Post-Circumcision Care: Common Concerns and Recovery Tips - Urology

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Post-circumcision care


Hello, doctor.
I had a circumcision two weeks ago, and I have a few questions:
1.
I haven't used any bandages for a week now, but sometimes my urine still splits.
Will this improve? If not, what should I do?
2.
Is it better to wear loose underwear now? I considered wearing tighter underwear to promote friction for quicker adaptation, but it feels really uncomfortable.

3.
Is it appropriate to walk more or engage in exercise at this stage?
4.
It's been two weeks, and my stitches haven't dissolved yet.
Is there anything I need to pay attention to?
5.
When showering, is it suitable to use body wash to clean the glans, or is rinsing with water sufficient?

Xiao Hai, 20~29 year old female. Ask Date: 2023/08/12

Dr. Li Minghui reply Urology


Hello:
1.
I haven't used a bandage for a week now, but sometimes my urine still splits.
Will this improve? If not, what should I do? -- It will mostly improve gradually, but the extent of improvement may vary.

2.
Is it better to wear loose underwear now? I considered wearing tighter underwear to increase friction for quicker adaptation, but it feels really uncomfortable.
-- Once the wound has healed, there should be no difference between loose and tight underwear.

3.
Is it suitable to walk more or exercise now? -- Yes, you can do so as long as it's not competitive.

4.
It has been two weeks, and my stitches haven't fallen out yet.
Is there anything I need to pay attention to? -- You should return for a follow-up appointment.

5.
When showering, is it appropriate to use body wash to clean the glans, or is rinsing with water sufficient? -- Rinse with water only, and make sure to dry it properly.

Wishing you good health.

Reply Date: 2023/08/12

More Info


Post-circumcision care is crucial for ensuring a smooth recovery and minimizing complications. Here are detailed answers to your questions based on medical knowledge and common practices.

1. Urination and Splitting Stream: It’s not uncommon for individuals to experience a split or irregular urine stream after circumcision. This can happen due to swelling or changes in the urethra's structure following the procedure. In most cases, this should improve as the swelling decreases and the tissues heal. If the issue persists beyond a few weeks or if you experience pain, burning, or any other concerning symptoms, it’s advisable to consult your healthcare provider. They may perform an examination to rule out any complications, such as scarring or a urethral stricture.

2. Underwear Choices: Wearing loose-fitting underwear is generally recommended during the recovery period. Tight underwear can cause discomfort and may irritate the surgical site, potentially leading to complications. While some might think that tighter underwear could help the area adapt more quickly, it’s important to prioritize comfort and healing. Opt for breathable fabrics like cotton that allow for airflow and reduce moisture buildup, which can help prevent infections.

3. Activity Level: After two weeks, light activities such as walking are usually encouraged as they promote circulation and healing. However, high-impact activities or exercises that put strain on the pelvic area should be avoided until you receive clearance from your doctor. Listen to your body—if you experience pain or discomfort while moving, it’s best to rest and consult your healthcare provider.

4. Stitches and Healing: If your stitches have not dissolved or fallen out after two weeks, it’s important to monitor them closely. Most absorbable stitches should dissolve within a few weeks, but if they remain visible or if you notice any signs of infection (such as increased redness, swelling, or discharge), you should contact your doctor. They may need to assess whether the stitches need to be removed or if there’s an underlying issue that needs addressing.

5. Hygiene Practices: When it comes to bathing, it’s generally advisable to avoid using soap or body wash directly on the glans (the head of the penis) until you are fully healed. Gentle rinsing with warm water is usually sufficient. If you choose to use soap, ensure it is mild and fragrance-free to avoid irritation. After the initial healing period, you can gradually introduce gentle cleansing with soap, but always ensure to rinse thoroughly to remove any residue.


Additional Tips for Recovery:
- Keep the Area Clean and Dry: After bathing, gently pat the area dry with a clean towel. Avoid rubbing, as this can irritate the sensitive skin.

- Monitor for Signs of Infection: Look out for increased redness, swelling, discharge, or fever. If any of these occur, seek medical attention promptly.

- Follow-Up Appointments: Ensure you attend any scheduled follow-up appointments with your healthcare provider to monitor your healing process and address any concerns.

- Avoid Sexual Activity: It’s typically recommended to avoid sexual activity for at least 4-6 weeks post-surgery or until cleared by your doctor to prevent complications and ensure proper healing.

In summary, your recovery after circumcision should be monitored closely, and any concerns should be addressed with your healthcare provider. Following proper care guidelines will help ensure a smooth recovery and minimize the risk of complications.

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