Post-Circumcision Swelling: When to Seek Medical Attention? - Urology

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Swelling above and below the sutured area after circumcision stitch removal?


Hello doctor, it has been 2 months since my circumcision and the stitches were removed.
Question 1: After 2 months, the swelling has only reduced by three-quarters, and the swollen area still has a bit of redness and occasionally hurts, about 2 to 3 times a day, but the pain lasts for a very short time.
Should I see a doctor? Question 2: I did some research online and found that the swelling refers to the area above the sutures near the foreskin.
What about the swelling below the sutures? (The area I am mainly swollen occupies a whole half-circle, is quite large, not hard, and is the same color as the penis with no protrusions.) Should I have this checked by a doctor?

24-Sui Xin Ren, 20~29 year old female. Ask Date: 2022/11/11

Dr. Du Shixi reply Urology


Hello: If you still feel swelling and pain 1-2 months later, it is recommended to consult your surgeon for an examination.
Swelling may occur on both sides of the incision.
Wishing you good health.

Reply Date: 2022/11/11

More Info


Post-circumcision swelling is a common concern for many patients after the procedure, and it’s important to understand when to seek medical attention. Based on your description, it seems you are experiencing some residual swelling and discomfort two months post-surgery. Let’s address your questions one by one.


Question 1: Should I see a doctor for the persistent swelling and pain?
Given that you have swelling that has not fully resolved after two months, along with redness and intermittent pain, it would be advisable to consult your healthcare provider. While some swelling can be normal after circumcision, especially in the initial weeks, persistent swelling that is accompanied by redness and pain could indicate an underlying issue, such as:
1. Infection: Signs of infection can include redness, warmth, swelling, and pain at the site. If you notice any discharge or an increase in pain, this is particularly concerning.


2. Fluid Accumulation: Sometimes, fluid can accumulate in the area (seroma or hematoma), which may require drainage if it becomes significant.

3. Delayed Healing: If the area is not healing properly, it could lead to complications that might need medical intervention.

Since you mentioned that the pain is short-lived but occurs multiple times a day, it’s best to err on the side of caution and have a healthcare professional evaluate the area. They can assess whether the swelling is part of the normal healing process or if it requires treatment.


Question 2: What is the swelling below the suture line?
The swelling you describe below the suture line could be due to several factors:
1. Normal Post-Operative Swelling: It is common for swelling to occur in the surrounding tissues after surgery. This can sometimes extend beyond the immediate surgical site.

2. Inflammation: The body’s natural response to surgery includes inflammation, which can cause swelling in areas adjacent to the incision.

3. Fluid Accumulation: As mentioned earlier, fluid can accumulate in the tissues, leading to swelling. This can happen both above and below the suture line.

4. Scar Tissue Formation: As the area heals, scar tissue can form, which may also contribute to the appearance of swelling.

Since you indicated that this swelling is significant and occupies a large area, it would be prudent to have it evaluated by a healthcare provider. They can perform a physical examination to determine the nature of the swelling and whether any treatment is necessary.


Conclusion
In summary, it is advisable to seek medical attention given your symptoms of persistent swelling, redness, and intermittent pain. A healthcare professional can provide a thorough examination and determine if any further intervention is needed. It’s always better to be cautious, especially when it comes to post-operative care. Remember, your health and peace of mind are paramount, and addressing these concerns with a doctor will help ensure a smooth recovery.

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