Post-Circumcision Concerns: Common Questions and Answers

Q: Post-Circumcision Concerns: Common Questions and Answers

Hello：<br>1. <br>Because my penis is smaller, I cannot wrap the wound as demonstrated in other tutorials without also covering the glans, which makes it inconvenient for me to urinate. <br>Additionally, the gauze often rubs against the glans. <br>Should I consider using smaller g

Post-operative issues following circumcision?

Hello Doctor, I underwent a circumcision procedure (using a circumcision device) yesterday, and I have a few questions:
1.
Because my penis is relatively small, I cannot cover just the wound as demonstrated in other tutorials; when I cover the wound, the glans also gets covered, making it inconvenient for me to urinate, and the gauze often rubs against the glans.
Should I consider using smaller gauze?
2.
I measured myself before the procedure, and my length is about 4 cm when flaccid and only around 8 cm when erect.
Is this normal? (I have a heavier body weight) Are there any methods to improve this?
3.
How long will the swelling between the glans and the foreskin take to subside?
4.
Should I focus on drinking more water to increase metabolism and circulation, or is it better to drink less water to reduce the frequency of urination and defecation?
Thank you for addressing these questions.

Jun Jun, 10~19 year old female. Ask Date: 2024/06/05

Dr. Du Shixi reply Urology

Hello:
1.
Because my penis is smaller, I cannot wrap the wound as demonstrated in other tutorials without also covering the glans, which makes it inconvenient for me to urinate.
Additionally, the gauze often rubs against the glans.
Should I consider using smaller gauze? — Gauze generally comes in sizes of 4x4, 3x3, and 2x2 inches, and you can choose different sizes when changing the dressing.
2.
I measured myself before the surgery, and my length is about 4 cm when flaccid and only about 8 cm when erect.
Is this normal? (I have a heavier body weight) And are there any methods to improve this? (From personal experience, being overweight can cause pubic fat pad enlargement, which may give the appearance of a smaller penis; weight loss can improve this.)
3.
How long will the swelling between the glans and the foreskin last? It should take about 2 weeks, but it may be more swollen for 3-7 days before gradually subsiding.
4.
Should I drink more water to increase metabolism and circulation, or is it better to limit my water intake to reduce the frequency of urination? At least 2000 cc of water is recommended, and it’s best to limit sugary drinks and spicy foods.
Wishing you good health.

Reply Date: 2024/06/05

More Info

Post-circumcision care is essential for ensuring proper healing and minimizing discomfort. Here are answers to your questions based on common post-operative concerns and medical knowledge:
1. Dressing and Discomfort: It’s not uncommon for patients to experience discomfort when the dressing covers the glans (the head of the penis). If the dressing is too large and causes friction or discomfort, you might consider using a smaller dressing. However, it is crucial to ensure that the wound is adequately protected to prevent infection. You can also try using a non-stick dressing or gauze that is specifically designed for sensitive areas. If the discomfort persists, consult your surgeon for personalized advice.

2. Penile Size Concerns: The size of the penis can vary significantly among individuals, and what you describe (4 cm flaccid and 8 cm erect) falls within a normal range, although it may be on the smaller side. Factors such as weight, hormonal levels, and genetics can influence penile size. If you are concerned about your size, especially in relation to sexual function or self-esteem, discussing this with a healthcare provider or a urologist may provide you with options or reassurance. There are various methods and treatments available, but they should be approached with caution and professional guidance.

3. Swelling Duration: Post-operative swelling (edema) is common after circumcision and can vary from person to person. Typically, swelling may last anywhere from a few days to a couple of weeks. Applying ice packs to the area in the first 24-48 hours can help reduce swelling. If the swelling persists beyond two weeks or worsens, it is advisable to consult your surgeon to rule out any complications such as infection.

4. Hydration and Urination: Staying hydrated is important for overall health and can aid in recovery. However, if you are experiencing discomfort while urinating, it may be beneficial to moderate your fluid intake temporarily to reduce the frequency of urination. This doesn’t mean you should severely limit your water intake, but rather find a balance that allows you to stay hydrated without causing excessive discomfort. Drinking enough water can help with circulation and healing, but listen to your body and adjust accordingly. If you have any concerns about your urinary habits or hydration status, it’s best to discuss them with your healthcare provider.

In summary, post-circumcision care involves managing discomfort, monitoring healing, and ensuring proper hygiene. If you have any persistent concerns or unusual symptoms, such as excessive pain, bleeding, or signs of infection (like fever or pus), it’s crucial to seek medical attention promptly. Your surgeon or healthcare provider can provide tailored advice and support during your recovery.

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