Post-Circumcision Concerns: Why Is My Glans Still Covered? - Urology

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It sounds like you're experiencing some concerns following your circumcision, specifically regarding the exposure of your glans (the head of the penis). It's understandable to feel anxious about this situation, especially if your expectations were not met after the procedure. Let's break down your concerns and provide some insights into what might be happening.

First, it's important to understand that circumcision is a surgical procedure that involves the removal of the foreskin, which is the skin that covers the glans. After a successful circumcision, the glans should typically be exposed. However, there are a few reasons why you might still find your glans covered:
1. Incomplete Circumcision: As you mentioned, the doctor at Tzu Chi Hospital indicated that you might need a second procedure because the initial circumcision may not have removed enough foreskin. This can happen if the surgeon conservatively removes only a portion of the foreskin, which can leave the glans partially or fully covered, especially if the remaining skin is tight.

2. Swelling and Healing: Post-operative swelling is common after circumcision. If there is significant swelling, it may temporarily obscure the glans. As the swelling subsides during the healing process, you may find that the glans becomes more exposed. However, if you are several weeks post-surgery and still experiencing this issue, it may indicate that the initial procedure was not sufficient.

3. Tight Frenulum or Skin: Sometimes, the frenulum (the band of tissue on the underside of the penis) can be tight, which may pull the skin back over the glans, making it difficult for the glans to remain exposed. This can also cause discomfort when attempting to retract the skin.

4. Sensitivity and Pain: You mentioned experiencing pain when trying to push the glans out. This could be due to several factors, including tightness of the remaining skin, sensitivity of the glans (which may be heightened after circumcision), or even scar tissue formation from the initial surgery. Pain is a signal from your body that should not be ignored, and it’s essential to discuss this with your healthcare provider.

Given your situation, it is advisable to follow up with a urologist or the surgeon who performed your circumcision. They can conduct a thorough examination to assess the healing process, the amount of foreskin remaining, and any other anatomical considerations. If a revision circumcision is necessary, they can discuss the risks and benefits with you, ensuring that you have realistic expectations for the outcome.

In the meantime, avoid any forceful attempts to retract the skin, as this can lead to further pain or injury. It's also important to maintain proper hygiene in the area to prevent any potential infections, especially if the glans is still covered.

Lastly, remember that every individual's healing process is different, and while some may have immediate exposure of the glans post-circumcision, others may require additional procedures or time for healing. Open communication with your healthcare provider is key to addressing your concerns and ensuring that you receive the appropriate care.