Penile Adhesions After Circumcision: Treatment Options

Preputial adhesion

Hello, I just had a circumcision two weeks ago.
Many of the stitches have already come loose, but I noticed that the remaining foreskin is completely adhered to the penis and cannot retract at all.
Do I need to undergo surgery to address this, or can it be treated with medication?

Wang, 20~29 year old female. Ask Date: 2023/07/27

Dr. Chen Jiansheng reply Urology

Please seek medical attention.

Reply Date: 2023/07/27

More Info

Penile adhesions after circumcision can be a concerning issue for patients, especially when they notice that the remaining foreskin is adhering to the glans (the head of the penis). This condition can occur due to the healing process following circumcision, where the skin may not separate properly from the glans, leading to adhesions.
In your case, since you are two weeks post-circumcision and have observed that the foreskin is completely adhered to the glans, it is essential to evaluate the situation carefully. Here are some key points to consider regarding treatment options for penile adhesions:
1. Observation: In some cases, minor adhesions may resolve on their own as the healing progresses. If the adhesion is not causing any pain, discomfort, or functional issues, your healthcare provider may recommend a watchful waiting approach.
2. Topical Treatments: If the adhesions are mild, topical treatments may be effective. A healthcare provider might suggest applying a topical steroid cream to reduce inflammation and promote separation. Additionally, lubricants can sometimes help in gently separating the adhered skin over time.

3. Manual Separation: In certain situations, a healthcare provider may attempt to manually separate the adhered foreskin from the glans. This should only be done by a qualified medical professional to avoid causing pain or injury.

4. Surgical Intervention: If the adhesions are significant and causing issues such as pain, difficulty with urination, or sexual function, surgical intervention may be necessary. This could involve a minor surgical procedure to release the adhesions and ensure proper healing.
5. Follow-Up Care: Regardless of the treatment chosen, follow-up care is crucial. Regular check-ups with your healthcare provider will help monitor the healing process and address any complications that may arise.

6. Prevention of Future Adhesions: After treatment, it is important to follow your healthcare provider's advice on care and hygiene to minimize the risk of future adhesions. This may include proper cleaning techniques and the use of lubricants during the healing process.

In conclusion, while some cases of penile adhesions may resolve without intervention, it is essential to consult with your healthcare provider for a thorough evaluation. They can assess the severity of the adhesions and recommend the most appropriate treatment plan tailored to your specific situation. If surgical intervention is deemed necessary, it is typically a straightforward procedure with a good prognosis. Always prioritize open communication with your healthcare provider regarding any concerns or symptoms you may experience during your recovery.

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