Post-Circumcision Concerns: Healing, Pain, and Medication Guidance

Q: Post-Circumcision Concerns: Healing, Pain, and Medication Guidance

Hello： Please return for a follow-up regarding your wound. <br>Wishing you good health.

Post-operative issues after circumcision?

Hello, doctor.
I underwent a circumcision procedure with a penile clamp two weeks ago, and today marks the 15th day.
There are no signs of the sutures loosening; is this normal? Additionally, I am experiencing pain similar to a scrape under the right suture, and the skin around the suture appears bruised, resembling a scraped area without bleeding.
This area has been intermittently sharp since the surgery.
Should I return to the hospital for a re-evaluation or re-suturing of this area? Alternatively, how should I care for it at home? I have finished the post-operative medication (tetracycline hydrochloride ointment); can I purchase over-the-counter medication at a pharmacy, and what type of medication would be suitable to aid in recovery?

Tòngkǔ Miànjù, 30~39 year old female. Ask Date: 2024/04/16

Dr. Du Shixi reply Urology

Hello: Please return for a follow-up regarding your wound.
Wishing you good health.

Reply Date: 2024/04/16

More Info

After undergoing a circumcision procedure two weeks ago, it is understandable to have concerns regarding the healing process, pain management, and appropriate care for the surgical site. Here’s a comprehensive overview of what to expect post-circumcision, along with guidance on managing your symptoms.

Healing Process
Typically, the healing process after circumcision can take anywhere from a few days to several weeks, depending on individual factors such as age, overall health, and adherence to post-operative care instructions. It is common for the surgical site to exhibit some swelling, redness, and tenderness during the initial healing phase. The stitches (or staples) used to secure the skin should gradually dissolve or fall out on their own, usually within 1 to 3 weeks post-surgery. If you are at the 15-day mark and the stitches have not loosened, this may still be within the normal range, but it is essential to monitor the situation closely.

Pain and Discomfort
Experiencing pain or discomfort around the surgical site, especially if it feels like a "scraped" sensation, is not uncommon. This can be due to the healing process, where the skin and underlying tissues are regenerating. However, persistent or increasing pain, especially if accompanied by signs of infection (such as increased redness, swelling, or discharge), should prompt a visit to your healthcare provider.

When to Seek Medical Attention
If the pain you are experiencing is severe or if you notice any unusual changes in the surgical area, such as:
- Increased swelling or redness
- Pus or foul-smelling discharge
- Fever or chills
- Any signs of the stitches pulling or tearing
It is advisable to return to your surgeon or healthcare provider for an evaluation. They may need to assess whether the stitches are intact and if any further intervention is necessary.

Home Care Recommendations
For at-home care, consider the following:
1. Keep the Area Clean: Gently wash the area with mild soap and water. Avoid using harsh soaps or scrubbing the area.

2. Moisturize: If the skin feels dry or irritated, applying a thin layer of a gentle, fragrance-free moisturizer may help soothe the area.

3. Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can be effective for managing discomfort. Always follow the dosage instructions on the package or those provided by your healthcare provider.

4. Avoid Irritants: Refrain from using any topical medications or ointments that are not specifically recommended by your doctor. If you have run out of the prescribed tetracycline ointment, consult your healthcare provider before using any over-the-counter alternatives.

Medication Guidance
If you are considering purchasing medication from a pharmacy, it is crucial to consult with a healthcare professional first. They can recommend appropriate topical treatments that are safe for your specific situation. Avoid using any products that contain alcohol or strong fragrances, as these can irritate the healing skin.

Conclusion
In summary, while some discomfort and pain are expected after circumcision, it is essential to monitor your symptoms closely. If you have concerns about the healing process or the condition of your stitches, do not hesitate to reach out to your healthcare provider for guidance. They can provide you with the most accurate advice tailored to your specific situation and ensure that your recovery proceeds smoothly.

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