Post-Operative Concerns After Circumcision: What to Expect - Urology

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Postoperative Issues Following Circumcision


Doctor, I had a circumcision over a week ago, and my sutures are still embedded beneath the skin, requiring me to dig around with my fingers to see them.
There is a noticeable height difference between the sutures and my penis.
Is this normal? Thank you.

Bu hao shuo, 20~29 year old female. Ask Date: 2022/12/07

Dr. Du Shixi reply Urology


Hello: Sometimes you may need to gently pull the foreskin downwards (towards the base of the genital area) to see the sutures.
Wishing you good health.

Reply Date: 2022/12/07

More Info


After circumcision, it's common for patients to have concerns about their recovery and the appearance of the surgical site. Based on your description, it seems you are experiencing some unusual post-operative symptoms, particularly regarding the sutures (or "staples") that were used during the procedure.

Firstly, it's important to understand that after circumcision, the healing process can vary significantly from person to person. Generally, the sutures used in circumcision are either absorbable or non-absorbable. Absorbable sutures typically dissolve on their own within a few weeks, while non-absorbable sutures need to be removed by a healthcare professional. If your sutures are still visible and seem to be embedded or difficult to locate, this could be a sign that they are not dissolving as expected or that they are non-absorbable sutures that have not yet been removed.

The presence of a "high-low" contour where the sutures are located can be a normal part of the healing process, especially if there is some swelling or if the sutures are pulling the skin in different directions. However, if the area appears significantly raised, red, or if you are experiencing increased pain, discomfort, or any signs of infection (such as pus or fever), it is crucial to seek medical attention. These could be signs of complications such as infection or improper healing.

In terms of what to expect post-operatively, here are some common aspects of recovery after circumcision:
1. Swelling and Discomfort: It is normal to experience some swelling and discomfort in the first few days post-surgery. This should gradually improve over time.

2. Suture Care: If you have non-absorbable sutures, your healthcare provider will typically schedule a follow-up appointment to remove them. If you have absorbable sutures, they should dissolve on their own, but you should still monitor the area for any signs of complications.

3. Hygiene: Keeping the area clean is essential. You should follow your surgeon's instructions regarding bathing and cleaning the surgical site.

4. Activity Restrictions: It is usually recommended to avoid strenuous activities, including sexual activity, for a few weeks post-surgery to allow for proper healing.

5. Follow-Up Appointments: Regular follow-ups with your healthcare provider are important to monitor healing and address any concerns.

Given your specific concerns about the sutures being difficult to locate and the contour of the area, I recommend contacting your surgeon or healthcare provider as soon as possible. They can assess the surgical site, determine if the healing process is proceeding normally, and provide guidance on any necessary interventions.
In summary, while some irregularities can be expected during the healing process, any persistent concerns, especially those involving pain, swelling, or unusual appearances, should be evaluated by a medical professional to ensure proper recovery and to rule out any complications. Your health and peace of mind are paramount, so do not hesitate to reach out for professional advice.

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