Persistent Swelling After Circumcision: Causes and Solutions

Edema

I have had a circumcision for over two years, but there is still some slight swelling on the left side, while the right side has returned to normal.
The swelling has not decreased since last year, and the situation remains the same.
I have read online about soaking in warm water, but it hasn't been effective.
What methods can help reduce this swelling? When I touch the swollen area, it doesn't hurt, but it feels soft.
I would like to ask the doctor if there are any other ways to eliminate this swelling, as the appearance is quite unusual.
Thank you.

Qiqi, 30~39 year old female. Ask Date: 2009/04/18

Dr. Xu Weikai reply Urology

Hello, you may be experiencing one of the following situations: 1.
Your wound is healing slowly, meaning that the repair of blood vessels and lymphatic vessels is delayed or has ceased.
Excess fluid cannot be effectively transported back, leading to localized tissue edema.
This condition can be gradually improved with local heat application.
2.
After circumcision, scabbing or fibrosis may cause the foreskin to be tighter.
When it is too tight, it can impair blood and lymph circulation in the penis, easily resulting in edema.
In severe cases, surgery may be required to excise the narrowed area.
If there are any unclear points, feel free to ask again, and we can further discuss and research this together.
Sincerely, Dr.
Hsu Wei-Kai, Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2009/04/18

More Info

Persistent swelling after circumcision can be a concerning issue for many individuals, especially when it affects the appearance and comfort of the genital area. In your case, it seems that you have been experiencing swelling on the left side for over two years, while the right side has returned to normal. This condition can be attributed to several factors, and understanding these can help in finding appropriate solutions.

Causes of Persistent Swelling
1. Lymphatic Fluid Accumulation: After circumcision, the lymphatic system may take time to adjust, leading to fluid accumulation in the area. This can result in what is known as lymphocele, where lymph fluid collects and causes swelling.

2. Scar Tissue Formation: The healing process after circumcision can sometimes lead to the formation of scar tissue, which may not only affect the appearance but also the texture of the skin. This can cause localized swelling.

3. Infection or Inflammation: Although you mentioned that the area is not painful, it is still possible that there is a low-grade infection or inflammation that is causing the swelling. Infections can sometimes present without significant pain, especially if they are chronic.

4. Hematoma: If there was any bleeding during or after the procedure, a hematoma (a localized collection of blood outside of blood vessels) could form, leading to persistent swelling.

5. Skin Conditions: Conditions such as dermatitis or other skin irritations can also lead to swelling and should be considered, especially if there are any changes in skin texture or color.

Solutions and Recommendations
1. Consult a Urologist: The first step in addressing your concern should be to consult a urologist. They can perform a physical examination and may recommend imaging studies to assess the underlying cause of the swelling.

2. Compression Garments: Wearing supportive underwear or compression garments may help reduce swelling by providing support to the area and promoting lymphatic drainage.

3. Warm Compresses: While you mentioned that soaking in warm water has not been effective, applying warm compresses directly to the swollen area may help improve circulation and reduce fluid accumulation.

4. Medication: If there is any underlying inflammation or infection, your doctor may prescribe anti-inflammatory medications or antibiotics to address these issues.

5. Surgical Options: In cases where conservative measures do not yield results, surgical intervention may be necessary. This could involve drainage of any fluid accumulation, removal of excess scar tissue, or other corrective procedures to improve the appearance and function of the area.

6. Lifestyle Modifications: Maintaining a healthy lifestyle, including proper hydration and nutrition, can support overall healing and may help reduce swelling.

7. Avoid Irritants: Ensure that you are not using any harsh soaps or products that could irritate the area. Gentle cleansing and avoiding irritants can help in the healing process.

Conclusion
Persistent swelling after circumcision can be distressing, but there are several potential causes and solutions. It is essential to seek professional medical advice to determine the exact cause of your swelling and to discuss the best course of action tailored to your specific situation. A urologist will be able to provide you with the most accurate diagnosis and treatment options to help alleviate your concerns and improve your quality of life.

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