Post-Circumcision Urinary Issues: Common Concerns and Solutions

Q: Post-Circumcision Urinary Issues: Common Concerns and Solutions

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 hav

Urination may split or diverge?

Hello, doctor.
I had a circumcision two weeks ago, and I have a few questions:
1.
I haven't used a bandage for a week, 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 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: 2023/08/15

Dr. Du Shixi 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 have considered wearing tighter underwear to increase friction for quicker adaptation, but it is really uncomfortable.
--> Once the wound has healed, there should be no difference between loose and tight.
3.
Is it suitable to walk more or exercise now? --> Yes, as long as it's not competitive.
4.
It's been two weeks, and my stitches haven't come out yet.
Is there anything I need to pay attention to? --> Follow up with your doctor.
5.
When showering, is it appropriate to use body wash to clean the glans, or is rinsing with water sufficient? --> Rinse with water and make sure to dry it properly.
Wishing you good health.

Reply Date: 2023/08/15

More Info

After circumcision, it is common for patients to experience various urinary issues and concerns. Let's address your questions one by one, providing insights based on medical knowledge and common practices.

1. Urinary Stream Issues (Splitting of Urine Stream): It is not uncommon for men to experience a bifurcated or split urine stream after circumcision. This can occur due to swelling or changes in the urethral opening as the area heals. In most cases, this issue improves over time as the swelling decreases and the tissues heal. If the problem persists beyond a few weeks or worsens, it would be advisable to consult your healthcare provider. They may perform a physical examination to rule out any complications such as scarring or strictures.

2. Underwear Choices: Wearing loose-fitting underwear is generally recommended after circumcision. Tight underwear can cause discomfort and may irritate the healing tissues. While some may think that tighter underwear could help with adaptation, it is essential to prioritize comfort and healing. Opt for breathable fabrics that allow for airflow and reduce friction against the sensitive area.

3. Physical Activity: Engaging in light physical activity, such as walking, is typically encouraged after circumcision, as it can promote circulation and healing. However, high-impact activities or exercises that may strain the pelvic area should be avoided until you feel comfortable and your doctor gives you the green light. Listen to your body; if you experience pain or discomfort, it’s best to rest.

4. Sutures: If your sutures have not dissolved or fallen off after two weeks, it is essential to monitor the area for signs of infection or complications. Generally, absorbable sutures should dissolve within a few weeks, but the timeline can vary. If you have concerns about the sutures, such as redness, swelling, or discharge, it is crucial to follow up with your healthcare provider for an evaluation.

5. Hygiene Practices: When it comes to cleaning the glans (the head of the penis) after circumcision, it is usually recommended to use mild soap and water. However, during the initial healing phase, gentle rinsing with water is often sufficient. Avoid using harsh soaps or scrubbing the area too vigorously, as this can irritate the sensitive skin. Once healing is well underway, you can gradually introduce mild soap, but always ensure that you rinse thoroughly to avoid any residue.

In summary, while some urinary issues and discomfort are common after circumcision, most of these concerns tend to resolve with time and proper care. It is essential to maintain good hygiene, wear comfortable clothing, and monitor your healing process. If any issues persist or worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your comfort and health are paramount during this recovery period.

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