Post-Circumcision Concerns: Pain, Healing, and Normal Symptoms Explained

Post-circumcision care

Hello doctor, I had a circumcision three weeks ago, and most of the sutures have fallen off, but some are still attached, causing the loose part to slide down near the glans.
It hurts a lot when I get an erection or move around.
Should I continue to wait for the sutures to fall off naturally, or what should I do? After the procedure, I noticed a large blood vessel on the left side of my penis, which makes the left side appear swollen.
Is this normal? Currently, the glans has a bruised appearance; is this normal?

Xiao Hai, 20~29 year old female. Ask Date: 2023/08/17

Dr. Du Shixi reply Urology

Hello, I had a circumcision three weeks ago.
Most of the sutures have fallen off, but some are still attached, causing the loose part to slide down near the glans.
It hurts a lot when I get an erection or move around.
Should I continue to wait for the sutures to fall off naturally, or what should I do? --- I went for a follow-up appointment and noticed a large blood vessel on the left side of my penis, which makes that side bulge.
Is this normal? --- It could be temporary; let's see if it resolves.
The glans currently has a bruised appearance; is this normal? --- This is quite common.
Wishing you good health.

Reply Date: 2023/08/17

More Info

After circumcision, it is common for patients to have concerns regarding pain, healing, and the appearance of the surgical site. Based on your description, it seems you are experiencing some typical post-operative symptoms, but there are also aspects that warrant further attention.

Firstly, regarding the remaining part of the suture that is still attached, it is generally advisable to allow sutures to fall off naturally unless they are causing significant discomfort or complications. In many cases, absorbable sutures are used, which dissolve on their own over time. However, if the suture is causing pain, especially during erections or movement, it may be worth consulting your healthcare provider. They can assess whether the suture needs to be removed or if it is safe to wait for it to dissolve.

The presence of a prominent blood vessel on the left side of your penis, leading to a bulging appearance, can be normal post-surgery. After circumcision, the vascular structures may become more noticeable due to swelling or changes in blood flow. However, if you notice any significant changes, such as increased swelling, pain, or discoloration, it is essential to seek medical advice.

As for the bruising on the glans (the head of the penis), it is not uncommon to see some discoloration after circumcision. Bruising can occur due to the surgical procedure and the manipulation of tissues. Typically, this bruising should gradually resolve over time. If the bruising persists or worsens, or if you experience increasing pain or other concerning symptoms, it is crucial to consult your doctor.

In terms of healing, it is essential to keep the area clean and dry. Avoid any activities that may cause irritation or trauma to the surgical site, such as vigorous sexual activity or excessive friction from clothing. If you have been prescribed any topical ointments or medications, ensure you follow your doctor's instructions regarding their use.

If you experience any of the following symptoms, you should seek immediate medical attention:
1. Severe Pain: If the pain becomes unbearable or is not relieved by over-the-counter pain medications.

2. Signs of Infection: Such as increased redness, swelling, warmth, or discharge from the surgical site.

3. Fever: A fever may indicate an infection.

4. Persistent Bruising or Swelling: If the bruising does not improve or if swelling increases significantly.

In summary, while some discomfort and changes in appearance are normal after circumcision, it is essential to monitor your symptoms closely. If you have any doubts or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for a thorough evaluation and guidance. They can provide personalized advice based on your specific situation and ensure that your healing process is on track.

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