Post-Circumcision Care: Healing and Sensitivity Issues - Urology

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Post-circumcision care


Hello, doctor.
I recently had a circumcision about two weeks ago, and I've noticed that there are cracks and peeling on the glans.
I would like to know if this is part of the keratinization process or if it is abnormal.
I also experience a splitting of the urine stream when I urinate; will this improve over time? Can I use body wash to clean the glans while showering, as it is still quite sensitive?

Xiao Hai, 20~29 year old female. Ask Date: 2023/08/08

Dr. Du Shixi reply Urology


Hello, I recently had a circumcision about two weeks ago and I've noticed some cracking and peeling on the glans.
I would like to know if this is part of the keratinization process or if it is normal? -- This is common, but not everyone experiences it; it is related to individual constitution and care.
I also notice that my urine stream is splitting; will this improve over time? -- It should not be a persistent issue.
Can I use body wash to clean the glans while showering, as it is still quite sensitive? -- You should do it gradually; some people may take a few weeks.
Wishing you good health.

Reply Date: 2023/08/08

More Info


Post-circumcision care is crucial for ensuring proper healing and minimizing complications. After undergoing circumcision, it is common to experience some sensitivity and changes in the appearance of the glans (the head of the penis). Here’s a comprehensive overview of what you might expect during the healing process, along with answers to your specific concerns.


Healing Process and Sensitivity
1. Understanding the Healing Process: After circumcision, the glans undergoes a process called keratinization. This is the thickening of the outer layer of skin, which helps protect the sensitive area. The appearance of cracks or peeling skin on the glans can be part of this process. However, if the cracks are deep, painful, or show signs of infection (such as redness, swelling, or discharge), it is essential to consult your healthcare provider.

2. Sensitivity Issues: It is normal for the glans to be sensitive after circumcision. This sensitivity may persist for several weeks as the area heals. Over time, as keratinization occurs, the sensitivity should decrease. If you find that the sensitivity is unbearable or if it persists beyond a few weeks, it’s advisable to seek medical advice.


Addressing Your Specific Concerns
1. Cracks on the Glans: The cracks you are observing could indeed be part of the keratinization process. However, if they are causing significant discomfort or if you notice any signs of infection, it is important to have them evaluated by a healthcare professional. Keeping the area clean and dry is essential for healing.

2. Urination Issues: The splitting of urine stream can occur due to swelling or changes in the anatomy after circumcision. This is usually temporary and should improve as the swelling decreases and the area heals. If the issue persists or worsens, it would be wise to consult your doctor.

3. Washing the Glans: When it comes to hygiene, it is generally recommended to avoid using harsh soaps or body washes on the glans until the sensitivity decreases. Instead, you can gently clean the area with warm water. If you choose to use a body wash, ensure it is mild and free from fragrances or irritants. It’s best to wait until the sensitivity subsides before using any products that may cause irritation.


General Care Tips
- Keep the Area Clean: Gently wash the area with warm water daily. Avoid scrubbing the glans too hard, as this can cause irritation.


- Moisturize: If the area feels dry, you may apply a thin layer of a gentle, fragrance-free moisturizer to help with dryness and sensitivity. However, avoid applying anything that could potentially irritate the skin.

- Avoid Sexual Activity: It is advisable to refrain from sexual activity until you have fully healed, which can take several weeks. This will help prevent irritation and allow the area to recover properly.

- Monitor for Complications: Keep an eye out for any signs of infection, such as increased redness, swelling, or discharge. If you experience severe pain or any concerning symptoms, seek medical attention promptly.


Conclusion
In summary, the healing process after circumcision can involve sensitivity and changes in the appearance of the glans, including cracks. While some of these changes are normal, it’s important to monitor your symptoms and consult a healthcare provider if you have concerns. Proper hygiene and care will facilitate healing and help manage sensitivity. If you have any further questions or if your symptoms worsen, do not hesitate to reach out to your doctor for personalized advice and treatment.

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