Post-Circumcision Concerns: Bruising, Stitches, and Infection Risks

Prepuce issues

I recently underwent a circumcision a few days ago, and the bandage has been removed.
I'm currently applying a medication similar to ointment.
I've noticed what appears to be bruising under the glans, and every time I change the dressing, there are blood stains on the gauze.
The bruising looks like a blister; is this normal? Additionally, after the surgery, I noticed that the skin behind the glans has been sutured.
Do these stitches need to be removed by a doctor? Also, after urinating, some urine tends to get on the wound area; could this lead to an infection? Please help me with these concerns; I'm quite distressed.

Ahao, 10~19 year old female. Ask Date: 2005/10/14

Dr. Liu Jianting reply Urology

The circumcision procedure can indeed cause some discomfort for a period of time as described.
If the wound has not opened, there should be no issues.
During this time, it is advisable for the penis to remain calm.
If the sutures are dissolvable, there may be no need for removal.
If there are any concerns, it is best to consult the surgeon who performed the procedure.

Reply Date: 2005/10/14

More Info

After undergoing a circumcision procedure, it's common to have concerns about healing, bruising, stitches, and the risk of infection. Let's address your specific questions and provide some general information regarding post-operative care.

1. Bruising and Discoloration: It's not unusual to see some bruising or discoloration around the surgical site after circumcision. This can appear as a bluish or purplish area, often resembling a bruise or blister. The presence of blood on the dressing when you change it can also be expected, especially in the initial days following the surgery. However, if the bleeding is significant or if the bruising worsens, it is advisable to consult your healthcare provider to rule out any complications.

2. Stitches: The stitches used during circumcision are typically absorbable, meaning they will dissolve on their own over time. In many cases, there is no need for a follow-up visit to have them removed. However, if your doctor used non-absorbable stitches, they will need to be removed, usually within a week or two after the procedure. It’s best to follow your surgeon's post-operative instructions regarding the stitches.

3. Urine and Infection Risks: It’s common for some urine to come into contact with the surgical site, especially in the early days post-surgery. While urine is generally sterile, it can still cause irritation to the healing tissue. To minimize the risk of infection, it’s important to keep the area clean and dry. After urination, gently pat the area dry with a clean cloth or tissue. If you notice increased redness, swelling, or discharge that appears yellow or green, these could be signs of infection, and you should seek medical attention.

4. Post-operative Care: Continue applying any topical medications as prescribed by your doctor. Keep the area clean by gently washing it with mild soap and water, and avoid any harsh chemicals or fragrances. Wearing loose-fitting underwear can help reduce irritation. If you experience significant pain, swelling, or any unusual symptoms, don’t hesitate to reach out to your healthcare provider.

5. When to Seek Help: If you notice any of the following, it’s important to contact your doctor:
- Increased bleeding that doesn’t stop with gentle pressure.

- Signs of infection, such as fever, increased pain, or unusual discharge.

- Any concerns about the appearance of the surgical site that seem abnormal.

In summary, while some bruising and minor bleeding can be normal after circumcision, it’s essential to monitor your healing closely. Follow your doctor's post-operative care instructions, and don’t hesitate to reach out to them with any concerns. Your health and comfort are paramount, and your healthcare provider is there to help ensure a smooth recovery.

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