Post-Surgery Concerns: Recovery After Circumcision

Could you please ask your question again?

Hello, doctor.
I apologize for asking you a few questions...

1.
I had a circumcision on March 13.
Although the stitches have been removed, there seems to be some swelling or excess tissue beneath the glans.
It looks uncoordinated, but it doesn't hurt much when I press on it.
Is this a result of the surgery? What can I do to reduce it?
2.
I underwent laser circumcision, and the surface of my penis is uneven.
Is this a normal phenomenon? How long will it take to resolve? Will the scars from the surgery disappear?
3.
The skin color of my penis seems different from before.
How can I increase the melanin in my penis? If I want to sunbathe, should I apply sunscreen?
4.
I experience premature ejaculation and sometimes have difficulty maintaining an erection.
I don't engage in sexual activity very frequently.
What could be the underlying factors? I previously consulted a traditional Chinese medicine practitioner, but there was no improvement, so I am considering seeing a Western doctor.
Should I start taking oral medication for improvement? If so, what medications should I consider? Given my current age and unmarried status, is medication necessary?
5.
When I was younger, I fell and injured my penis, causing significant bruising.
It was painful to touch and urinate at the time, but I didn't seek medical attention, thinking it would heal on its own.
It seems that my penis development has been affected since then, as it hasn't grown further.
Given my current age, is there still room for development? How can I improve the size of my penis? Could the injury be related to my current issues with incomplete erections and premature ejaculation?
These are my questions, and I apologize for the number of them.
Thank you for your help!

Xiao Nan, 20~29 year old female. Ask Date: 2007/04/01

Dr. Xu Weikai reply Urology

Hello, regarding your question, since some descriptions are not very clear, I can only provide a brief response as follows:
1.
You had a circumcision on March 13, and it has been about three weeks since then.
Normally, the wound should have initially healed, but it is not fully recovered yet and is still in the healing process.
There may be localized swelling that feels like a small water balloon or moisture under the skin, which is normal and should gradually improve over time.
To expedite recovery, you can gently massage the area and apply warm compresses.
2.
Regarding laser circumcision, the wounds are usually quite smooth and the incisions clean.
Any irregularities may be due to the healing process, which can be related to individual healing characteristics.
Scars from the surgery will not disappear but will gradually blend in color with the surrounding skin.
3.
The skin tone after surgery may appear different from before because the inner foreskin is mucosal tissue while the outer side is skin.
After the surgery, when these two are sutured together, it creates a stark contrast, making it seem like the color has changed compared to before the surgery.
In reality, the surgery does not affect the epidermal color; it is merely an illusion.
I am not aware of any methods to increase melanin in the penis, as this issue has not been commonly discussed.
4.
Premature ejaculation is often observed in young individuals with limited sexual experience.
This is because younger people tend to be more sensitive and inexperienced, which can lead to occurrences of premature ejaculation.
5.
Injuries to the penis are generally minor and do not require excessive concern, as they usually heal on their own.
To determine if there are any long-term effects, a consultation with a physician is necessary, as this cannot be assessed online.
I hope this brief response is helpful to you.

Sincerely,
Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2007/04/01

More Info

After undergoing circumcision, it's common to have various concerns regarding recovery and the changes that occur in the genital area. Let's address your questions one by one.

1. Swelling or Excess Tissue Under the Glans: It's not unusual to experience some swelling or a feeling of excess tissue under the glans (the head of the penis) after circumcision. This can be due to the healing process, as the body responds to the surgical trauma. The tissue may appear slightly puffy or uneven, but if you are not experiencing significant pain when pressing on it, this is generally a normal part of recovery. To help reduce swelling, you can apply a cold compress to the area, but make sure to avoid direct contact with ice. Over time, as the healing progresses, this swelling should subside. If it persists or worsens, it would be wise to consult your surgeon.

2. Uneven Surface of the Penis: After laser circumcision, it is also common for the surface of the penis to feel uneven or bumpy. This irregularity is typically due to the healing of the skin and the underlying tissues. As the area heals, these irregularities should gradually smooth out, usually within a few weeks to a couple of months. Scarring is a natural part of the healing process, and while some scars may fade over time, they may not completely disappear. Proper wound care and following your surgeon's post-operative instructions can help minimize scarring.

3. Changes in Skin Color: It's not uncommon for the skin color of the penis to change after surgery. This can be due to several factors, including healing and the removal of the foreskin, which may expose a different layer of skin. If you are concerned about the color, it's important to avoid excessive sun exposure without protection, as this can lead to skin damage. If you do plan to expose the area to sunlight, applying a broad-spectrum sunscreen is advisable to protect the skin. However, it's best to consult with a dermatologist or your surgeon for personalized advice on skin care and pigmentation.

4. Concerns About Premature Ejaculation and Erection Issues: Early ejaculation and difficulties with maintaining an erection can be influenced by a variety of factors, including psychological aspects, hormonal levels, and physical health. If you have not seen improvement with traditional treatments, it may be beneficial to consult a urologist or sexual health specialist. They can evaluate your situation and discuss potential treatments, which may include behavioral techniques, counseling, or medications. It’s important to address these concerns openly with a healthcare provider who can guide you based on your specific needs.

5. Past Trauma and Development: The trauma you experienced as a child could potentially have an impact on your current sexual health, including issues with erections and ejaculation. However, it’s essential to understand that many factors contribute to sexual function, and past injuries are just one aspect. If you are concerned about your development or size, it’s best to consult a urologist. They can provide a thorough evaluation and discuss any potential treatments or interventions that may be appropriate for you.

In summary, while many of your concerns are common after circumcision, it is crucial to maintain open communication with your healthcare provider. They can provide tailored advice and reassurance as you navigate your recovery. If any symptoms worsen or you have persistent concerns, do not hesitate to seek medical attention. Your health and comfort are paramount, and there are professionals who can help you through this process.

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