Post-Surgery Phimosis: Causes, Symptoms, and Solutions

Phimosis

Hello Doctor: I had penile surgery on November 21st, and now the foreskin has swollen.
The doctor told me that the swelling would subside within 3 days to 3 months.
Is that true? Because it has already been over a month, and I'm really anxious.
The area under the foreskin is swollen, somewhat like edema but not quite.
The foreskin feels a bit hard, and it seems thick and taut.
It's quite uncomfortable during erections because the swollen foreskin constricts.
Additionally, with the swelling, I can't retract it to its original position, which leaves my glans exposed.
This is really troubling for me.
What should I do, Doctor? Thank you.

Ahao, 20~29 year old female. Ask Date: 2006/12/27

Dr. Lin Wenxu reply Urology

Swelling (H swelling) after circumcision surgery often takes 2-3 months to resolve and usually heals on its own, so there is no need for excessive concern.
It is also normal for the surgical site to feel like a harder ring; the duration of this sensation can be related to the presence of infection and individual healing factors.
If there is no infection, it typically softens on its own.
If there are any concerns, it is advisable to return to the urology clinic for a follow-up examination, which should provide reassurance.

Reply Date: 2006/12/27

More Info

Post-surgery phimosis can be a distressing condition, especially after undergoing a surgical procedure on the penis. Phimosis refers to the inability to retract the foreskin over the glans (the head of the penis). While it is common in infants and young children, it can also occur in adults, particularly after surgery.

Causes of Post-Surgery Phimosis
1. Swelling and Inflammation: After surgery, it is normal for the area to swell due to inflammation. This can lead to temporary phimosis, where the foreskin becomes tight and difficult to retract.

2. Scarring: Surgical procedures can lead to scar tissue formation, which may cause the foreskin to become less elastic. This scarring can result in a condition known as "tight foreskin," which can make retraction painful or impossible.

3. Infection: If there is an infection at the surgical site, it can cause increased swelling and discomfort, exacerbating the phimosis.

4. Fluid Accumulation: Sometimes, fluid can accumulate under the skin, leading to a condition that resembles edema. This can make the foreskin appear swollen and tight.

Symptoms
- Swelling: The foreskin may appear swollen and feel tight.

- Pain or Discomfort: Especially during erections, the tightness can cause pain or discomfort.

- Difficulty Retracting the Foreskin: You may find it hard to push the foreskin back to expose the glans.

- Visible Changes: The skin may appear thickened or hardened.

Solutions and Recommendations
1. Observation: In many cases, post-surgical swelling can resolve on its own within a few weeks to a few months. Your doctor may have advised you that the swelling could take anywhere from 3 days to 3 months to subside.
2. Gentle Care: Ensure that you are keeping the area clean and dry. Avoid any harsh soaps or irritants that could exacerbate the swelling.

3. Warm Compresses: Applying warm compresses to the area may help reduce swelling and promote healing.

4. Topical Treatments: Your doctor may recommend topical corticosteroids to reduce inflammation and help with skin elasticity.

5. Follow-Up with Your Surgeon: If the swelling persists beyond the expected time frame or if you experience increased pain, it is crucial to follow up with your surgeon. They can assess the situation and determine if further intervention is necessary.

6. Surgical Revision: In some cases, if conservative measures do not alleviate the symptoms, a minor surgical procedure may be required to correct the phimosis.

7. Avoiding Sexual Activity: Until the swelling has resolved and you can comfortably retract the foreskin, it may be wise to avoid sexual activity to prevent further irritation or injury.

Conclusion
It is understandable to feel anxious about your condition, especially when it affects your comfort and sexual health. While post-surgery phimosis can be concerning, many cases resolve with time and proper care. However, if you continue to experience significant discomfort or if the condition does not improve, it is essential to seek medical advice promptly. Your healthcare provider can offer tailored solutions based on your specific situation and ensure that you receive the appropriate care. Remember, open communication with your doctor is key to managing your recovery effectively.

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