Post-Circumcision Concerns: Healing and Scar Management

Q: Post-Circumcision Concerns: Healing and Scar Management

Hello： Generally, scar tissue tends to be hard around the edges, but it usually softens over time unless there is a specific underlying condition. <br>However, if you experience any obstruction during an erection, please seek medical attention or consult a urologist at another ho

Post-operative issues following circumcision?

Hello, doctor.
At the beginning of May, I underwent a circumcision procedure due to tightness of the foreskin during erections, which I discussed with my doctor out of concern for potential phimosis.
The recovery and suture removal went very well and quickly.
During my last follow-up appointment, the surgeon mentioned that my recovery was excellent.
However, nearly three months have passed, and I still notice a ring-like area at the wound site that appears slightly red, and there are hard, lump-like areas near the frenulum.
Although it doesn't usually hurt, pressing on it can cause some itching and pain, and I feel tightness during erections (it feels the same as before the surgery).
When I consulted the surgeon who performed the procedure, he mentioned that the scar would fade on its own, but after several months, there has been no improvement, which makes me a bit worried.

1.
Is this a normal situation?
2.
If it is normal, how long might it take to fully heal? If it is not normal, should I return to the original surgeon for further evaluation, or would it be advisable to seek a new urologist?
3.
Would using a scar treatment ointment help speed up the healing process? Thank you, doctor.

Ding Ding, 20~29 year old female. Ask Date: 2022/07/22

Dr. Du Shixi reply Urology

Hello: Generally, scar tissue tends to be hard around the edges, but it usually softens over time unless there is a specific underlying condition.
However, if you experience any obstruction during an erection, please seek medical attention or consult a urologist at another hospital.
I personally do not recommend self-purchasing topical ointments.
Wishing you good health.

Reply Date: 2022/07/22

More Info

Post-circumcision concerns are quite common, and it's understandable to have questions about healing and scar management after the procedure. Based on your description, it seems that you are experiencing some typical post-operative symptoms, but let's break down your concerns systematically.

1. Normal Healing Process: After circumcision, it is normal for the surgical site to go through various stages of healing. The presence of a red line around the incision site and some hardness near the frenulum (the band of tissue on the underside of the penis) can be part of the normal healing process. Scar tissue can form as part of the body’s natural response to surgery, and it may take several months for the scar to mature and become less noticeable. Typically, scars can take anywhere from six months to a year to fully mature, during which time they may change in color and texture.

2. Duration of Recovery: While you mentioned that it has been nearly three months since your surgery, it is not uncommon for some redness and hardness to persist during this time. If the symptoms you are experiencing do not improve over the next few months, or if they worsen, it would be advisable to follow up with your original surgeon. They can assess whether what you are experiencing is within the normal range of healing or if further intervention is necessary. If you feel uncomfortable returning to the original surgeon, seeking a second opinion from another urologist is also a valid option.

3. Scar Management: Regarding the use of scar treatment products, many over-the-counter creams and gels are marketed for scar reduction. These products often contain ingredients like silicone, which has been shown to be effective in improving the appearance of scars. However, it is essential to consult with your healthcare provider before starting any new treatment, as they can provide personalized recommendations based on your specific situation. They may suggest waiting until the scar has fully matured before starting any treatment, as premature application could irritate the healing tissue.

4. Symptoms of Concern: The itching and discomfort you describe, especially during erections, could be due to several factors, including irritation from the scar tissue or sensitivity in the area. If these symptoms are persistent or worsening, it is crucial to discuss them with your healthcare provider. They can evaluate whether there is any underlying issue, such as an infection or excessive scar tissue formation (known as hypertrophic scarring or keloids).

5. Emotional and Psychological Impact: It's also worth noting that the psychological aspect of recovery can be significant. Concerns about the appearance of the scar or discomfort during sexual activity can affect your emotional well-being. Open communication with your healthcare provider about these concerns can help alleviate anxiety and provide reassurance.

In summary, while some redness and hardness at the surgical site can be normal, ongoing discomfort or changes in symptoms warrant further evaluation. It is always best to consult with your healthcare provider for personalized advice and to ensure that your healing process is on track. They can provide guidance on scar management options and help address any concerns you may have about your recovery.

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