Post-Circumcision Concerns: Healing, Hygiene, and Inflammation Risks - Urology

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Post-operative issues after circumcision?


Hello, Doctor.

1.
I recently had a circumcision about a month ago, and all the stitches have fallen out.
However, the area where the sutures were is still red and sometimes itchy and swollen.
Is this because it hasn't fully healed yet? How long will it take for the redness, swelling, and itching to subside?
2.
When I take a shower, is it sufficient to wash the penis with warm water only? Is body wash unnecessary?
3.
Even though I have had a circumcision and the glans is exposed, is there still a chance of inflammation if I sweat a lot in the summer and my pants are tight?

Allen, 20~29 year old female. Ask Date: 2023/03/13

Dr. Du Shixi reply Urology


Hello: 1.
The redness and itching will gradually subside within a few weeks; however, if it worsens, seek medical attention.
2.
It is not necessary, but make sure to dry off after washing.
3.
Yes, it is important to keep the area clean and dry.
Wishing you good health.

Reply Date: 2023/03/13

More Info


Post-circumcision care is crucial for ensuring proper healing and minimizing the risk of complications. Here are detailed responses to your concerns regarding healing, hygiene, and inflammation risks after circumcision.

1. Healing Process and Symptoms: It is common for the area around the circumcision site to remain red, itchy, and occasionally swollen for some time after the procedure. The healing process can vary significantly from person to person, but generally, it can take several weeks to a few months for complete healing. The redness and itching you are experiencing could be due to several factors, including:
- Normal Healing: The skin around the circumcision site may still be healing, which can cause inflammation and irritation.

- Sensitivity: The newly exposed glans (head of the penis) can be sensitive after circumcision, leading to discomfort and itching.

- Hygiene Issues: If the area is not kept clean, it can lead to irritation or even infection, which may cause increased redness and swelling.

If the redness and swelling persist beyond a month or worsen, it is advisable to consult your healthcare provider. They may want to rule out any potential infections or other complications. Typically, if there are no signs of infection (such as pus, increased pain, or fever), the area should gradually improve over time.

2. Hygiene Practices: When it comes to bathing, using warm water is generally sufficient for cleaning the area. You do not necessarily need to use soap or body wash, especially in the initial healing phase, as these products can sometimes irritate the sensitive skin. If you choose to use soap, opt for a mild, unscented variety to minimize irritation. After washing, ensure that the area is thoroughly rinsed and dried gently to prevent moisture buildup, which can lead to irritation or infection.

3. Risk of Inflammation: Even after circumcision, there is still a risk of inflammation or irritation, especially in hot and humid conditions. If you sweat a lot, it can create a moist environment that may lead to irritation or even a fungal infection. To minimize this risk:
- Keep the Area Dry: After bathing or sweating, make sure to dry the area thoroughly. You might consider using a soft towel or allowing it to air dry.

- Wear Breathable Fabrics: Opt for loose-fitting underwear made from breathable materials to reduce moisture buildup and friction.

- Monitor for Symptoms: Be vigilant for any signs of inflammation, such as increased redness, swelling, or discharge. If you notice any concerning symptoms, seek medical advice promptly.

In summary, while some redness and itching can be normal during the healing process after circumcision, it is essential to monitor your symptoms closely. Maintain good hygiene practices, and if you have any concerns about your healing or experience persistent symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Proper care and attention can help ensure a smooth recovery and minimize the risk of complications.

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