Lack of Elasticity in Post-Circumcision Wounds - Urology

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The wound lacks elasticity?


I underwent a circumcision with a circumcision device on October 6th, and as of November 2nd, the wound has not retracted to the coronal sulcus.
Forcing it to retract causes pain.
What should I do?

Wang Dawei, 30~39 year old female. Ask Date: 2022/11/02

Dr. Chen Jiansheng reply Urology


Please seek medical attention.

Reply Date: 2022/11/02

More Info


It sounds like you are experiencing significant discomfort and lack of elasticity in the area following your circumcision, which was performed on October 6th. As of November 2nd, you are still facing issues with the wound not retracting to the coronal sulcus, and forcing it down causes pain. This situation can be concerning, and it's important to address it properly.

Firstly, it's essential to understand that after a circumcision, the healing process can vary significantly from person to person. Factors such as the technique used during the procedure, individual healing responses, and post-operative care can all influence recovery. In your case, the lack of elasticity and pain when attempting to retract the skin may indicate that the area is still healing or that there may be some scarring or adhesions forming.

Here are some steps you can take to manage your situation:
1. Avoid Forcing Retraction: It's crucial not to force the skin down, as this can lead to further irritation or injury. Allow the area to heal naturally without excessive manipulation.

2. Moisturize the Area: Applying a gentle, non-irritating moisturizer or a healing ointment recommended by your healthcare provider can help keep the skin supple and may aid in the healing process. Products containing hyaluronic acid or silicone gel may be beneficial.

3. Gentle Stretching: Once the initial healing has progressed (usually after a few weeks), gentle stretching of the skin may help improve elasticity. However, this should be done cautiously and ideally under the guidance of a healthcare professional.

4. Pain Management: If you are experiencing pain, over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. However, consult your doctor before taking any medication.

5. Follow-Up with Your Doctor: It's essential to have a follow-up appointment with the surgeon or urologist who performed the circumcision. They can assess the healing process, check for any complications such as infection or excessive scarring, and provide specific recommendations tailored to your situation.

6. Consider Physical Therapy: If the lack of elasticity persists, your doctor may recommend physical therapy focused on the pelvic area. A physical therapist can guide you through exercises to improve flexibility and reduce discomfort.

7. Monitor for Signs of Infection: Keep an eye out for any signs of infection, such as increased redness, swelling, warmth, or discharge from the wound. If you notice any of these symptoms, seek medical attention promptly.

8. Emotional Support: It's normal to feel anxious or concerned about your recovery. If you find that your worries are affecting your daily life or sleep, consider speaking with a mental health professional. They can help you develop coping strategies and provide support during your recovery.

In summary, while it can be frustrating to deal with a slow recovery, it's essential to be patient and allow your body the time it needs to heal. Avoid forcing the skin down, keep the area moisturized, and follow up with your healthcare provider for personalized advice. With proper care and attention, you should see improvement over time.

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