Post-Circumcision Concerns: Swelling, Bruising, and Healing Timeline - Urology

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Post-operative issues after circumcision?


I had a circumcision almost 10 days ago, and I would like to ask the doctor three questions: 1.
My glans is swollen, and there are some bruises and redness around the urethral opening.
Could this be the reason for the split urine stream? When will the swelling subside and my urination return to normal? 2.
When will the swelling under the foreskin go down? 3.
I chose to use a new generation circumcision device.
Will the sutures fall out in two weeks, or will it take 21 days to a month for them to come out? Please help me with these questions.
Thank you.

A-Hui, 20~29 year old female. Ask Date: 2024/02/16

Dr. Du Shixi reply Urology


Hello:
1.
My glans has swelling at the urethral opening, and there are some bruises on both sides of the urethral opening.
Could this be the reason for the bifurcation of my urine stream? When will the swelling subside and my urination return to normal? --- If the swelling is not too severe, it should not cause bifurcation.
Another possible reason is that after circumcision, urine that used to exit through the foreskin now exits directly from the urethral opening.
2.
When will the swelling under the foreskin (often referred to as a "swimming ring") go down? --- It is not serious; if it is a soft swelling, it should resolve in about a month.
If it becomes hard, it may take longer.
3.
I chose to use a new generation circumcision device.
Will the stitches fall out in two weeks, or will it take 21 days to a month for them to come out? Please help me with this question, thank you.
--- It varies by individual; if it has been more than two weeks, a follow-up appointment is recommended.
Wishing you good health.

Reply Date: 2024/02/16

More Info


After circumcision, it is common to experience some swelling, bruising, and discomfort as part of the healing process. Let's address your concerns one by one.

1. Swelling and Bruising at the Glans and Urethral Opening: The swelling and bruising around the glans (the head of the penis) and the urethral opening can indeed lead to urinary issues, such as a split stream when urinating. This occurs because the swelling can obstruct the normal flow of urine. Typically, the swelling should begin to subside within a week or two post-surgery, but individual healing times can vary. If the swelling persists beyond two weeks or worsens, it is advisable to consult your healthcare provider. They may want to check for any signs of infection or other complications.

2. Swelling Under the Foreskin (Swim Ring Effect): The "swimming ring" appearance you describe under the skin is likely due to localized swelling and inflammation. This is a normal part of the healing process after circumcision. Generally, this swelling should also start to decrease within a week or two. However, full healing can take several weeks, and the appearance may change as the tissue heals. Keeping the area clean and following any post-operative care instructions provided by your surgeon can help facilitate healing.

3. Dissolvable Sutures: If you opted for a newer method of circumcision that uses a device (often referred to as a "circumcision clamp" or "sutureless technique"), the sutures or clips used may dissolve or fall off on their own. Typically, these sutures are designed to dissolve within 1 to 3 weeks after the procedure. However, the exact timeline can vary based on the specific technique used and your individual healing process. If you have concerns about the sutures or if they seem to be causing discomfort, it’s best to reach out to your surgeon for guidance.


Additional Considerations:
- Pain Management: It’s normal to experience some discomfort after circumcision. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage pain. Always follow the dosage instructions and consult your doctor if you have any concerns about medication.


- Signs of Infection: Keep an eye out for signs of infection, such as increased redness, swelling, warmth, or discharge that has a foul odor. If you notice any of these symptoms, contact your healthcare provider immediately.

- Hygiene: Maintaining proper hygiene is crucial during the healing process. Gently clean the area with mild soap and water, and avoid any harsh chemicals or fragrances that could irritate the skin.

- Follow-Up Appointments: Ensure you attend any scheduled follow-up appointments with your surgeon. These visits are important for monitoring your healing progress and addressing any concerns you may have.

In summary, while some swelling and bruising are normal after circumcision, it’s essential to monitor your symptoms and consult your healthcare provider if you have any concerns or if your symptoms do not improve as expected. Healing can take time, and each individual's recovery process is unique.

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