Red Spots on Glans After Circumcision: Causes and Treatment Options - Urology

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Red spots on the glans after circumcision?


Hello, doctor.
I underwent circumcision 12 days ago, and a few days after the surgery, I noticed red spots at the edge of the glans during a dressing change.
However, today I discovered that the red spots have started to develop some pus.
I'm wondering if this is due to a silicone ring breaking and causing irritation, especially since the glans sometimes retracts back under the foreskin (exposing a bit of the tip) after the circumcision, or if it could be caused by something else.
Additionally, I am currently using an eye ointment (Gentamicin) postoperatively.
Is it necessary to return for a follow-up to switch to a different ointment? Thank you for your assistance.

qi shang ba xia, 30~39 year old female. Ask Date: 2023/07/01

Dr. Du Shixi reply Urology


Hello: If pus occurs, you need to return for a follow-up.
Additionally, when using ointment, be sure to maintain sterility, such as using a sterile cotton swab for application.
If there is any discharge, it should be cleaned, and it may need to be bandaged afterward.
Wishing you good health.

Reply Date: 2023/07/01

More Info


After undergoing circumcision, the appearance of red spots on the glans (the head of the penis) can be concerning, especially when accompanied by pus. There are several potential causes for these symptoms, and understanding them can help guide appropriate treatment options.


Possible Causes of Red Spots and Pus on the Glans
1. Post-Surgical Inflammation: After circumcision, it is common for the surgical site to be inflamed as part of the healing process. This inflammation can manifest as redness and swelling, which may sometimes be mistaken for infection.

2. Infection: The presence of pus suggests that there may be an infection at the surgical site. This could be due to bacteria entering the wound, particularly if proper hygiene is not maintained. Common infections post-circumcision include cellulitis or localized infections around the sutures.

3. Irritation from Dressings or Ointments: Sometimes, the materials used for dressing or the ointments applied can irritate the sensitive skin of the glans, leading to redness and discomfort. If the ointment is not suitable for use on mucosal surfaces, it could exacerbate the situation.

4. Allergic Reaction: An allergic reaction to the materials used during the procedure or to topical medications can also cause redness and irritation.

5. Surgical Complications: In rare cases, complications such as necrosis of the skin or improper healing can lead to abnormal changes in the appearance of the glans.


Treatment Options
1. Consultation with a Healthcare Provider: Given that you have noticed pus and are experiencing discomfort, it is crucial to consult your surgeon or a urologist. They can assess the situation more accurately and determine whether the symptoms are due to infection or another cause.

2. Antibiotics: If an infection is confirmed, your healthcare provider may prescribe antibiotics to help clear the infection. It is essential to complete the full course of antibiotics as directed.

3. Topical Treatments: Depending on the diagnosis, your doctor may recommend a different topical treatment. While the eye ointment you are currently using may have some anti-inflammatory properties, it may not be the most appropriate choice for the genital area. A topical antibiotic ointment specifically designed for skin infections may be more effective.

4. Hygiene Practices: Maintaining proper hygiene is crucial in preventing infections. Gently clean the area with mild soap and water, and avoid any harsh chemicals or irritants.

5. Avoiding Irritants: If you suspect that the ointment or dressing is causing irritation, discuss with your doctor the possibility of switching to a different product that is more suitable for sensitive skin.

6. Monitoring Symptoms: Keep an eye on the symptoms. If the redness and pus worsen or if you develop fever or increased pain, seek medical attention immediately.


Conclusion
In summary, while red spots and pus on the glans after circumcision can be alarming, they can often be managed effectively with appropriate medical care. It is essential to consult with your healthcare provider to determine the underlying cause and receive the correct treatment. Prompt attention to these symptoms can help ensure a smooth recovery and prevent complications.

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