Managing Sensitivity After Circumcision: Common Concerns and Solutions - Urology

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Managing sensitivity after circumcision can be a common concern for many individuals. It is important to understand that sensitivity in the glans (the head of the penis) can occur after circumcision due to the exposure of the previously covered skin. Here are some insights and potential solutions to address your concerns:

1. Sensitivity Management
Understanding Sensitivity:
After circumcision, the glans becomes exposed to air and friction, which can lead to increased sensitivity. This heightened sensitivity is often temporary, but for some, it may persist for an extended period.

Solutions:
- Desensitization Techniques: Gradual exposure to stimulation can help desensitize the area. This can be done through gentle rubbing or using a soft cloth to lightly stimulate the glans. Over time, this may help reduce sensitivity.

- Topical Treatments: Some individuals find relief using topical anesthetics, such as lidocaine creams, which can temporarily numb the area. However, it is crucial to consult with a healthcare provider before using any topical treatments to ensure they are safe and appropriate for your situation.

- Lubrication: Using a water-based lubricant during sexual activity can reduce friction and discomfort, making the experience more pleasurable and less sensitive.

- Adjusting Sexual Practices: If certain sexual positions or activities exacerbate sensitivity, consider experimenting with different approaches that may be more comfortable.

- Consultation with a Specialist: If sensitivity remains a significant issue, it may be beneficial to consult a urologist or a sexual health specialist. They can provide tailored advice and explore other treatment options, such as nerve blocks or other interventions.


2. Surgical Technique and Stitch Placement
Surgical Technique:
In Taiwan, as in many other places, circumcision techniques can vary based on the surgeon's preference and the specific needs of the patient. Generally, the surgical procedure involves the removal of the foreskin, and the method of closure can differ.

Stitch Placement:
- Midline Closure: In many cases, the stitches (sutures) are placed along the midline of the shaft of the penis. This technique helps to ensure that the skin edges are aligned properly for optimal healing.

- Dissolvable Sutures: Often, surgeons use dissolvable sutures that do not require removal, which can minimize discomfort and the need for follow-up visits.

- Postoperative Care: Proper care following the procedure is essential for healing. This includes keeping the area clean, avoiding strenuous activities, and following any specific instructions provided by the surgeon.


Conclusion
If you are experiencing persistent sensitivity two years post-circumcision, it is advisable to seek guidance from a healthcare professional who can assess your situation and recommend appropriate interventions. Additionally, understanding the surgical technique used during your circumcision can provide clarity on your healing process and any concerns you may have regarding the placement of stitches.

Remember, every individual's healing process is unique, and what works for one person may not work for another. Open communication with your healthcare provider is key to finding the best solutions for your concerns.