Post-Surgery Complications: Swelling of the Foreskin - Urology

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It sounds like you are experiencing significant discomfort following your penile surgery, specifically with swelling of the foreskin. Post-surgical swelling is a common occurrence, but it can be concerning, especially when it affects your daily life and comfort. Let's address your concerns in detail.

1. Understanding Post-Surgical Swelling: After any surgical procedure, including penile surgery, it is normal to experience some degree of swelling. This is part of the body's natural healing process as it responds to the trauma of surgery. Typically, swelling can last anywhere from a few days to several weeks, depending on the extent of the surgery and individual healing responses. In your case, since it has been over a month, it is important to monitor the situation closely.

2. Duration of Swelling: Your doctor mentioned that swelling could persist for 3 days to 3 months. While this is a broad range, most swelling should start to subside significantly within the first few weeks. If you are still experiencing significant swelling after a month, it may be worth discussing this with your healthcare provider. They may want to assess whether the swelling is due to normal healing or if there is another underlying issue, such as infection or fluid accumulation.

3. Symptoms to Watch For: You mentioned that the foreskin feels hard and thick, and that you experience discomfort during erections. These symptoms can indicate that the swelling is not resolving as expected. Additionally, if you notice increased redness, warmth, or discharge, these could be signs of infection, which would require prompt medical attention.

4. Managing Discomfort: In the meantime, there are a few strategies you can employ to manage your discomfort:
- Cold Compress: Applying a cold compress to the area can help reduce swelling and alleviate pain. Make sure to wrap ice in a cloth to avoid direct contact with the skin.

- Elevation: Keeping the area elevated can also help reduce swelling. Try to avoid prolonged sitting or standing.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. However, consult your doctor before taking any medication.

5. Follow-Up with Your Doctor: Given the ongoing nature of your symptoms, it is crucial to follow up with your surgeon or a urologist. They can perform a physical examination to determine the cause of the swelling and recommend appropriate treatment. This may include medications, further imaging studies, or even a minor procedure to address any complications.

6. Long-Term Considerations: If the swelling does not improve or if you continue to have difficulty with the foreskin, your doctor may discuss further options with you. This could include surgical revision or other interventions to alleviate the symptoms and restore normal function.

In conclusion, while some swelling is expected after penile surgery, persistent or worsening symptoms warrant further evaluation. It is essential to communicate openly with your healthcare provider about your concerns and symptoms to ensure appropriate care and management. Your comfort and health are paramount, and addressing these issues early can lead to better outcomes.