Pain and Tightness in Glans After Circumcision: What to Know - Urology

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Experiencing pain and tightness in the glans after a circumcision can be concerning, especially if these symptoms persist for a month post-surgery. It’s essential to understand that some discomfort can be expected after such a procedure, but there are several factors to consider regarding your symptoms.

Firstly, it's important to note that circumcision involves the removal of the foreskin, which can lead to changes in sensitivity and sensation in the glans (the head of the penis). After the surgery, the glans may become more sensitive as it is now exposed to friction and stimulation that it was previously protected from by the foreskin. This increased sensitivity can sometimes lead to discomfort or pain during erections, especially if the glans feels tight or constricted.

The tightness and pain you describe during erections could be due to several reasons:
1. Healing Process: After circumcision, the area undergoes a healing process. Scar tissue can form, which might feel tighter than the surrounding skin. This can lead to sensations of tightness or discomfort, particularly during erections when the skin stretches.

2. Surgical Technique: If the circumcision was performed traditionally, the technique used can influence the outcome. If too much skin was removed or if the remaining skin is too tight, it could lead to discomfort during erections.
3. Infection or Complications: Although less common, infections or complications such as hematoma (a localized collection of blood outside of blood vessels) can occur post-surgery. Signs of infection may include redness, swelling, discharge, or fever. If you notice any of these symptoms, it is crucial to seek medical attention.

4. Psychological Factors: Anxiety about the surgery or its outcomes can also contribute to the perception of pain. If you are worried about the success of the surgery, this can heighten your sensitivity to discomfort.

5. Frenulum Issues: If the frenulum (the sensitive band of tissue on the underside of the penis) was affected during the circumcision, it could lead to pain during erections.
Given that you are experiencing persistent pain and tightness, it is advisable to consult with your urologist or the surgeon who performed the circumcision. They can conduct a thorough examination to determine if there are any underlying issues, such as excessive scar tissue or complications from the surgery.
In the meantime, here are some general recommendations:
- Avoid Irritation: Try to minimize activities that may irritate the area, such as vigorous sexual activity or tight clothing.

- Gentle Stretching: If comfortable, gentle stretching of the skin around the glans may help alleviate some tightness. However, this should be done cautiously and not cause pain.

- Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage discomfort, but consult your doctor before taking any medication.

In conclusion, while some discomfort after circumcision is normal, persistent pain and tightness warrant further evaluation. It is crucial to address these concerns with a healthcare professional to ensure proper healing and to rule out any complications.