Post-Circumcision Concerns: Managing Bruising and Recovery Tips - Urology

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After circumcision


Hello, I had a circumcision on April 12th, and it has been about five days since then.
I have noticed a hematoma that appears purple below the glans, and the area connected to the glans also looks bruised and purple.
Additionally, I often feel tightness and discomfort in the bruised area.

1.
How can I know when it is safe to take a normal shower?
2.
I frequently feel itching at the tip; how should I manage that?
3.
If I experience frequent erections, will it slow down the resolution of the hematoma? However, the main concern is the area below the glans and the bruising, which is quite troubling for me! I am worried about potential complications!

Ou Zai, 20~29 year old female. Ask Date: 2006/04/17

Dr. Lai Ronghao reply Urology


Hello: 1.
You can take a shower 2 to 3 days after surgery, but you must be able to change the dressing yourself.
2.
It is best not to scratch the suture site when it itches to avoid skin breakdown and infection.
3.
Bruising usually resolves within 1 to 2 weeks, unless there is bleeding.
If you are concerned about any complications, please consult your surgeon for further discussion.
Thank you!

Reply Date: 2006/04/17

More Info


After circumcision, it is common to experience some bruising and swelling in the area, particularly around the glans (the head of the penis). The presence of a hematoma (a localized collection of blood outside of blood vessels) can also lead to discoloration and discomfort. Here are some insights and recommendations regarding your concerns:
1. Understanding Bruising and Swelling: The bruising and swelling you are experiencing are typical after a circumcision. The tightness and discomfort you feel in the bruised area may be due to the swelling and the healing process. It is essential to monitor the area for any signs of infection, such as increased redness, warmth, or discharge. If the bruising does not improve or worsens, it is advisable to consult your healthcare provider.

2. Bathing Guidelines: Generally, you can start taking showers 24 to 48 hours after the procedure, but it is crucial to avoid soaking in baths or swimming pools until the area has healed sufficiently. You should wait until any stitches (if applicable) have dissolved or been removed, and the area is no longer oozing or bleeding. Typically, this can take about one to two weeks, but it varies from person to person. Always follow your surgeon's specific instructions regarding bathing and care.

3. Dealing with Itching: Itching is a common sensation during the healing process. It is essential to avoid scratching the area, as this can lead to irritation or infection. You can manage itching by keeping the area clean and dry. If the itching persists or becomes bothersome, consider using a mild, fragrance-free moisturizer or consult your healthcare provider for recommendations on safe topical treatments.

4. Impact of Erections on Healing: Frequent erections can indeed cause discomfort and may potentially prolong the healing process if they lead to increased swelling or strain on the surgical site. If you find that you are experiencing frequent erections, it may help to wear supportive underwear to minimize movement and discomfort. If you are concerned about the frequency of erections or if they are causing significant pain, it is best to discuss this with your doctor.

5. Monitoring for Complications: While bruising and swelling are normal, you should be vigilant for any signs of complications. If you notice increasing pain, fever, or any unusual discharge from the surgical site, seek medical attention promptly. Additionally, if the hematoma does not resolve or if you have concerns about the healing process, it is essential to follow up with your healthcare provider.

In summary, while some bruising and discomfort are expected after circumcision, it is crucial to monitor your symptoms and follow proper care guidelines. If you have any concerns about your recovery or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your health and comfort are paramount, and addressing any issues early can help ensure a smoother recovery process.

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