Post-Circumcision Issues: Why Can't I Get Hard? - Urology

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Erectile dysfunction?


I just had a circumcision last week, and today during the dressing change, I found that the gauze was stuck to the area with Betadine, and only a small spot was adhered.
I tried to pull it off, but it was very painful, so I gently removed it with my fingers.
However, that small black spot is still there, and it hasn't hardened.
This happened today.
Please advise, doctor.

Wang, 20~29 year old female. Ask Date: 2023/07/17

Dr. Du Shixi reply Urology


Hello: You can use more povidone-iodine to moisten the gauze, which will help separate it more easily.
Wishing you good health.
If there are no issues, please return for a follow-up appointment one week post-surgery to check the wound.
Wishing you good health.

Reply Date: 2023/07/17

More Info


Post-circumcision complications can be concerning, especially when it comes to issues like difficulty achieving an erection. It’s important to understand that after a circumcision, the healing process can vary significantly from person to person, and several factors can contribute to the symptoms you are experiencing.

Firstly, the presence of pain or discomfort in the area, especially if there was some adhesive from the dressing that caused irritation, can certainly affect your ability to achieve an erection. Pain can lead to psychological factors that inhibit arousal, making it difficult to get hard. If you experienced any trauma or excessive pulling while trying to remove the adhesive, this could also contribute to inflammation or sensitivity in the area, further complicating your recovery.

The small black dot you mentioned could be a scab or a small area of bruising, which is not uncommon after surgery. As the surgical site heals, it’s normal for there to be some discoloration or scabbing. However, if this area becomes increasingly painful, shows signs of infection (such as increased redness, swelling, or discharge), or if the pain persists, it’s crucial to consult your healthcare provider. They can assess whether the area is healing properly or if there are any complications that need to be addressed.

In terms of the healing process, it’s essential to follow your doctor’s post-operative care instructions closely. This typically includes keeping the area clean, avoiding any strenuous activity, and refraining from sexual activity until you receive clearance from your healthcare provider. Engaging in sexual activity too soon can lead to complications, including pain and potential injury to the healing tissue.

If you are experiencing persistent erectile dysfunction after circumcision, it may also be worth considering psychological factors. Surgery can be a significant event, and anxiety about the procedure, pain, or changes in your body can all contribute to difficulties in achieving an erection. Speaking with a healthcare professional about these feelings can be beneficial.

In summary, while some discomfort and difficulty achieving an erection can be normal after circumcision, it’s essential to monitor your symptoms closely. If the pain persists, if you notice any signs of infection, or if you continue to have difficulty with erections beyond the expected healing time, please reach out to your healthcare provider. They can provide a thorough evaluation and determine the best course of action to ensure a smooth recovery. Remember, it’s always better to err on the side of caution when it comes to your health.

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