Managing Residual Debris After Childhood Circumcision: What to Do? - Urology

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After circumcision in childhood, it is still easy to accumulate smegma even after the stitches are removed?


Hello doctor, over 20 years ago I had a circumcision, and after the stitches were removed, the surgeon informed my family that there would be a hole left behind where debris could accumulate.
They advised me to squeeze it out, but it has always been very painful and I can't get much out.
What should I do? Should I consider having another surgery, or is there a way to manage this locally since there is no skin left to remove?

U3553, 30~39 year old female. Ask Date: 2024/03/25

Dr. Du Shixi reply Urology


Hello: It should be just maintaining cleanliness, no further surgery is needed.
Wishing you good health.

Reply Date: 2024/03/25

More Info


Managing residual debris after childhood circumcision can be a concern for many individuals who have undergone the procedure. It is not uncommon for patients to experience some residual skin or debris in the area where the foreskin was removed. Here’s a comprehensive approach to managing this situation.


Understanding the Issue
After circumcision, especially in childhood, some individuals may notice a small pocket or area where debris can accumulate. This is often due to the healing process and the way the skin settles post-surgery. The presence of debris can lead to discomfort, irritation, or even infections if not managed properly. It is essential to differentiate between normal healing and complications that may require medical attention.


Recommended Management Strategies
1. Hygiene Practices:
- Regular Cleaning: It is crucial to maintain proper hygiene in the circumcised area. Gently wash the area with warm water and mild soap during your daily shower. Avoid using harsh soaps or scrubs that can irritate the skin.

- Drying: After washing, ensure the area is thoroughly dried to prevent moisture buildup, which can lead to irritation or infection.

2. Gentle Removal of Debris:
- If you notice debris accumulating, you can try to gently clean the area using a soft cloth or cotton swab. Avoid using excessive force, as this can cause pain or injury. If the debris does not come out easily, do not force it.

- Some individuals find that soaking in warm water can help soften any debris, making it easier to clean.

3. Avoiding Painful Techniques:
- As you mentioned, squeezing or forcing debris out can be painful and may not be effective. If you find that this method is causing significant discomfort, it is advisable to stop and consult a healthcare professional instead.

4. Consulting a Healthcare Professional:
- If you continue to experience issues with debris accumulation, pain, or any signs of infection (such as redness, swelling, or discharge), it is essential to consult a urologist or a healthcare provider. They can assess the area and determine if there are any underlying issues that need to be addressed.

- In some cases, a minor procedure may be necessary to remove any residual skin or debris that is causing problems.

5. Avoiding Re-Circumcision:
- Generally, re-circumcision is not a common recommendation unless there are significant complications. Most issues can be managed with proper hygiene and medical intervention if necessary.

6. Follow-Up Care:
- Regular follow-up with your healthcare provider can help monitor the situation and ensure that no complications arise. They can provide personalized advice based on your specific circumstances.


Conclusion
In summary, managing residual debris after circumcision involves maintaining good hygiene, gently cleaning the area, and consulting a healthcare professional if issues persist. It is essential to avoid painful methods of debris removal and to seek medical advice for any concerns. Remember, your comfort and health are paramount, and there are effective ways to manage this situation without resorting to invasive procedures unless absolutely necessary.

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