Post-Circumcision Concerns: Gland and Suture Issues - Urology

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After undergoing circumcision, it is common to have concerns about the healing process, particularly regarding the glans (the head of the penis) and the sutures used during the procedure. Your experience of the glans retracting and needing to be gently pushed out to apply ointment is not unusual, especially in the early days following surgery. Here’s a detailed explanation of what you might expect during the recovery phase and some insights into the healing process.


Normal Healing Process
1. Initial Recovery: In the first few days post-surgery, it is typical for the area to be sensitive. The glans may appear to retract or seem less prominent due to swelling or the natural healing process. This is often exacerbated by the sutures, which can create tension around the area.

2. Suture Management: The sutures used in circumcision are generally absorbable, meaning they will dissolve over time. However, until they do, they can cause some discomfort and may contribute to the sensation of the glans retracting. It is essential to follow your surgeon's instructions regarding suture care and to keep the area clean and dry to prevent infection.

3. Ointment Application: When applying ointment, it is crucial to be gentle. If the glans retracts, you can carefully push it out to apply the medication. It’s important to ensure that the ointment reaches the suture area to promote healing and prevent any potential irritation or infection.


When to Be Concerned
1. Signs of Infection: While you mentioned there is no redness or swelling, it is essential to monitor for any signs of infection, such as increased pain, discharge, or fever. If you notice any of these symptoms, it is crucial to contact your healthcare provider.

2. Persistent Retraction: If the retraction of the glans continues beyond the initial healing phase (typically a few weeks), or if it becomes painful, it may warrant further evaluation. Sometimes, the glans can become adherent to the surrounding tissue, which may require medical intervention.

3. Follow-Up Appointments: Ensure that you attend any scheduled follow-up appointments with your surgeon. They can assess the healing process and address any concerns you may have. It’s also a good opportunity to discuss the retraction issue and get professional advice tailored to your situation.


Additional Considerations
- Hygiene: Maintaining proper hygiene is vital during the healing process. Gently clean the area as advised by your surgeon, and avoid any harsh soaps or irritants that could impede healing.

- Activity Restrictions: Follow any activity restrictions provided by your surgeon. Avoiding strenuous activities or sexual intercourse until cleared by your doctor can help prevent complications.

- Patience: Healing from circumcision can take time, and each person’s recovery is different. It’s essential to be patient and give your body the time it needs to heal properly.

In summary, while your experience of the glans retracting is not uncommon, it is essential to monitor the healing process closely. If you have any concerns or if the situation does not improve, do not hesitate to reach out to your healthcare provider for further guidance. Your recovery is important, and ensuring that you have the right support and information will help you navigate this phase effectively.