Post-Circumcision Care: Common Questions and Concerns - Urology

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Post-operative issues after circumcision?


Hello, Doctor.

1.
Today marks exactly one week since my procedure.
The doctor informed me that I can use a brush to clean my nails, but I'm unsure how to do it.

2.
I can take a shower today; is it better to let the water flow naturally over the area? Can I use soap to clean the shaved area?
3.
After drying off with a towel, should I quickly clean the wound with saline solution?
4.
I noticed that one area is more painful after brushing, and there's a little bit of bleeding.
Which is better to apply, Betadine or Bacitracin?
Thank you for your answers, Doctor.

Nǐ hǎ, 20~29 year old female. Ask Date: 2024/04/13

Dr. Du Shixi reply Urology


Hello: 1.
Today marks exactly one week.
The doctor informed me that I can use a brush on the nails, but I'm not sure how to do it—may I ask the doctor? 2.
I can take a shower today; is it better to let the water flow naturally over it? Can I use soap to clean the area where I shaved? — A small amount is fine.
3.
Is it okay to dry off with a towel and then quickly clean the wound with saline solution? — Yes, that’s fine.
4.
I just brushed it and noticed a spot that is more painful and has a little bleeding.
Which is better to apply, Liofil or Clotrimazole? — Don’t apply too much pressure; just remove the surface dirt.
You should apply an antibiotic as per the doctor's instructions.
Wishing you good health.

Reply Date: 2024/04/13

More Info


Post-circumcision care is crucial for ensuring proper healing and preventing complications. Here are answers to your questions, along with some additional advice based on medical knowledge.

1. Cleaning the Area: When your doctor mentioned using a brush to clean the area, they likely meant using a soft-bristled toothbrush or a similar gentle brush. The goal is to clean the area without causing irritation or trauma. You should gently brush the area around the circumcision site, avoiding any vigorous scrubbing. This helps to remove any crusting or debris that may have formed.

2. Bathing: Yes, you can take a shower now. It’s generally recommended to let water flow naturally over the area rather than submerging it in a bath, especially in the first week post-surgery. This minimizes the risk of infection. You can use mild soap to clean the area where hair was removed, but be cautious not to apply soap directly on the circumcision site until it has healed more completely. Rinse thoroughly to ensure no soap residue remains.

3. Drying the Area: After washing, gently pat the area dry with a clean towel. Avoid rubbing, as this can irritate the sensitive skin. If your doctor advised using saline solution, you can use it to clean the wound area after drying. Saline is gentle and helps to keep the area moist, which can promote healing.

4. Pain and Bleeding: It’s not uncommon to experience some discomfort or slight bleeding after cleaning, especially if you’ve brushed too hard or if the area is still healing. If you notice more than a few drops of blood or if the bleeding persists, you should contact your healthcare provider. For pain relief, you can apply a topical ointment as recommended by your doctor. If they suggested either 利膚 (Lifewater) or 褐黴素 (Bacitracin), you should follow their guidance on which one to use. Typically, Bacitracin is used for its antibacterial properties, while Lifewater may be more soothing.


Additional Care Tips:
- Monitor for Signs of Infection: Keep an eye out for increased redness, swelling, warmth, or discharge that has a foul odor. These could be signs of infection, and you should seek medical attention if they occur.

- Avoid Tight Clothing: Wear loose-fitting underwear and pants to avoid irritation to the area.

- Limit Physical Activity: Avoid strenuous activities or anything that could put pressure on the area until it has healed adequately.

- Follow-Up Appointments: Make sure to attend any follow-up appointments with your healthcare provider to ensure proper healing and address any concerns.


Healing Timeline:
Typically, the circumcision site should begin to heal within a week or two, but complete healing may take several weeks. Pain and discomfort should gradually decrease. If you have any concerns about your healing process or if symptoms worsen, don’t hesitate to reach out to your healthcare provider for further evaluation.

In summary, proper post-circumcision care involves gentle cleaning, monitoring for complications, and following your doctor's specific instructions. If you have any further questions or concerns, it’s always best to consult directly with your healthcare provider.

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