Post-Circumcision Concerns: Managing Swelling and Recovery Tips - Urology

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Post-circumcision care?


Doctor, I am a high school student.
I had surgery at the beginning of February using a circumcision device.
It has been quite a while, but the swelling around the foreskin still hasn't gone down.
The frenulum protrudes slightly when I am not erect, and it feels soft without any pain.
When viewed from above, the protruding part of the frenulum appears flat.
When I am erect, that protruding area becomes flat and looks normal.
After the surgery, I asked the doctor, and he said it would take two to three weeks to heal, but it has been so long, and I am still worried.
How can I improve this swelling issue? Should I use hot or cold compresses? I also read online that using a topical ointment like Meikang could be a viable option.
Is this a feasible solution? Thank you, doctor, for taking the time to respond amidst your busy schedule.

Ji, 10~19 year old female. Ask Date: 2023/07/08

Dr. Du Shixi reply Urology


Hello: It is mostly the formation of scar tissue, so there is no need to worry too much.
The methods you mentioned are not very effective.
Wishing you good health.

Reply Date: 2023/07/08

More Info


Post-circumcision recovery can sometimes be a source of concern, especially when it comes to swelling and the appearance of the surgical site. Based on your description, it seems that you are experiencing some persistent swelling around the circumcision area, and you have noticed a soft protrusion of the frenulum (the band of tissue connecting the glans to the shaft of the penis) when not erect. It’s understandable to feel anxious about these changes, especially since you expected a quicker recovery.

First, it’s important to recognize that some degree of swelling is common after circumcision. The healing process can vary significantly from person to person, and while many individuals may see improvement within a few weeks, others may experience prolonged swelling or changes in the appearance of the area. This can be influenced by factors such as individual healing rates, the technique used during the procedure, and post-operative care.

Regarding your specific concerns:
1. Swelling Management: For managing swelling, both ice and heat can be beneficial, but they serve different purposes. Ice packs can help reduce swelling and numb the area, which can be particularly useful in the first few days after surgery. Applying ice for 15-20 minutes at a time, several times a day, can help. After the initial swelling has decreased, gentle heat can promote blood flow and healing. You might consider alternating between the two, but always ensure that you are not applying extreme temperatures directly to the skin.

2. Topical Treatments: The use of topical ointments like Meikang (美康) can be helpful, but it’s essential to ensure that any product you use is appropriate for post-surgical care. Always consult your healthcare provider before applying any new medication or ointment to the surgical site. They can provide guidance on whether it’s suitable for your situation and how to use it effectively.

3. Monitoring Changes: The soft protrusion you described may be a normal part of the healing process, especially if it becomes less pronounced when erect. However, if you notice any changes such as increased pain, redness, or discharge, it’s crucial to seek medical advice promptly. These could be signs of infection or complications that may require further evaluation.

4. Follow-Up Care: Since you mentioned that your doctor indicated the swelling should resolve within a few weeks, it might be beneficial to schedule a follow-up appointment if the swelling persists beyond what was expected. Your doctor can assess the area, provide reassurance, and determine if any additional treatment is necessary.

5. Patience and Care: Healing takes time, and it’s important to be patient with your body as it recovers. Continue to follow any post-operative care instructions provided by your surgeon, including keeping the area clean and avoiding any activities that could strain the surgical site.

In summary, while some swelling and changes in the appearance of the circumcision site can be normal, it’s essential to monitor your symptoms and maintain open communication with your healthcare provider. They are best equipped to address your concerns and provide tailored advice for your recovery. If you have any doubts or if your symptoms worsen, do not hesitate to reach out to your doctor for further evaluation.

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