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

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Post-operative issues after circumcision?


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 there are blood stains on the bandage every time I change it.
The bruising looks like a blister; is this normal? Additionally, I see that the skin behind the glans has been sutured—will the doctor need to remove those stitches? Also, after urinating, some urine tends to get near the wound; could this lead to an infection? Please help me with these concerns; I'm quite worried.

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

Dr. Xu Weikai reply Urology


Ah Hao: Hello, it's nice to see you again.
After the circumcision surgery, it is normal to experience some bleeding and swelling, so don't worry too much.
However, if the bleeding is excessive, seek medical attention promptly.
For the first two days post-surgery, I recommend applying local ice packs.
A simple method is to fill a plastic bag with ice and water, then wrap it with a towel.
Apply the ice pack for about 5-10 minutes each time, at least 4-6 times a day.
This will effectively reduce local swelling and pain, and promote faster recovery.

Regarding the sutures, depending on the physician's practice and the condition, sometimes non-removable sutures (which will dissolve on their own) are used, while other times, absorbable sutures that need to be removed are utilized.
Urine is a highly irritating fluid and can have a detrimental effect on the wound.
Therefore, if urine comes into contact with the wound, it is best to clean it immediately to thoroughly remove any urine.
If possible, applying an oily antibiotic ointment to the wound can help reduce urine exposure and aid in healing.

Director of Urology, Taitung Hospital, Department of Health, Executive Yuan, Xu Wei-Kai.

Reply Date: 2005/10/14

More Info


Post-circumcision concerns are quite common, and it's important to understand what to expect during the healing process. After a circumcision, it is normal to experience some bruising and swelling around the surgical site. The appearance of bruising, especially if it resembles a blister, can be a result of the surgical procedure and the body's natural healing response. However, if you notice that the bruising is extensive or worsening, or if you experience significant pain, it is advisable to consult your healthcare provider.

Regarding the stitches, most circumcision procedures use dissolvable sutures, which do not require removal. These sutures typically dissolve on their own within a few weeks. However, if your doctor used non-dissolvable stitches, they will need to be removed during a follow-up appointment. It is essential to follow your surgeon's post-operative care instructions regarding the stitches.

As for the concern about urine coming into contact with the surgical site, it is important to keep the area clean and dry to minimize the risk of infection. After urination, gently pat the area dry with a clean cloth or gauze. If urine does come into contact with the wound, it is generally not a cause for immediate concern, but you should monitor the area for signs of infection, which may include increased redness, swelling, warmth, or discharge that is yellow or green in color.

Infections can occur after any surgical procedure, including circumcision. Signs of infection may include persistent pain, fever, or unusual discharge. If you notice any of these symptoms, it is crucial to seek medical attention promptly. Your healthcare provider may recommend topical antibiotics or other treatments to address any potential infection.

In summary, some bruising and swelling after circumcision can be normal, but it is essential to monitor your symptoms and maintain proper hygiene. If you have any concerns about your healing process or if symptoms worsen, do not hesitate to reach out to your healthcare provider for guidance. They can provide you with the best advice tailored to your specific situation and ensure that your recovery proceeds smoothly.

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