Post-Circumcision Concerns: Skin Changes and Care

Post-operative issues after circumcision?

Hello Doctor, I had a circumcision when I was a child (I have not had a foreskin since I can remember).
My parents said I was circumcised at birth.
There is a small ring of holes about one centimeter below my coronal sulcus (similar to a colon: like this).
It feels very much like a post-operative scar.
I can squeeze out what seems to be smegma from inside, and I wash it every day during my shower.
There is usually no odor or inflammation, and I have occasionally squeezed it to clean it since I was young.
Over time, I have gotten used to it, but recently, with the popularity of circumcision discussions, I have started to question the small hole and the ability to squeeze out smegma after my circumcision, so I came to consult you.
I have two questions: 1.
Is my situation normal? 2.
Regardless of whether it is normal or not, can I seek assistance from a urologist or aesthetic medicine to address those small holes? Thank you for your answers, and I wish you a Happy New Year and a prosperous Year of the Dragon!

Yu, 20~29 year old female. Ask Date: 2024/02/09

Dr. Du Shixi reply Urology

Hello, "1.
Is my condition normal? ---> It is mostly scar tissue.
2.
Regardless of whether it is normal or not, can I seek assistance from a urologist or aesthetic medicine to address those small holes? ---> Yes, wishing you good health."

Reply Date: 2024/02/09

More Info

Post-circumcision concerns, particularly regarding skin changes and care, are not uncommon. Your experience of having a small hole or indentation beneath the corona of the glans, which can express a substance that resembles smegma, raises important questions about normal healing and hygiene after circumcision.

1. Is this situation normal?
Yes, what you are describing can be a normal anatomical variation following circumcision. The small hole you mentioned could be a remnant of the preputial tissue or a small pit that developed during the healing process. It is not unusual for circumcised individuals to have some irregularities in the skin where the foreskin was removed. The presence of smegma, which is a combination of dead skin cells and oils, is also common, especially in areas that may not be as easily cleaned. As long as there is no pain, inflammation, or foul odor, your situation is likely within the range of normal post-circumcision anatomy.

2. Can I seek help from a urologist or cosmetic specialist?
If you are concerned about the appearance of the small hole or the accumulation of smegma, it is perfectly reasonable to consult a urologist. They can provide a thorough examination and determine if any treatment is necessary. In many cases, if there are no symptoms of infection or discomfort, no intervention may be needed. However, if you are seeking cosmetic improvement or if the area is causing you distress, a urologist can discuss potential options with you. Cosmetic procedures may be available, but they should be approached with caution and only after a thorough evaluation.

Additional Considerations:
- Hygiene: Continue to maintain good hygiene by gently cleaning the area during your daily shower. Avoid harsh soaps that can irritate the sensitive skin. A mild, unscented soap is usually sufficient.

- Monitoring Changes: Keep an eye on the area for any changes, such as increased redness, swelling, or discharge. If you notice any of these symptoms, it would be wise to seek medical advice promptly.

- Psychological Impact: It’s also important to consider the psychological aspect of your concerns. Many individuals who have undergone circumcision may feel self-conscious about their anatomy, especially with the rise of discussions around circumcision practices. If these feelings are affecting your self-esteem or mental health, discussing them with a healthcare provider can be beneficial.

- Future Care: If you decide to pursue any treatment options, ensure that you discuss the potential risks and benefits with your healthcare provider. They can help you make an informed decision based on your specific circumstances.

In conclusion, your experience is not uncommon, and while it may be normal, seeking a professional opinion can provide peace of mind. A urologist will be able to assess your situation comprehensively and guide you on the best course of action, whether that involves reassurance, hygiene advice, or potential treatment options.

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