Post-Surgery Concerns: Healing Issues and Questions After Urology Procedure

Q: Post-Surgery Concerns: Healing Issues and Questions After Urology Procedure

Hello： 1. Is it normal that the right side of the wound is healing better than the left side, which is healing more slowly? -- Many people experience this. 2. Should I discuss with the surgeon about a few screws on the left side that have surfaced? -- Yes. <br

11 days post-surgery, may I ask?

Hello Doctor, I have a few questions:
1.
Is it normal for the right side of the wound to heal better than the left side, which is healing more slowly?
2.
There are a few screws on the left side that seem to be protruding; should I discuss this with the surgeon?
3.
Is it normal for the area from the left side of the suture to the glans to be red and occasionally itchy?
4.
I have applied medication, but the suture area gets covered as the foreskin retracts.
Should I push the foreskin back to expose the suture area? Thank you, Doctor!

Nǐ hǎ, 20~29 year old female. Ask Date: 2024/04/18

Dr. Du Shixi reply Urology

Hello:
1.
Is it normal that the right side of the wound is healing better than the left side, which is healing more slowly? -- Many people experience this.

2.
Should I discuss with the surgeon about a few screws on the left side that have surfaced? -- Yes.

3.
Is it normal for there to be a large area of redness at the suture site extending to the glans, sometimes accompanied by itching? -- Redness is not normal.

4.
I applied medication, but the suture site is being covered as the foreskin retracts.
Should I push the foreskin back to expose the suture site? -- Do not apply too much force; if possible, it is best to do so.
Wishing you good health.

Reply Date: 2024/04/18

More Info

Post-surgery concerns, especially after urological procedures, can be quite common and often lead to a lot of questions regarding the healing process. Let's address your concerns one by one.

1. Uneven Healing: It is not uncommon for one side of a surgical site to heal faster than the other. Healing can be influenced by various factors, including blood flow, the extent of tissue trauma, and individual differences in healing capacity. The right side may have better blood supply or less tension on the sutures, leading to quicker recovery. However, if you notice significant differences or if the left side shows signs of infection (such as increased redness, swelling, or discharge), it is essential to consult your surgeon.

2. Visible Sutures: If you have noticed that some sutures are protruding or "floating" above the skin, it is advisable to discuss this with your surgeon. Sometimes, sutures can become visible as the surrounding tissue heals. In some cases, they may need to be removed if they are non-absorbable and causing discomfort or irritation. Your surgeon will be able to assess whether these sutures are normal or if they require attention.

3. Redness and Itching: The presence of redness and itching around the incision site can be a normal part of the healing process, especially as the body begins to repair itself. However, if the redness is extensive, increasing, or accompanied by other symptoms such as warmth, swelling, or discharge, it could indicate an infection or an allergic reaction to the sutures or topical medications. It is essential to monitor these symptoms closely and consult your healthcare provider if they worsen.

4. Managing the Incision Site: If the incision site is becoming covered by the foreskin, it is generally advisable to keep the area clean and dry. Gently retracting the foreskin to expose the incision may help in keeping the area ventilated and allow for better healing. However, be cautious not to force it, as this could cause pain or further irritation. If you are unsure about how to manage this, or if it causes discomfort, it is best to consult your surgeon for personalized advice.

In addition to addressing these specific concerns, it is essential to follow general post-operative care guidelines. This includes keeping the surgical site clean, avoiding strenuous activities that could strain the area, and adhering to any prescribed medication regimen for pain or infection prevention. Regular follow-up appointments with your surgeon are crucial for monitoring your recovery and addressing any emerging issues.

If you experience any severe symptoms such as excessive pain, fever, or unusual discharge, seek medical attention promptly. Remember, your healthcare provider is your best resource for addressing any concerns you may have during your recovery process. They can provide tailored advice based on your specific situation and ensure that your healing progresses smoothly.

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