Post-Circumcision Care: Managing Swelling and Concerns After Surgery

Q: Post-Circumcision Care: Managing Swelling and Concerns After Surgery

ADA： Hello, in a typical circumcision procedure, especially in cases of complete phimosis like yours, the surgery will fully expose the glans for easier cleaning. <br>Postoperatively, regardless of the surgical method used, there will be significant local swelling, and sometimes

After circumcision

Hello Doctor: I originally had a complete phimosis and could not retract the foreskin.
I am currently on the third day post-circumcision, and the sutured area looks very normal with no tearing.
However, the foreskin area in front of the sutures is swollen like a distended intestine, and I would like to ask: 1.
I saw in previous responses that some individuals still cannot retract the foreskin after the surgery, and some doctors blame the postoperative care, suggesting that the glans should be exposed after the foreskin is retracted to prevent this issue.
However, the swelling in front of the sutures is so significant that I cannot even see the glans, and urination is causing pressure and spraying everywhere.
How can I intentionally expose the glans? Should I try to pull the glans out immediately? (I am afraid of a failed surgery.) But with the swelling like this, I am worried that trying to expose it might cause an erection and burst the sutures.
2.
Should I wait for the swelling to completely subside and let things happen naturally? 3.
After circumcision, in the absence of an erection, what should the glans look like? Should it be fully exposed? Half exposed? Or retracted inside the foreskin? Thank you!

ada, 20~29 year old female. Ask Date: 2007/05/20

Dr. Xu Weikai reply Urology

ADA: Hello, in a typical circumcision procedure, especially in cases of complete phimosis like yours, the surgery will fully expose the glans for easier cleaning.
Postoperatively, regardless of the surgical method used, there will be significant local swelling, and sometimes a second corrective surgery may be necessary.
If the swelling is severe, we recommend manually compressing the swollen area to alleviate it before addressing whether the foreskin should be retracted.
Some physicians may even use a needle to drain some of the excess fluid from the swollen area; others may choose to wait and observe the condition without immediate treatment, allowing for natural resolution (Note: sometimes the swelling may not resolve or may resolve slowly, requiring further treatment.
In some cases, local heat or cold therapy can effectively expedite the reduction of swelling).
Circumcision is tailored to the individual patient's needs, and there is no strict standard regarding the length of the remaining foreskin or whether it covers the glans, as long as it facilitates cleaning.
Personally, I prefer a partial coverage of the glans, while some patients may request complete exposure.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2007/05/20

More Info

Post-circumcision care is crucial for ensuring proper healing and minimizing complications. It’s understandable to have concerns about swelling and the appearance of the surgical site, especially just a few days post-operation. Here are some insights and recommendations based on your questions:
1. Swelling and Exposure of the Glans: It is common to experience swelling after circumcision, particularly around the suture line. The swelling you describe, where the area appears significantly enlarged, can be alarming, but it is often a normal part of the healing process. The glans (the head of the penis) may not be fully visible due to this swelling. It is important not to forcibly retract the skin to expose the glans, especially if it is painful or if you are concerned about the integrity of the sutures. Forcing the skin back can lead to complications such as tearing of the sutures or increased swelling.

2. Managing Swelling: It is advisable to allow the swelling to subside naturally. Applying a cold compress to the area can help reduce swelling and discomfort. Ensure that you are following any post-operative care instructions provided by your surgeon, which may include keeping the area clean and dry, avoiding strenuous activities, and taking prescribed pain medications as needed. If the swelling does not improve or worsens, or if you notice any signs of infection (such as increased redness, warmth, or discharge), you should contact your healthcare provider promptly.

3. Normal State of the Glans Post-Surgery: After circumcision, the glans may not be fully exposed immediately due to swelling. In a normal healing state, the glans should eventually be fully exposed when the swelling decreases. Initially, it may be partially covered or appear retracted due to the swelling and the surgical technique used. It is important to monitor the healing process and ensure that the area is not excessively tight or constricted, which could indicate complications.

4. Follow-Up Care: Regular follow-up with your healthcare provider is essential to ensure that healing is progressing as expected. If you have concerns about the appearance of the surgical site or if you experience significant pain, difficulty urinating, or any other unusual symptoms, do not hesitate to reach out to your doctor for advice.

In summary, while it is normal to experience swelling and changes in the appearance of the surgical site after circumcision, it is crucial to manage this carefully. Avoid forcing the skin back to expose the glans, and allow the swelling to resolve naturally. Keep the area clean, monitor for any signs of complications, and maintain open communication with your healthcare provider for the best outcomes.

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