Post-Circumcision Concerns: Managing Recovery and Preventing Infection

Q: Post-Circumcision Concerns: Managing Recovery and Preventing Infection

Hello： <br>1. <br>Due to the gauze wrapping, urination tends to cause splattering, so I sit down to urinate. <br>However, often after urinating, the front end of the gauze absorbs a lot of urine. <br>I would like to know if this could lead to an infection and how I can improve th

Post-operative issues after circumcision?

Hello, doctor.
I just had a circumcision two days ago, and I have a few questions:
1.
Because of the gauze wrapping, when I urinate, it splashes everywhere, so I sit down to urinate.
However, often after urinating, the front end of the gauze absorbs a lot of urine.
Will this lead to an infection, and how can I improve this situation? (I usually apply a ring of non-alcoholic povidone-iodine before applying medication.)
2.
The doctor mentioned that new skin will gradually grow on the tip of the glans.
How long does this typically take?
3.
When the doctor changed the dressing, they demonstrated using two layers of gauze secured with medical tape.
However, when I changed it myself the next day, I found that the area where I removed the tape (the pubic triangle) had already broken the skin.
Since this is in the middle area, how should I secure it now? (I assume I can't stick it down again because of the broken skin.)
4.
Will using only one layer of gauze have any negative effects? Previously, I used two layers, and it became heavy with urine, causing it to slide down.
Due to the broken skin, my securing angle might not be good, which means I have to rewrap it again.
I was wondering if using one layer would prevent it from sliding down as easily.
5.
After the stitches fall out, is there a possibility of accidentally cutting the wound because they are wrapped inside?

Xiao Hai, 20~29 year old female. Ask Date: 2023/07/30

Dr. Du Shixi reply Urology

Hello:
1.
Due to the gauze wrapping, urination tends to cause splattering, so I sit down to urinate.
However, often after urinating, the front end of the gauze absorbs a lot of urine.
I would like to know if this could lead to an infection and how I can improve this situation.
(I usually apply a circle of alcohol-free povidone-iodine before medication.) — If it gets too wet, it should be changed.
Generally, when urinating, push the gauze towards the body to avoid wetting it.
2.
The doctor informed me that new skin will gradually grow on the tip of the glans.
How long does this typically take? — Generally, skin regeneration occurs within two weeks if it is a minor abrasion.
3.
When the doctor changed the dressing, they demonstrated using two layers of gauze wrapped together and secured with medical tape.
However, when I changed it myself the next day, I noticed that the area where I removed the tape (the pubic triangle) had already broken the skin.
Since this is the central area, how should I secure it moving forward (given that there is a broken skin wound that cannot be adhered to)? I should avoid the wound and generally adjust the angle a bit.
4.
Is there any impact if I only use one layer of gauze? Previously, I used two layers, which became heavy from absorbing urine and caused slippage.
Due to the broken skin, my securing angle may not have been optimal, leading to the need for a re-dressing.
Would using one layer be less likely to slip? — As long as the wound is not contaminated, it is fine to use one, two, or three layers.
5.
After the sutures fall out, is there a possibility of accidentally cutting the wound due to being wrapped? — It should not be a concern.

Wishing you good health.

Reply Date: 2023/07/30

More Info

Post-circumcision recovery is a critical period that requires careful management to prevent complications such as infection. Here are some insights and recommendations based on your concerns.

1. Urination and Bandage Management: It’s common for the bandage to absorb urine, especially if it’s tightly wrapped. This can create a moist environment that may increase the risk of infection. To mitigate this, consider the following:
- Change the Bandage Frequently: If the bandage becomes saturated with urine, it should be changed promptly to maintain a clean and dry environment. You can use a clean, dry gauze pad and secure it with medical tape, ensuring it’s not too tight to avoid restricting blood flow.

- Sitting to Urinate: Continuing to sit while urinating is a good practice during recovery, as it helps control the direction of the urine stream and reduces splashing.

- Use of Antiseptics: Applying a non-alcoholic antiseptic like iodine around the area before dressing can help reduce the risk of infection. However, be cautious not to apply it directly on the open wound unless advised by your doctor.

2. Healing of the Glans: The healing process for the glans (the head of the penis) can vary from person to person. Typically, it may take anywhere from a few weeks to a couple of months for the skin to regenerate and for the area to fully heal. Your doctor should provide specific timelines based on your individual healing progress.

3. Managing Skin Breaks: If you have a break in the skin where the tape was applied, it’s essential to keep that area clean and protected. You can:
- Use a Non-Adhesive Dressing: Consider using a non-adhesive gauze pad to cover the area. This will protect it from further irritation while allowing it to breathe.

- Avoid Tight Bandaging: Ensure that any bandage you apply does not put pressure on the broken skin, as this can exacerbate the issue.

4. Single Layer Bandaging: Using a single layer of gauze can be effective, especially if you find that a double layer is too bulky and prone to slipping. However, ensure that the single layer is absorbent enough to handle any moisture without becoming overly saturated. You may need to change it more frequently, but it can help reduce discomfort and the risk of skin breakdown.

5. Concerns About Stitches: If you are worried about the stitches becoming exposed or causing injury to the healing area, it’s crucial to monitor the site closely. If the stitches are dissolvable, they should naturally fall out as the tissue heals. If you notice any unusual pain, increased redness, or discharge, contact your healthcare provider immediately. They can assess whether the stitches are intact and if any further intervention is necessary.

In summary, maintaining cleanliness and dryness around the surgical site is paramount to prevent infection. Regularly changing the dressing, using appropriate antiseptics, and monitoring the healing process will contribute to a smoother recovery. If you have any concerns or notice signs of infection (such as increased redness, swelling, or discharge), do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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