Post-Circumcision Care: Healing and Concerns - Urology

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Post-circumcision care


I had a circumcision on July 10th using a circumcision device.
Today, July 22nd, when I changed the dressing, I noticed what appears to be a separation underneath the stitches below the frenulum.
There is no bleeding or significant pain, and I can still see the stitches trapped inside.
Is this normal?

Niming, 10~19 year old female. Ask Date: 2024/07/22

Dr. Du Shixi reply Urology


Hello: If you see any stitches, please return for a follow-up appointment.
Wishing you good health.

Reply Date: 2024/07/22

More Info


Post-circumcision care is crucial for ensuring proper healing and minimizing complications. After a circumcision, especially when performed with a device like a circumcision clamp, patients may experience various healing stages, and it is essential to monitor the surgical site closely.

In your case, noticing what appears to be a separation or opening beneath the stitches (sutures) is not uncommon. It is important to remember that the healing process can vary significantly from person to person. Here are some key points to consider regarding your situation:
1. Normal Healing Process: After circumcision, the area may appear red or swollen, and there might be some discharge. The stitches used for closure are typically absorbable, and they will dissolve over time. It is not unusual for the area to look a bit different as it heals, including some separation of the tissue.

2. Signs of Infection: While you mentioned there is no bleeding or significant pain, it is essential to keep an eye out for signs of infection. Symptoms to watch for include increased redness, swelling, warmth around the area, pus or unusual discharge, and fever. If any of these symptoms develop, it is crucial to seek medical attention promptly.

3. Sutures Visibility: Seeing the sutures beneath the skin is not necessarily a cause for alarm, especially if they are absorbable. However, if they appear to be protruding excessively or if you notice any unusual changes, it is advisable to consult with your healthcare provider.

4. Care Instructions: Continue to follow the post-operative care instructions provided by your surgeon. This typically includes keeping the area clean and dry, avoiding any strenuous activities, and not exposing the area to irritants. If you were advised to use a specific type of dressing or ointment, ensure you are adhering to those guidelines.

5. Follow-Up Appointments: It is essential to attend any scheduled follow-up appointments with your surgeon. They will be able to assess the healing process and address any concerns you may have. If you are uncertain about the appearance of the site or if you have any discomfort, do not hesitate to reach out to your healthcare provider before your next appointment.

6. When to Seek Help: If you experience increased pain, bleeding, or any other concerning symptoms, it is important to contact your healthcare provider immediately. They may want to evaluate the site to ensure that healing is progressing as expected.

In summary, while some separation of the tissue beneath the sutures can be part of the normal healing process, it is essential to monitor the area for any signs of complications. Keeping in touch with your healthcare provider and following their advice will help ensure a smooth recovery. If you have any further concerns or questions, do not hesitate to reach out to your medical team for guidance.

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