Post-Circumcision Tears: Healing or Need for Re-stitching? - Urology

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After circumcision, it is not uncommon for patients to experience some complications, including tearing at the suture site due to nocturnal erections. This can lead to concerns about whether the wound will heal on its own or if re-stitching is necessary.
In your case, since the tearing occurred about 10 days post-surgery, it is essential to evaluate the extent of the tear. Generally, small tears may heal on their own, especially if they are not deep and the surrounding tissue is intact. The body has a remarkable ability to heal, and minor skin tears can often close up without intervention. However, if the tear is significant, or if there is excessive bleeding, signs of infection (such as increased redness, swelling, or discharge), or if the wound edges are not approximating well, it may require re-stitching.

Here are some considerations to help you determine the next steps:
1. Observation: Monitor the wound closely. If you notice that the area is healing, with no signs of infection and minimal pain, it may be safe to allow it to heal naturally.
2. Hygiene: Keep the area clean and dry. Gentle washing with mild soap and water can help prevent infection. Avoid any irritants, including tight clothing or vigorous activities that may stress the area.

3. Pain Management: If you experience discomfort, over-the-counter pain relief medications can be used, but consult your doctor for recommendations tailored to your situation.

4. Follow-Up Appointment: Since you mentioned a follow-up visit, it is crucial to attend this appointment. Your surgeon will be able to assess the wound properly and determine if re-stitching is necessary. They may also provide additional care instructions based on the current state of the wound.

5. Avoiding Erections: If possible, try to minimize situations that may lead to erections during the healing process. This might include adjusting your sleeping position or using supportive undergarments to reduce stimulation.

6. Signs of Complications: Be vigilant for any signs of complications, such as increased pain, swelling, or discharge from the wound. If these occur, seek medical attention promptly.

In summary, whether the wound will heal naturally or require re-stitching depends on the severity of the tear and the overall healing process. It is best to consult your surgeon during your follow-up appointment for a thorough evaluation and personalized advice. They will provide the most accurate guidance based on your specific situation and ensure that you receive the appropriate care for optimal healing.