Post-Circumcision Care: Dealing with Painful Stitches and Recovery Tips - Urology

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Post-operative care for circumcision?


Hello Doctor: I had a circumcision surgery last Tuesday, and it has been a week since then.
Following the doctor's instructions, I was able to remove the bandage and take a shower.
Over the past few days, I have gotten used to walking, and it feels almost normal (because of the bandage).
However, after removing the bandage just now, I noticed that the stitches are extremely tight, and touching them causes excruciating pain.
I can’t even wear underwear, let alone walk.
I thought the stitches would gradually dissolve, but they are still very much exposed, with several knots intact.
After my shower, they did not come off at all.
I really don’t know what to do.
I’m worried about how I will manage to go to work tomorrow.
I heard that some people use a soaking method; is that effective? It’s so late, and calling the clinic doesn’t help me get in touch with the doctor, so I feel completely helpless!

Zhuzi, 20~29 year old female. Ask Date: 2010/03/31

Dr. Xu Weikai reply Urology


Bamboo: Hello, for a typical circumcision procedure, absorbable sutures are used.
They usually take about 2-4 weeks to be completely absorbed.
If you feel too much irritation, you can return to the clinic to have the sutures removed around 10-14 days post-surgery.
The rate of absorption is related to individual physiology and personal wound care.
As for methods like soaking in a bath, they may lead to wound inflammation and are not recommended.

Reply Date: 2010/03/31

More Info


Post-circumcision care is crucial for ensuring a smooth recovery and minimizing discomfort. After undergoing a circumcision, it is common to experience some pain and discomfort due to the stitches. Here are some important tips and considerations for managing your recovery effectively.


Pain Management
1. Medications: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate pain. If your doctor prescribed stronger pain medications, make sure to take them as directed. Always consult your healthcare provider before taking any new medications.

2. Cold Compress: Applying a cold compress to the area can help reduce swelling and numb the pain. Make sure to wrap ice in a cloth to avoid direct contact with the skin, which can cause frostbite.

3. Avoid Irritation: It’s essential to avoid any activities that may irritate the area, such as vigorous exercise or sexual activity, until you receive clearance from your doctor.


Stitches Care
1. Observation: It’s normal for stitches to feel tight and uncomfortable. However, if you notice excessive redness, swelling, or discharge, it could indicate an infection, and you should contact your healthcare provider immediately.

2. Cleaning: Follow your doctor’s instructions on how to clean the area. Typically, gentle washing with mild soap and water is recommended. Avoid scrubbing the area, as this can cause further irritation.

3. Dissolvable Stitches: If your stitches are dissolvable, they should gradually dissolve over time. However, if they seem to be causing excessive pain or are not dissolving as expected, it’s essential to consult your doctor. Non-dissolvable stitches may need to be removed by a healthcare professional.


Bathing
1. Showering: You can usually shower after the first few days post-surgery, but avoid soaking in a bathtub until your doctor advises it. Soaking can increase the risk of infection.

2. Sitz Baths: Some patients find relief in sitz baths, which involve sitting in warm water to soothe the area. This can help with pain and promote healing. Ensure the water is not too hot, and limit the duration to about 15-20 minutes.


Clothing Choices
1. Loose-fitting Underwear: Opt for loose-fitting underwear to avoid friction against the stitches. This can help reduce discomfort and allow for better airflow to the area.

2. Avoid Tight Clothing: Tight clothing can exacerbate pain and irritation. Choose breathable fabrics that allow for comfort during the healing process.


When to Seek Help
If you experience any of the following symptoms, it’s crucial to contact your healthcare provider:
- Severe pain that is not relieved by medication
- Signs of infection, such as fever, increased redness, or discharge
- Stitches that appear to be pulling or are excessively tight
- Any other unusual symptoms that concern you

Conclusion
Recovery from circumcision can be uncomfortable, but with proper care and attention, you can manage your symptoms effectively. Always follow your doctor's post-operative instructions and do not hesitate to reach out for help if you have concerns about your recovery. Remember, your healthcare provider is your best resource for addressing any complications or questions you may have during this time.

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