of infection, such as increased redness, warmth, or pus. Yellow discharge can be normal, but if it is accompanied by blood or worsening symptoms, consult your doctor.

4. Follow-Up: Do not hesitate to return to your doctor for a follow-up if you have concerns about swelling, discharge, or overall healing.

Proper care and monitoring are essential for a smooth recovery after circumcision. If you have any doubts or concerns, it is always best to consult with your healthcare provider.

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