Post-Circumcision Pain and Recovery: What to Expect After Frenulum Fixation

Q: Post-Circumcision Pain and Recovery: What to Expect After Frenulum Fixation

Hello： <br>1. <br>During an erection, in addition to the pain from the foreskin incision, I feel pain throughout the entire penis. <br>Even a slight touch in any direction while erect causes the pain to double, especially near the base where it feels particularly tight, as if a t

Circumcision with fascial fixation?

Hello Doctor: I underwent laser circumcision and fascial anchoring (subcutaneous penile fixation) last week (on October 16).
I would like to understand if some postoperative symptoms are normal.

1.
During erections, I feel pain not only at the circumcision site but throughout the entire penis.
If I touch it while erect, even slightly in any direction, the pain intensifies, especially near the base where it feels particularly tight, as if a tendon is being pulled and causing significant pain.
Is this due to the fascial anchoring procedure, or is it just the normal pain associated with circumcision? If it is related to the fascial anchoring, how long does it typically take for erections to become pain-free?
2.
The doctor did not ask me how much foreskin to remove before the procedure, and I have since discovered that it was fully removed (with the glans and corona fully exposed when not erect).
Currently, during erections, the skin feels very tight.
How can I determine if too much foreskin has been removed? If I find that too much has indeed been removed and it causes discomfort during erections, what solutions are available? Thank you for your response.

A, 20~29 year old female. Ask Date: 2023/10/24

Dr. Du Shixi reply Urology

Hello:
1.
During an erection, in addition to the pain from the foreskin incision, I feel pain throughout the entire penis.
Even a slight touch in any direction while erect causes the pain to double, especially near the base where it feels particularly tight, as if a tendon is being pulled and causing significant discomfort.
Could this be due to the fascial fixation performed? --- Generally, surgery can be painful, and taking pain medication should help.
If there is no redness, swelling, or heat at the incision site, it should be fine.
Is this just the normal pain after a circumcision? If the pain is indeed due to the fascial fixation, how long does it typically take for erections to become pain-free?
2.
The doctor did not ask me how much foreskin I wanted removed before the surgery, and I discovered afterward that it was fully removed (the glans and corona are fully exposed when not erect).
Currently, during an erection, the skin feels very tight.
How can I determine if too much foreskin has been removed? If I find that too much has been removed and it causes discomfort during erections, what are the possible solutions? --- It may only be possible to determine this after engaging in sexual activity.
However, the foreskin is elastic and should gradually improve.
Please discuss this with your doctor during your follow-up appointment.
Wishing you good health.

Reply Date: 2023/10/24

More Info

Post-circumcision pain and recovery can vary significantly from patient to patient, and understanding what to expect after a frenulum fixation is crucial for managing your symptoms and ensuring a smooth recovery.
1. Pain During Erection: Experiencing pain during an erection after circumcision and frenulum fixation is not uncommon. The pain you describe, particularly the sensation of tightness and discomfort at the base of the penis, can be attributed to several factors. First, the surgical procedure itself can cause inflammation and sensitivity in the surrounding tissues, which may take time to subside. The frenulum fixation, which involves altering the connective tissue, can also contribute to discomfort as the area heals.
Typically, post-operative pain should gradually decrease over the course of a few weeks. If the pain persists or worsens, it may indicate complications such as excessive scarring or nerve irritation. Generally, you can expect some discomfort for about 1 to 2 weeks post-surgery, but if you are still experiencing significant pain after this period, it would be advisable to consult your surgeon for further evaluation.

2. Assessing the Amount of Skin Removed: Regarding your concern about the amount of skin removed during the procedure, it is essential to monitor how your body responds. If you feel that the skin is excessively tight during an erection, it could indicate that too much skin was removed. Signs that you may have had too much skin removed include persistent pain, difficulty achieving or maintaining an erection, or a feeling of tightness that does not improve over time.

If you suspect that too much skin was removed, it is vital to discuss this with your healthcare provider. They may recommend a follow-up examination to assess the surgical site and determine if any corrective measures are necessary. In some cases, additional surgical intervention may be required to alleviate discomfort or address any functional issues.

General Recovery Tips:
- Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. Always follow the dosage instructions and consult your doctor if you have any concerns about medication.

- Hygiene: Keeping the area clean and dry is crucial for preventing infection. Follow your surgeon's post-operative care instructions regarding bathing and wound care.

- Avoiding Strain: It is advisable to avoid activities that may strain the area, such as vigorous exercise or sexual activity, until you receive clearance from your healthcare provider.

- Follow-Up Appointments: Regular follow-ups with your surgeon are essential to monitor your healing process. If you notice any signs of infection (such as increased redness, swelling, or discharge) or if your pain does not improve, seek medical attention promptly.

In conclusion, while some discomfort after circumcision and frenulum fixation is normal, persistent or severe pain warrants further investigation. Monitoring your symptoms and maintaining open communication with your healthcare provider will help ensure a successful recovery. If you have any additional questions or concerns, do not hesitate to reach out to your doctor for personalized advice.

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