Post-Circumcision: Dealing with Hard Lumps and When to Seek Help

Q: Post-Circumcision: Dealing with Hard Lumps and When to Seek Help

Hello： After circumcision, the formation of a hard lump may be due to a blood clot or scar tissue formation. <br>It is recommended that you follow up with the original surgeon. <br>If there is a small amount of blood clot formation without signs of inflammation, you can apply a w

After circumcision

Hello, it's been three months since the circumcision, and the wound has healed, but there is a hard lump.
Should I undergo surgery to remove the foreign body? Which specialty should I consult?

jj, 20~29 year old female. Ask Date: 2003/12/01

Dr. Huang Junxiong reply Surgery

Hello: After circumcision, the formation of a hard lump may be due to a blood clot or scar tissue formation.
It is recommended that you follow up with the original surgeon.
If there is a small amount of blood clot formation without signs of inflammation, you can apply a warm compress to help it resolve.
If it is a scar tissue reaction, most will gradually soften and diminish over three to six months.
If you continue to have issues, it is advisable to seek further evaluation at a hospital.

Reply Date: 2003/12/01

More Info

After circumcision, it is not uncommon for patients to experience hard lumps or nodules at the surgical site. These lumps can be due to several factors, including scar tissue formation, residual sutures, or even localized swelling. In most cases, these hard lumps are benign and may resolve on their own over time. However, it is essential to monitor the situation and understand when to seek medical advice.

Understanding Post-Circumcision Lumps
1. Scar Tissue Formation: After any surgical procedure, including circumcision, the body naturally forms scar tissue as part of the healing process. This scar tissue can feel firm or hard to the touch. Over time, as healing progresses, the firmness may decrease.

2. Residual Sutures: If absorbable sutures were used during the circumcision, they may not dissolve as expected, leading to the formation of lumps. If non-absorbable sutures were used, they may need to be removed by a healthcare professional.

3. Infection or Inflammation: If the lump is accompanied by redness, warmth, increased pain, or discharge, it may indicate an infection or inflammation. In such cases, it is crucial to seek medical attention promptly.

4. Keloids: Some individuals may develop keloids, which are raised scars that can occur after surgery. These can be more pronounced in certain individuals and may require treatment if they cause discomfort or cosmetic concerns.

When to Seek Help
You should consider seeking medical advice if:
- The lump continues to grow or does not decrease in size over time.

- You experience pain, redness, or swelling around the lump.

- There is any discharge or an unpleasant odor coming from the area.

- You have concerns about the appearance of the lump or if it affects your daily activities.

Which Specialist to Consult
For evaluation of hard lumps post-circumcision, you should consult a urologist. Urologists specialize in the male reproductive system and urinary tract, making them well-equipped to handle complications related to circumcision. They can perform a physical examination, assess the lump, and determine whether any further intervention is necessary, such as imaging studies or surgical removal.

Treatment Options
If the lump is determined to be scar tissue or a benign condition, treatment may not be necessary. However, if it is due to residual sutures or an infection, the urologist may recommend:
- Suture Removal: If non-absorbable sutures are present, they can be removed in a simple office procedure.

- Medication: If there is an infection, antibiotics may be prescribed.

- Surgical Intervention: In cases where the lump is bothersome or symptomatic, surgical excision may be considered.

Conclusion
In summary, while hard lumps after circumcision can be a normal part of the healing process, it is essential to monitor them for any changes. If you have concerns or if the lumps are accompanied by other symptoms, do not hesitate to consult a urologist for a thorough evaluation and appropriate management. Early intervention can help prevent complications and ensure a smoother recovery.

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