Post-Circumcision Concerns: Hematomas and Scar Tissue - Urology

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Post-operative care for circumcision?


After circumcision, a hematoma appeared the next day, and now, three weeks later, there is still a lump on the dorsal side of the penis, about the size of a fifty-cent coin.
I would like to ask the doctor: 1.
How long does it usually take for this to resolve? 2.
Is this still considered a hematoma, or has scar tissue already formed? 3.
Are there any measures to accelerate the reduction of swelling? Thank you.

tian, 20~29 year old female. Ask Date: 2023/02/25

Dr. Du Shixi reply Urology


Hello: 1) A few weeks 2) If it gradually becomes softer, it is likely a hematoma; if it does not change much, it may be a scar and should be evaluated by a physician.
3) If it is a hematoma, warm compresses can be applied, but only if the wound is healing well.
Wishing you good health.

Reply Date: 2023/02/25

More Info


After circumcision, it is not uncommon for patients to experience some degree of swelling or hematoma in the area, especially within the first few days post-operation. The presence of a firm, coin-sized mass on the dorsal side of the penis three weeks after the procedure raises several considerations regarding healing and potential complications.

1. Duration of Resolution: Typically, hematomas can take anywhere from a few days to several weeks to resolve completely. In most cases, if the hematoma is small and uncomplicated, it may resolve within two to three weeks. However, larger hematomas or those that are more extensive may take longer to dissipate. Since you are now three weeks post-circumcision and still noticing a firm area, it is important to monitor the situation closely. If the mass does not decrease in size or if it becomes increasingly painful, further evaluation may be necessary.

2. Nature of the Mass: The mass you are feeling could be either residual hematoma or scar tissue. A hematoma is a collection of blood outside of blood vessels, which can feel firm and may be tender. As it resolves, it typically softens and decreases in size. Scar tissue, on the other hand, forms as part of the healing process and can feel firm or hard. It is often less painful than a hematoma. If the mass has not changed in size or consistency over the past week, it may be transitioning into scar tissue. A medical evaluation can help differentiate between the two.

3. Measures to Accelerate Resolution: To help reduce swelling and promote healing, you can consider the following measures:
- Cold Compress: Applying a cold compress to the area can help reduce swelling and alleviate discomfort, especially in the initial days post-surgery.

- Elevation: Keeping the area elevated can also help reduce swelling.

- Avoiding Strain: Refrain from activities that may put strain on the area, such as vigorous exercise or sexual activity, until you have fully healed.

- Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support overall healing.

- Follow-Up: If the mass persists or if you experience increased pain, redness, or discharge, it is crucial to follow up with your healthcare provider. They may perform an examination and, if necessary, imaging studies to assess the nature of the mass.

In conclusion, while some swelling and firmness can be normal after circumcision, persistent masses should be evaluated to rule out complications. It is always best to consult with your healthcare provider for personalized advice and to ensure proper healing. If you have any concerns about the appearance or sensation of the area, do not hesitate to seek medical attention.

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