Post-Circumcision Concerns: Pain, Bleeding, and Healing Insights

Post-operative issues after circumcision?

Hello, Doctor! I underwent a circumcision procedure on May 5th, and today is the 7th day post-operation (May 12th).
This morning, I experienced unusual pain near the frenulum during an erection, and I had to grip it tightly for a few minutes to stop the erection.
During the dressing change, I noticed blood stains on the gauze near the wound by the frenulum (which has stopped bleeding).
I'm unsure if this is due to a tear in the frenulum or bleeding from the nearby wound.
The area around the frenulum and the sites of the sutures on both sides are still very painful.
I would like to ask the doctor:
1.
If there is a tear in the frenulum due to excessive cutting leading to a shortened frenulum causing strain during an erection, would I need another surgery to lengthen it?
2.
Why is there more pain around the wounds on both sides of the frenulum? Is it normal to have some bleeding on the seventh day post-operation? What should I do?
3.
If there is bleeding during a full erection, should I return for an earlier follow-up? My next appointment is on May 23rd.
4.
Yesterday, the doctor mentioned that new skin is forming, but it is slower than usual.
The wounds do not appear to be infected or swollen, but I am still very worried that my recovery might be slow due to my body type.
I feel very frustrated; is it really possible to fully recover?

Xinbei Shangbanzu, 30~39 year old female. Ask Date: 2023/05/12

Dr. Du Shixi reply Urology

1.
If the frenum is torn due to excessive cutting, resulting in a shortened frenum that causes strain during erection, will another surgery be needed to lengthen it? --- No, there is no need.
2.
Why is there more pain on the sides of the frenum? Is it normal to have bleeding seven days post-surgery? What should I do? --- If there is still fresh blood after seven days, it is not normal; you should return for a follow-up.
3.
If there is bleeding during a full erection, should I return for an earlier appointment? My next appointment is on May 23.
If bleeding cannot be avoided, will it affect the wound?
4.
Yesterday, during my follow-up, the doctor said new skin is forming, but it's slower than average.
The wound does not appear to be infected or swollen, but I am still worried that my recovery might be slow due to my body type.
I am feeling very frustrated; is it really possible to fully recover? --- Yes, it is possible, just at a slower pace.
The wound healing may result in more noticeable scarring, but over time it will improve.
Wishing you good health.

Reply Date: 2023/05/12

More Info

Post-circumcision concerns are quite common, especially in the first few weeks following the procedure. It’s important to address your specific symptoms and concerns to ensure proper healing and to alleviate any anxiety you may have about your recovery.

1. Concern about the Frenulum: If you suspect that the frenulum (the band of tissue on the underside of the penis) has been damaged or is too short due to the circumcision, it is essential to consult your surgeon. A shortened frenulum can indeed cause pain during erections, as it may be pulled too tightly. If this is the case, a surgical procedure to lengthen the frenulum may be necessary. However, this is not always the case, and many individuals heal well without requiring additional surgery. Your surgeon will be able to assess the situation accurately.

2. Pain and Bleeding: It is not uncommon to experience some pain and tenderness around the surgical site, especially around the sutures or staples. The pain you are experiencing on either side of the frenulum may be due to the healing process, as the surrounding tissues are adjusting to the changes. As for the bleeding, a small amount of blood on the dressing can be normal, especially if you have been active or if there has been friction during an erection. However, if the bleeding is significant or persistent, it is advisable to contact your healthcare provider sooner than your scheduled follow-up on May 23.
3. Erections and Bleeding: If you are experiencing bleeding during erections, it is crucial to seek medical attention. While some minor bleeding can be expected, significant bleeding is not typical and may indicate that the surgical site is not healing properly or that there is excessive tension on the sutures. Your healthcare provider may want to evaluate the area to ensure that there are no complications.

4. Healing Concerns: Healing times can vary significantly from person to person based on various factors, including individual health, age, and the extent of the surgery. It is reassuring that your doctor noted new skin growth and that there are no signs of infection. While it is natural to feel anxious about the healing process, many individuals do recover fully after circumcision. If you are concerned about your healing speed, it’s worth discussing this with your doctor during your next visit. They can provide insights into whether your healing is within the normal range and what you can do to support the process.

In summary, while some discomfort and minor bleeding can be expected in the days following circumcision, significant pain, persistent bleeding, or concerns about the frenulum should be addressed promptly with your healthcare provider. It’s essential to follow their advice and attend all follow-up appointments to ensure a smooth recovery. If you feel that your symptoms are worsening or if you have any new concerns, do not hesitate to reach out to your doctor for further evaluation. Your health and peace of mind are paramount during this recovery period.

Similar Q&A

Post-Circumcision Wound Issues: What to Expect and When to Seek Help

Hello doctor, I underwent a circumcision surgery last Friday, February 25th. On the third night after the surgery, I experienced a sudden sharp pain during an erection and noticed some bleeding from the wound, although it was minimal, and there was slight separation of the edges....

Dr. Xu Wencang reply Urology
It will heal on its own; return for a follow-up if there are any issues.

Post-Circumcision Complications: Wound Healing and Urinary Concerns

Hello Doctor: I underwent traditional circumcision surgery on December 29 of last year. However, I mistakenly returned for a follow-up appointment a week later, where the tighter bandages from the surgery were removed for the first time. After the bandages were taken off, there w...

Dr. Du Shixi reply Urology
Hello: I underwent a traditional circumcision on December 29 of last year, but due to a misunderstanding about my follow-up appointment, I returned a week later to have the tighter dressing removed during my first dressing change. After removing it, there was still some bleeding....

Post-Circumcision Care: What to Expect and Common Concerns

On March 20, I experienced inflammation of the glans due to phimosis (there was also a lump connected to the lymphatic system that the doctor said was a buildup of debris). After that, I decided to undergo a circumcision. On March 27, I had the procedure, and on March 28, during ...

Dr. Lai Ronghao reply Urology
Hello: After the circumcision surgery, there may be some bleeding, swelling, and pain at the wound site for 3 to 5 days. It is best to have the surgeon continue to monitor the recovery. Thank you!

Understanding Post-Circumcision Complications: Bleeding and Healing Concerns

I would like to ask the doctor: About a month ago, I underwent a circumcision. The wound has healed, but today during an erection and ejaculation, the area where the glans connects to the remaining foreskin unexpectedly split open and bled, resembling a laceration. Could this be ...

Dr. Lai Ronghao reply Urology
It is advised to refrain from sexual activity until the wounds are completely healed. Whether there will be any tearing during future sexual activity will need to be monitored.