Post-Circumcision Concerns: Managing Swelling and Discomfort After Surgery

Q: Post-Circumcision Concerns: Managing Swelling and Discomfort After Surgery

Hello： If the skin is not red, you can observe it first and wait for it to subside. <br>If there is redness, seek medical attention. <br>Wishing you good health.

Penile Issues / Post-Preputial Surgery

Hello doctor, it has been a month since my circumcision (on August 15).
During my follow-up appointment, the doctor mentioned that I could engage in sexual intercourse after one month.
However, the frenulum is still swollen and has not yet subsided.
After having sexual intercourse on September 16 (with the woman on top), I noticed that the frenulum was swollen, and with the use of a condom, I felt tightness and discomfort in my penis (which gradually became soft).
After about 78 minutes of intercourse, I withdrew and opted for masturbation to ejaculate, which was successful.
However, afterward, I noticed bruising and swelling at the base of my penis, with a lump in the vein area.
There is no severe pain, but it feels a bit prickly when pressed.
Now, three days later, the bruising remains, but it is not as swollen as it was three days ago.
I would like to ask the doctor if I need medication for treatment, or if heat therapy would suffice? I am currently taking anti-swelling medication and hope that surgery won't be necessary, as I would prefer to avoid prolonged pain.

Zheng Ahong, 20~29 year old female. Ask Date: 2022/09/19

Dr. Du Shixi reply Urology

Hello: If the skin is not red, you can observe it first and wait for it to subside.
If there is redness, seek medical attention.
Wishing you good health.

Reply Date: 2022/09/19

More Info

Post-circumcision concerns, especially regarding swelling and discomfort, are not uncommon and can be a source of anxiety for many patients. After a circumcision, it is typical to experience some degree of swelling and discomfort as the area heals. However, it is essential to monitor the symptoms closely to ensure that they are within the expected range of post-operative recovery.

1. Understanding Swelling and Bruising: After circumcision, the area around the penis, particularly the frenulum (the band of tissue on the underside of the penis), can become swollen. This swelling is often due to the surgical trauma and the body's natural inflammatory response. Bruising may also occur, which is a result of small blood vessels breaking during the procedure. The fact that you are experiencing some bruising and swelling is not unusual, especially after engaging in sexual activity.
2. Managing Symptoms: For managing the swelling and discomfort, several approaches can be taken:
- Rest: It is crucial to allow your body time to heal. Avoiding strenuous activities, including sexual intercourse, until the swelling has significantly reduced can help.

- Cold Compresses: Applying a cold compress to the area can help reduce swelling and provide relief from discomfort. Make sure to wrap ice in a cloth to avoid direct contact with the skin.

- Medications: Over-the-counter anti-inflammatory medications, such as ibuprofen or acetaminophen, can help alleviate pain and reduce swelling. If you have been prescribed anti-inflammatory medication, continue to take it as directed.

- Heat Therapy: After the initial swelling has decreased (usually after the first few days), some individuals find that applying a warm compress can help with discomfort. However, it is essential to avoid heat if there is still significant swelling.

3. When to Seek Medical Attention: If the swelling does not improve over the next few days, or if you notice increased redness, warmth, or significant pain, it is crucial to contact your healthcare provider. These could be signs of an infection or other complications that may require medical intervention. Additionally, if the lump you mentioned does not resolve or continues to grow, it is essential to have it evaluated by a physician.

4. Sexual Activity: Engaging in sexual activity too soon after surgery can exacerbate swelling and discomfort. It is generally recommended to wait until you feel comfortable and the area has healed adequately before resuming sexual activity. If you are still experiencing significant swelling or discomfort, it may be wise to postpone sexual activity until you have fully healed.

5. Follow-Up Care: Regular follow-up with your surgeon or urologist is essential to monitor your recovery. They can provide personalized advice based on your specific situation and help address any concerns you may have.

In summary, while some swelling and discomfort after circumcision are normal, it is essential to monitor your symptoms closely. Utilizing rest, cold compresses, and appropriate medications can help manage your discomfort. If symptoms persist or worsen, do not hesitate to seek medical advice. Your health and comfort are paramount, and your healthcare provider can guide you through this recovery process.

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