Post-Circumcision Concerns: What to Expect After Surgery - Urology

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Post-operative issues after circumcision?


Hello Doctor, today is the third day after my circumcision surgery, exactly 72 hours post-operation.
Here are my current conditions based on the images:
1.
In Image 1, there is a slight bleeding in one area.
Is this normal, or does it indicate that my sutures have come undone? I'm unsure if this is just from the staples or if the doctor used hand sutures.

2.
Is the swelling around the incision normal? I'm not sure how to determine if the redness or discoloration is excessive.

3.
In Image 2, there are many suture ends near the frenulum.
Is this normal? I also don't understand why there are still so many visible sutures even though I had a circumcision.

Mr. Hsieh, 10~19 year old female. Ask Date: 2024/06/07

Dr. Du Shixi reply Urology


Hello:
1.
There is slight bleeding in Figure 1.
Is this normal, or has my suture come undone? I'm not sure if it's just the staples or if the doctor also did some hand suturing.
🥲 --- This is likely oozing; please avoid erections.
2.
Is the swelling around this area normal? I'm not quite sure how to determine if the color is more normal, red, or dark.
--- The color is within the normal range.
3.
In Figure 2, there are many loose threads near the ligature.
Is this normal? I don't understand why, even after using the foreskin clamp, there are still many areas with sutures.
--- This may lead to bleeding; the doctor will address it, so please consult your physician.
Wishing you good health.

Reply Date: 2024/06/07

More Info


After undergoing circumcision, it's common to have concerns about the healing process and what to expect in the days following the surgery. Here’s a detailed overview addressing your questions and providing additional insights into post-circumcision care.

1. Minor Bleeding: It’s not unusual to experience some minor bleeding in the days following circumcision. The presence of slight blood in the area, as seen in your first image, can be a normal part of the healing process. However, if the bleeding is persistent or increases in volume, it could indicate a complication, such as a loose suture or an issue with the healing tissue. If you suspect that a stitch has come undone, or if you have concerns about the amount of bleeding, it’s essential to contact your healthcare provider for an evaluation. They can determine whether the bleeding is within normal limits or if intervention is needed.

2. Swelling: Swelling around the surgical site is also a common occurrence after circumcision. The degree of swelling can vary from person to person, but it typically peaks within the first few days post-surgery and gradually subsides. The area may appear red and swollen, which is a normal inflammatory response as your body begins to heal. However, if the swelling worsens, or if you notice increased redness, warmth, or discharge that appears pus-like, these could be signs of infection. In such cases, it’s crucial to seek medical advice promptly.

3. Suture Visibility: The presence of suture ends near the frenulum (the band of tissue on the underside of the penis) is not uncommon. Depending on the technique used by your surgeon, some sutures may be absorbable and will dissolve on their own, while others may need to be removed. If you see multiple suture ends, it could be that the surgeon used a combination of techniques or that some sutures are still in place. If you’re unsure about the type of sutures used or if they should be trimmed or removed, it’s best to consult your surgeon. They can provide clarity on whether the sutures are normal and when you can expect them to dissolve or be removed.


Additional Post-Circumcision Care Tips:
- Hygiene: Keep the area clean and dry. Gently wash with mild soap and water, and avoid any harsh chemicals or fragrances that could irritate the skin.


- Pain Management: If you experience discomfort, over-the-counter pain relievers such as acetaminophen or ibuprofen can be helpful. Always follow the dosage instructions provided by your healthcare provider.

- Activity Restrictions: Avoid strenuous activities, including heavy lifting or vigorous exercise, for at least a week or as advised by your surgeon. This helps prevent complications and promotes healing.

- Follow-Up Appointments: Attend any scheduled follow-up appointments with your surgeon. They will assess your healing progress and address any concerns you may have.

- Signs of Complications: Be vigilant for signs of complications, such as excessive bleeding, increasing pain, fever, or unusual discharge. If you notice any of these symptoms, contact your healthcare provider immediately.

In conclusion, while some bleeding, swelling, and visible sutures can be normal after circumcision, it’s essential to monitor your healing closely and communicate with your healthcare provider about any concerns. Proper care and attention to your body’s signals will help ensure a smooth recovery.

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