Post-Circumcision Care: Addressing Common Concerns and Questions

Q: Post-Circumcision Care: Addressing Common Concerns and Questions

Hello： <br>1. <br>Is it normal for the area covered by the foreskin to appear a bit white and somewhat rotten (without redness, swelling, itching, or pain) and to have some flaking and a sticky feeling? ---> It is important to keep the area clean and dry; if it gets wet, make sur

Post-circumcision care

Hello Doctor, I have been one month post-surgery and would like to ask you a few questions:
1.
The area covered by the foreskin appears a bit white and somewhat raw.
Is this normal? (There is no redness, swelling, itching, or pain), and it looks a bit flaky and sticky.

2.
The sutured area looks dark, almost charred, and feels hard to the touch.
What could be the reason for this?
3.
Should I apply Lidocaine or Clotrimazole on the affected area?
Thank you, Doctor.

Nǐ hǎ, 20~29 year old female. Ask Date: 2024/05/09

Dr. Du Shixi reply Urology

Hello:
1.
Is it normal for the area covered by the foreskin to appear a bit white and somewhat rotten (without redness, swelling, itching, or pain) and to have some flaking and a sticky feeling? ---> It is important to keep the area clean and dry; if it gets wet, make sure to dry it thoroughly.
If the condition persists, medical treatment may be necessary, as it is likely due to moisture and heat causing changes in the skin.
2.
Why does the sutured area look black and feel hard, resembling something burnt? ---> Please return for a follow-up appointment, as it may be a scar or a scab that has not yet fallen off.
3.
Which ointment should I apply, Licochalcone or Clotrimazole? ---> Please return for a follow-up appointment.
Wishing you good health.

Reply Date: 2024/05/09

More Info

Post-circumcision care is crucial for ensuring proper healing and minimizing complications. It’s common for patients to have concerns about the appearance and sensations in the surgical area after the procedure. Here’s a detailed response to your questions:
1. White and Sloughing Appearance: It is not uncommon for the area where the foreskin was removed to appear white and somewhat sloughy after circumcision. This can be due to a combination of healing tissue and the formation of a protective layer of dead skin cells. As long as there is no redness, swelling, itching, or pain, this is generally a normal part of the healing process. The white appearance can also be attributed to the presence of a fibrin layer, which is a natural part of wound healing. However, if you notice any signs of infection, such as increased redness, warmth, or discharge that is yellow or green, you should consult your healthcare provider.

2. Black and Hard Sutures: The sutures used during circumcision are often absorbable, and they may appear black or dark as they dissolve. The hardness you feel could be due to the sutures themselves or the surrounding tissue healing. This is typically normal, but if the area feels excessively hard or if there are any signs of infection or unusual pain, it’s important to follow up with your doctor. The appearance of the sutures will change as they dissolve, and they should not be a cause for concern unless accompanied by other symptoms.

3. Use of Topical Treatments: When it comes to applying topical treatments like 利膚 (Lifuf) and 褐黴素 (Browning), it’s essential to follow your doctor’s recommendations. Generally, if your doctor has prescribed a specific ointment for healing, it’s best to use that. If you are unsure which product to use, consult your healthcare provider for guidance. They can provide specific instructions based on your healing progress and any particular needs you may have.

Additional Care Tips:
- Hygiene: Keep the area clean and dry. Gently wash with mild soap and water, and pat dry. Avoid scrubbing the area to prevent irritation.

- Moisturizing: If your doctor recommends it, applying a thin layer of a suitable ointment can help keep the area moisturized and promote healing.

- Avoid Irritants: Stay away from harsh soaps, lotions, or any products that could irritate the sensitive skin during the healing process.

- Monitor for Complications: Keep an eye out for any signs of infection, such as increased pain, swelling, or discharge. If you experience any unusual symptoms, contact your healthcare provider promptly.

- Follow-Up Appointments: Attend any scheduled follow-up appointments with your doctor to ensure that healing is progressing as expected.

In conclusion, while some changes in appearance and sensation are normal after circumcision, it’s essential to remain vigilant for any signs of complications. If you have any doubts or concerns, don’t hesitate to reach out to your healthcare provider for personalized advice and reassurance. Proper post-operative care is key to a smooth recovery and minimizing any potential issues.

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