Is Swelling and Discoloration Normal After Circumcision? - Urology

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Post-circumcision care


Is it normal to experience swelling and darkening (similar to a blackish color) at the site where anesthesia was administered, starting from the evening of February 5th, after having surgery at 5 PM on January 31st? I also feel occasional sharp pain when lightly touching the area or walking.

jiang, 20~29 year old female. Ask Date: 2023/02/06

Dr. Du Shixi reply Urology


Hello: Bruises that turn black are common and usually do not appear red, with minimal leakage.
Wishing you good health.

Reply Date: 2023/02/06

More Info


After circumcision, it is not uncommon to experience some swelling and discoloration in the area where the procedure was performed. However, the degree and nature of these symptoms can vary significantly from person to person. In your case, the swelling and discoloration you are describing—specifically, the area turning dark and feeling painful—may warrant further evaluation.


Normal Post-Operative Symptoms
1. Swelling: Mild to moderate swelling is a typical response after any surgical procedure, including circumcision. This is part of the body's natural healing process as blood flow increases to the area to facilitate healing.

2. Discoloration: Bruising or discoloration can occur due to the trauma of the surgery. The skin may appear red, purple, or even blackish as blood vessels break and blood seeps into the surrounding tissues. This discoloration usually fades over time.

3. Pain and Sensitivity: It is also common to experience some pain or sensitivity in the area post-surgery. This can be exacerbated by movement or pressure on the area, such as walking.


When to Seek Medical Attention
While some swelling and discoloration can be normal, certain signs may indicate complications that require medical attention:
1. Severe Swelling: If the swelling is significant and continues to worsen rather than improve, it could indicate an infection or other complications.

2. Persistent or Increasing Pain: If the pain becomes severe or is not relieved by over-the-counter pain medications, this could be a sign of an underlying issue.

3. Discoloration Changes: If the discoloration spreads or changes in appearance (for example, becoming more pronounced or developing a foul odor), this could indicate an infection.

4. Fever: If you develop a fever, this could be a sign of infection and should be evaluated by a healthcare professional.

5. Difficulty Urinating: If you experience pain or difficulty when urinating, this should be addressed immediately.


Recommendations
- Follow-Up: It is essential to have a follow-up appointment with your healthcare provider to assess the healing process. They can provide guidance on what is considered normal and what may require intervention.

- Care Instructions: Follow any post-operative care instructions provided by your surgeon, including how to clean the area, what activities to avoid, and when to resume normal activities.

- Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage discomfort. However, consult your doctor before taking any medication.

- Hygiene: Keeping the area clean and dry is crucial to prevent infection. Follow your doctor's instructions on how to care for the surgical site.

In conclusion, while some swelling and discoloration can be normal after circumcision, the specific symptoms you are experiencing—especially the dark discoloration and pain—should be evaluated by a healthcare professional. It is always better to err on the side of caution when it comes to post-operative care.

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