Post-Circumcision Swelling: Common Concerns and Management Tips - Urology

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Post-circumcision edema


I apologize for bothering you, but I have a few questions I'd like to ask!
1.
I am currently five days post-surgery, and the swelling of the foreskin is quite uncomfortable.
Should I go back for a consultation to get medication for the swelling? Would that be effective?
2.
Is it normal for the wound to be swollen five days post-surgery, or am I just being overly anxious?
3.
Since I am somewhat overweight and have more fat around the pubic area, I can't wrap the dressing properly when changing it.
The area below the glans and the frenulum is extremely swollen! Can I only use warm compresses and gently massage the swollen areas?
4.
Sometimes the sutures on the glans seem to press against it! Is the pain from the sutures pressing on the glans due to the swelling? Will this issue resolve once the swelling goes down?
5.
How long does it typically take for the swelling to start subsiding? Right now, the swelling is my main concern!
6.
Should I continue to wrap the wound with an elastic bandage around the penis? I can't wrap the area near the frenulum properly! I'm worried that using the elastic bandage might obstruct venous return and cause more swelling?!
7.
Should I continuously apply pressure to the swollen areas? Since I need to return to work, I can't keep applying pressure! Or will the swelling gradually subside over time?
Thank you for addressing these concerns, as the swelling issue is really troubling me!

Niming, 20~29 year old female. Ask Date: 2024/07/15

Dr. Du Shixi reply Urology


Hello:
1.
I am currently on the fifth day post-surgery, and the swelling of the foreskin is a bit uncomfortable! Should I go back for a consultation to get medication for the swelling? --> Yes, that would be appropriate.
2.
Is it normal for the wound to be swollen on the fifth day post-surgery? Or am I just overthinking because I'm anxious? --> As long as there is no redness, it is mostly normal.
3.
Because I am overweight and have more fat around the pubic area, I can't wrap it properly when changing the dressing, and the area below the glans and the frenulum is extremely swollen! --> As long as there is no redness, it should be okay.
Can I only apply warm compresses and gently massage the swollen area? --> No need to massage, as it may cause issues with the wound.
4.
Sometimes the sutures on the glans can press against it! Is the pain from the sutures pressing against the glans due to the swelling? --> This is a clinical issue; please return for a follow-up.
After the swelling subsides, this problem should resolve, right? --> It should not be an issue.
5.
How many days does it usually take for the swelling to start to subside? Currently, the swelling is what bothers me the most! It usually takes a few weeks to completely resolve.
6.
Should I still be wrapping the wound with an elastic bandage around the penis? I can't wrap the area near the frenulum! I'm worried that using an elastic bandage might obstruct blood flow and cause more swelling?! --> It should not cause that issue.
7.
Should I continuously apply pressure to the swollen area? Since I need to return to work, I can't keep applying pressure! Or will it gradually subside over time? --> Using a compression bandage will provide the necessary pressure.
Wishing you good health!

Reply Date: 2024/07/15

More Info


Post-circumcision swelling is a common concern for many patients following the procedure. It is important to understand that some degree of swelling is normal after circumcision, but there are ways to manage it effectively. Let’s address your questions one by one.

1. Post-operative Swelling and Medication: It is not uncommon to experience swelling five days post-circumcision. If the swelling is causing significant discomfort, it is advisable to consult your healthcare provider. They may prescribe medications such as anti-inflammatory drugs or recommend over-the-counter options to help reduce swelling and alleviate discomfort.

2. Normalcy of Swelling: Swelling at this stage can be considered normal, especially if you are following post-operative care instructions. However, if the swelling seems excessive or is accompanied by other symptoms such as severe pain, fever, or discharge, it is crucial to seek medical attention to rule out any complications.

3. Managing Swelling with Heat and Pressure: Since you mentioned that you have a higher amount of fat in the pubic area, it can sometimes complicate the healing process. Applying warm compresses can help improve circulation and reduce swelling. Gentle pressure can also be beneficial, but be cautious not to apply too much force, as this could cause additional discomfort or injury.

4. Pain from Sutures: If you are experiencing pain from the sutures pressing against the glans (the head of the penis), it could indeed be due to swelling. As the swelling decreases, the pressure on the sutures should also lessen, which should alleviate the pain. If the pain persists or worsens, it is essential to consult your doctor.

5. Duration of Swelling: Swelling typically begins to subside within a few days to a week after surgery. However, individual healing times can vary. If you notice that the swelling is not improving after a week or is worsening, it is important to follow up with your healthcare provider.

6. Dressing and Compression: It is generally recommended to keep the area clean and dry. If you are using an elastic bandage, ensure it is not too tight, as this can impede blood flow and exacerbate swelling. If you cannot adequately dress the area due to swelling, it may be best to leave it uncovered or use a loose dressing to allow for air circulation while still providing some protection.

7. Managing Pressure and Activity: While gentle pressure can help with swelling, it is important not to overdo it, especially as you return to your daily activities. If you are starting to work again, try to avoid activities that may strain the area. Allow your body to heal naturally; the swelling should gradually decrease over time without excessive manipulation.

In summary, while some swelling is normal after circumcision, it is essential to monitor your symptoms. If you have concerns about the swelling or any other post-operative symptoms, do not hesitate to reach out to your healthcare provider for personalized advice and treatment options. Proper care and attention to your body’s signals will help ensure a smooth recovery process.

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