The wound slightly opened after circumcision?
Hello, doctor.
During my follow-up visit (the fifth day post-surgery), it was found that the sutures at the site are slightly pulled apart.
The doctor said I could monitor it, but if it doesn't improve, I may need to have it re-stitched.
1.
I wake up approximately every 40 minutes to an hour due to erections while sleeping, which makes it easy for the wound to open up.
Is there any way to prevent frequent nighttime erections? I am worried that even if I have it re-stitched, it will just open up again while I sleep.
2.
If I need to have it re-stitched, will the recovery time start all over again? School is starting soon, and I am concerned about not being fully healed in time.
Thank you, doctor.
🙏
Chen Tongxue, 20~29 year old female. Ask Date: 2023/08/26
Dr. Du Shixi reply Urology
Hello:
1.
I wake up approximately every 40 minutes to an hour due to erections while sleeping, which makes it easy for the wound to reopen.
I would like to know if there are any methods to prevent frequent nighttime erections.
I am very concerned that even if the wound is re-stitched, it will reopen again during sleep.
2.
If the wound is re-stitched, does that mean the recovery time will start all over again? School is starting soon, and I am worried about not having enough time to heal.
Yes, that is correct, but many wounds do not require further treatment.
Wishing you good health.
Reply Date: 2023/08/26
More Info
Managing post-circumcision complications can be a delicate process, especially when it comes to ensuring proper healing and minimizing discomfort. Here are some tips and insights regarding your concerns about recovery after circumcision, particularly in relation to the issues you've raised.
1. Managing Nighttime Erections
Experiencing erections during sleep is a natural physiological response, and while it can be concerning post-surgery, there are strategies to mitigate the impact on your healing process:
- Sleep Positioning: Try to sleep on your side rather than your back. This can help reduce the likelihood of pressure on the surgical site during an erection.
- Supportive Underwear: Wearing snug-fitting underwear or a supportive athletic supporter can help keep the area stable and may reduce the intensity of erections. This can provide some physical support to the surgical site.
- Medication Consultation: If nighttime erections are frequent and bothersome, consult your physician. They may suggest medications that can help manage this issue temporarily.
- Relaxation Techniques: Stress and anxiety can sometimes exacerbate physiological responses. Engaging in relaxation techniques before bed, such as deep breathing or meditation, may help reduce the frequency of nighttime awakenings.
2. Concerns About Re-suturing
If your doctor determines that re-suturing is necessary, it’s understandable to be concerned about the implications for your recovery timeline. Here are some points to consider:
- Recovery Timeline: If re-suturing is required, the recovery process may indeed take some additional time. Typically, after a circumcision, initial healing can take about 1-2 weeks, but if you need to undergo a second procedure, you might expect a similar timeframe for healing. However, this can vary based on individual factors such as your overall health, age, and adherence to post-operative care instructions.
- Post-Operative Care: After re-suturing, it’s crucial to follow your surgeon’s post-operative care instructions meticulously. This may include keeping the area clean, avoiding strenuous activities, and possibly using topical treatments to promote healing.
- Follow-Up Appointments: Regular follow-ups with your healthcare provider will be essential to monitor the healing process. They can provide guidance on when it’s safe to resume normal activities, including physical education or sports.
Additional Considerations
- Hygiene: Maintaining proper hygiene is vital to prevent infection, which can complicate recovery. Follow your surgeon's instructions on how to clean the area gently without disturbing the sutures.
- Pain Management: If you experience discomfort, over-the-counter pain relievers may be recommended. Always consult your doctor before taking any medication to ensure it’s appropriate for your situation.
- Signs of Complications: Be vigilant for signs of complications, such as increased redness, swelling, or discharge from the surgical site. If you notice any of these symptoms, contact your healthcare provider promptly.
- Emotional Support: Recovery from surgery can be stressful, especially with concerns about complications. Don’t hesitate to reach out to friends, family, or a mental health professional for support during this time.
In conclusion, while managing post-circumcision complications can be challenging, understanding the physiological aspects and following appropriate care guidelines can significantly aid in your recovery. Always maintain open communication with your healthcare provider to address any concerns and ensure a smooth healing process.
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