Post-Surgery Concerns: Managing Swelling and Sensation After Penile Surgery

Q: Post-Surgery Concerns: Managing Swelling and Sensation After Penile Surgery

Xiao Yi： Hello, after a typical penile surgery, localized swelling is inevitable. <br>In your case, since the surgery was performed directly on the penis, there may be some sutures left inside, which can cause localized inflammation and swelling; this is considered normal. <br>Yo

Postoperative

Hello doctor, I underwent surgery for penile curvature a few months ago.
The wound has healed, but I still feel that the foreskin is somewhat swollen.
Although it has reduced significantly compared to right after the surgery, it still feels thicker than before.
My girlfriend says it looks a bit strange.
Is there any way to completely reduce the swelling? Also, I feel that the sensitivity around the frenulum has decreased after the surgery.
Is it possible that the nerves were damaged during the procedure and will gradually recover, or is this a permanent change? I'm feeling a bit frustrated.

Xiao Yi, 20~29 year old female. Ask Date: 2007/08/03

Dr. Xu Weikai reply Urology

Xiao Yi: Hello, after a typical penile surgery, localized swelling is inevitable.
In your case, since the surgery was performed directly on the penis, there may be some sutures left inside, which can cause localized inflammation and swelling; this is considered normal.
You can apply local heat or massage to enhance circulation, which may help to some extent.
As for the decreased sensitivity of the penile frenulum after surgery, generally, penile curvature surgeries do not affect this area of the nerves, as most procedures are performed on the outer side and rarely impact sensation.
Instead, localized swelling may potentially affect nerve conduction.
This is a response from Dr.
Hsu Wei-Kai, Director of Urology at Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2007/08/03

More Info

After undergoing penile surgery, particularly for conditions like penile curvature, it's not uncommon to experience lingering swelling and changes in sensation. Your concerns about the persistent swelling of the foreskin and the altered sensation in the frenulum area are valid and warrant a thorough understanding.

Swelling Post-Surgery
Swelling is a natural part of the healing process following any surgical procedure. In the case of penile surgery, the tissues involved can take time to fully recover. While you mentioned that the swelling has significantly decreased since the surgery, it is not unusual for some residual swelling to persist for several months. Factors that can contribute to prolonged swelling include:
1. Inflammation: The body's natural response to surgery involves inflammation, which can take time to resolve completely.

2. Fluid Retention: Post-operative fluid accumulation can occur, especially in the genital area, which is highly vascular.

3. Tissue Remodeling: The healing process involves remodeling of the tissue, which can lead to temporary changes in thickness or texture.

To help reduce swelling, consider the following:
- Cold Compresses: Applying a cold compress to the area can help reduce swelling and provide relief. Ensure that the compress is not applied directly to the skin to avoid frostbite.

- Elevation: Keeping the area elevated can help minimize swelling. When resting, try to keep your hips elevated.

- Hydration and Diet: Staying well-hydrated and consuming a balanced diet can support healing and reduce inflammation.

If the swelling persists or worsens, it is essential to consult your surgeon or healthcare provider to rule out any complications such as infection or seroma (fluid accumulation).

Changes in Sensation
Regarding the changes in sensation, particularly the decreased sensitivity in the frenulum, this can also occur after surgery. Surgical procedures can sometimes affect the nerves in the area, leading to temporary or, in some cases, permanent changes in sensation. Here are some points to consider:
1. Nerve Healing: Nerves can take time to heal after being manipulated or cut during surgery. It is possible that sensitivity may gradually return as the nerves heal, but this can vary from person to person.

2. Scar Tissue Formation: The formation of scar tissue can also affect sensation. Scar tissue may not have the same nerve density as the original tissue, which can lead to changes in how sensations are perceived.

3. Psychological Factors: Sometimes, anxiety or concern about the surgery and its outcomes can also affect how sensations are perceived. It's important to give yourself time to adjust to the changes.

What to Do Next
If you are concerned about the persistent swelling or changes in sensation, it is crucial to follow up with your surgeon. They can assess your healing progress and determine if any interventions are necessary. In some cases, physical therapy or specific exercises may be recommended to help restore sensation and improve function.

Conclusion
In summary, while some swelling and changes in sensation after penile surgery can be concerning, they are often part of the healing process. With time and appropriate care, many individuals see improvements. However, if you have persistent concerns, do not hesitate to reach out to your healthcare provider for personalized advice and reassurance. Your comfort and confidence in your recovery are paramount, and open communication with your medical team is key to achieving the best outcomes.

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