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

More Info

---

Post-circumcision hematoma can be a concerning complication following the procedure, and it's important to monitor the situation closely. In your case, you mentioned that you had a traditional circumcision on December 28, and you are still experiencing a small hematoma (approximately 1 cm) that occasionally seeps blood onto the gauze.
Firstly, it's essential to understand that some degree of swelling and bruising is normal after circumcision, as the procedure involves cutting through skin and tissue, which can lead to localized bleeding. However, a hematoma is a collection of blood outside of blood vessels, and while small hematomas may resolve on their own, larger or persistent ones can lead to complications.

Here are some key points to consider regarding your situation:
1. Size and Symptoms: The size of the hematoma and the presence of symptoms are crucial factors. A hematoma that is small and not causing significant pain or discomfort may resolve on its own. However, if the hematoma is increasing in size, causing significant pain, or if you notice any signs of infection (such as increased redness, warmth, swelling, or fever), you should seek medical attention promptly.

2. Duration: Since your surgery was on December 28 and you are still experiencing bleeding or oozing from the hematoma site as of January 9, it is advisable to consult your healthcare provider. While some minor bleeding can be expected, persistent bleeding beyond a week may warrant further evaluation.

3. Medical Evaluation: It is generally recommended to follow up with your surgeon or a healthcare professional if you have concerns about a hematoma. They can assess the area, determine if the hematoma needs to be drained, and check for any signs of infection or other complications.
4. Self-Care Measures: In the meantime, you can manage the area by keeping it clean and dry. Avoid any activities that may exacerbate the bleeding, such as vigorous exercise or sexual activity, until you have consulted with your doctor.

5. Potential Complications: If left untreated, a hematoma can lead to complications such as infection, necrosis of the surrounding tissue, or the formation of a seroma (a pocket of clear fluid). Therefore, it is better to err on the side of caution and seek medical advice.

In summary, while small hematomas may resolve on their own, the persistence of your symptoms suggests that a follow-up with your healthcare provider is warranted. They can provide a thorough examination and determine the best course of action, whether that involves observation, drainage, or other interventions. Your health and comfort are paramount, so do not hesitate to reach out for professional guidance.