Post-Circumcision Swelling: Causes, Concerns, and Care Tips

Q: Post-Circumcision Swelling: Causes, Concerns, and Care Tips

Hello： Due to the circumcision, there will often be swelling postoperatively. <br>As long as the wound is well cared for and does not become red, the swelling will generally subside, which may take 1-2 months to gradually resolve. <br>Applying ice or heat to the glans wound is no

After circumcision surgery, there is significant swelling at the site of the ligature?

Hello, I underwent a circumcision procedure on February 6, and the bleeding was controlled with electrocautery followed by suturing.
Currently, I have a significant swelling at the frenulum area, which appeared about two to three hours post-surgery (the area appears larger than the glans when viewed from the side).
The swelling is localized and quite pronounced, covering about half of the area.
I have read various articles and Q&A sections, with some stating that this edema is a normal phenomenon and that occasional pressure can help reduce the interstitial fluid.
However, since this swelling is at the suture site, applying pressure causes significant pain.
I have tried to avoid applying pressure directly on the sutures, but it still hurts a bit, likely due to tension on the sutures.

I would like to know if I should wait until the wound heals before applying pressure to the swollen area, or if there are other solutions.
Additionally, I have come across information suggesting that using electrocautery increases the risk of infection.
Currently, I do not experience pain, and urination is normal, but the swollen area appears slightly purplish.
How can I determine if there is an infection?
I have also seen recommendations for ice packs versus heat packs.
The rationale for ice packs is that they constrict blood vessels, preventing excessive fluid accumulation in the swollen area, while heat packs are said to enhance blood flow and accelerate the return of interstitial fluid.
Which approach would be more appropriate for my current situation? Are there any other methods to improve my condition?
Lastly, the surgeon did not prescribe any ointment, so I have been changing the dressing using Vaseline gauze and securing it with breathable tape, along with a mesh finger cot for slight pressure.
Is this method correct? Should I consider purchasing an ointment for additional support? Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2024/02/08

Dr. Du Shixi reply Urology

Hello: Due to the circumcision, there will often be swelling postoperatively.
As long as the wound is well cared for and does not become red, the swelling will generally subside, which may take 1-2 months to gradually resolve.
Applying ice or heat to the glans wound is not practical; however, applying pressure may be somewhat effective.
Wishing you good health.

Reply Date: 2024/02/08

More Info

Post-circumcision swelling is a common concern following the procedure, and it can be attributed to several factors, including the body's natural healing response, inflammation, and potential fluid accumulation in the surgical area. Given your description of significant swelling at the frenulum (the band of tissue connecting the glans to the shaft of the penis), it is understandable to have concerns about the healing process and the possibility of complications.

Causes of Swelling
1. Normal Healing Response: After any surgical procedure, it is typical for the body to respond with inflammation, which can manifest as swelling. This is part of the healing process as the body sends more blood and immune cells to the area to facilitate recovery.

2. Fluid Accumulation: Swelling can also occur due to fluid accumulation in the tissues, known as edema. This can be exacerbated by the surgical manipulation of tissues and the body's inflammatory response.

3. Infection: While swelling is often normal, it can also indicate an infection, especially if accompanied by increased pain, redness, warmth, or discharge from the surgical site. Given that you had electrocautery for hemostasis, there is a slight risk of infection, but if you are urinating normally and not experiencing significant pain, this is a positive sign.

Care Tips
1. Compression: While applying pressure to the swollen area can help reduce edema, it is crucial to avoid putting pressure directly on the sutures, as this can cause pain and potentially disrupt the healing process. Instead, you might consider gently wrapping the area with a soft bandage that does not directly compress the sutured site.

2. Ice vs. Heat: In the initial days following surgery, ice packs can be beneficial in reducing swelling and numbing pain. Ice constricts blood vessels, which can help minimize fluid accumulation. Apply ice wrapped in a cloth for 15-20 minutes at a time, several times a day. After the first few days, heat can be introduced to promote blood flow and healing, but be cautious and ensure that the area is not too sensitive to heat.

3. Monitoring for Infection: Keep an eye on the surgical site for signs of infection, such as increased redness, warmth, discharge, or worsening pain. If you notice any of these symptoms, it is essential to contact your healthcare provider promptly.

4. Wound Care: Your current method of cleaning the area with Vaseline and using breathable gauze is appropriate. Ensure that the area remains clean and dry. If you feel that additional ointment could help, consider discussing this with your doctor, as some may recommend antibiotic ointments to prevent infection.

5. Follow-Up: Since you are experiencing significant swelling, it is advisable to follow up with your surgeon or a healthcare provider. They can assess the swelling and determine if any additional interventions are necessary.

Conclusion
In summary, while some swelling after circumcision is normal, it is essential to monitor the situation closely. Use ice initially to manage swelling, avoid direct pressure on the sutures, and keep the area clean. If swelling persists or worsens, or if you notice signs of infection, seek medical attention. Your current wound care regimen seems appropriate, but a follow-up with your healthcare provider will provide you with the best guidance tailored to your specific situation.

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