Post-Circumcision Concerns: Common Issues and Recovery Tips - Urology

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Two weeks after circumcision, issues may arise?


Hello, Dr.
Hsu.
I had a circumcision due to phimosis on August 31, and today is September 13.
I have some questions.

1.
After the swelling went down around 4-5 days post-surgery, I was shocked to see that the foreskin had retracted back.
Is this normal? I worked hard for the wound to heal, but now it seems to have opened up again, which is quite tragic.

2.
After the swelling subsided, I noticed that another area has become swollen, specifically a line behind the glans.
It still feels swollen and hasn't gone down.
Why is this happening?
3.
The sutured area is slowly turning white, resembling a scar.
Some of the stitches seem to be encapsulated by tissue, and there are some raised areas that look like granulation tissue.
Is this a concern?
4.
Additionally, when I apply medication to the wound, I have to retract the foreskin, and it feels like it gets caught on the glans, creating a tight sensation that is painful.
Every time I use the restroom, it hurts.
Why is this happening?
5.
The worst part is that I accidentally had an erection, which was painful.
There was no bleeding, but it felt like my penis was being constricted, which was extremely uncomfortable.
Normally, when I have an erection, it looks normal, but now it feels different.
What is going on?

Beijue~, 20~29 year old female. Ask Date: 2011/09/13

Dr. Xu Weikai reply Urology


Tragedy: Hello 1.
Is the foreskin retracting? I don't understand.
2.
Edema may persist for a longer duration, but it needs to be assessed in person.
Localized heat application can enhance blood circulation and may be helpful.
3.
Having sutures is a normal phenomenon.
4.
Contraction may occur due to wound healing.
In severe cases, corrective surgery may be required again.
5.
You may want to consult a urologist to check if there is narrowing caused by scar tissue from the foreskin.
If there are any unclear points, feel free to ask again for further discussion and research.
This message is from the Department of Urology, Taitung Hospital, Ministry of Health and Welfare, responding to your concerns.

Reply Date: 2011/09/13

More Info


Post-circumcision recovery can sometimes be accompanied by various concerns and complications. Based on your description, it seems you are experiencing several issues following your circumcision surgery. Let's address your concerns one by one.

1. Reversion of the Skin: It is not uncommon for the skin to appear to revert back after swelling decreases. This can happen if there is excess skin or if the healing process causes the skin to shift. However, if the skin is rolling back over the glans (the head of the penis), it may indicate that the circumcision was not complete or that there is a need for further evaluation by your surgeon. It’s essential to follow up with your healthcare provider to assess the situation.

2. Swelling Behind the Glans: Swelling in the area behind the glans can occur post-surgery, especially if there was trauma during the procedure or if the healing process is causing fluid accumulation. If this swelling persists and does not resolve, it is advisable to consult your doctor. They may want to examine the area to rule out any complications such as infection or hematoma (a localized collection of blood outside of blood vessels).

3. Scarring and Sutures: It is normal for the sutured area to change in appearance as it heals. Scarring can vary from person to person, and some may experience raised or thickened scars. If the sutures are still visible and causing discomfort, or if there are signs of infection (such as increased redness, warmth, or discharge), you should contact your healthcare provider. They can assess whether the healing is progressing normally or if intervention is needed.

4. Pain During Hygiene: Experiencing pain when retracting the skin for cleaning is not unusual, especially if the area is still sensitive or healing. It’s crucial to be gentle during this process. If the pain is severe or if you notice any tearing or bleeding, you should reach out to your doctor. They may provide guidance on how to manage this discomfort and ensure proper hygiene without causing further irritation.

5. Painful Erections: Pain during erections can occur after circumcision, particularly if the area is still healing or if there is tension in the remaining skin. This sensation of tightness or discomfort can be concerning, but it often improves as healing progresses. If the pain is significant or if you experience any other symptoms, such as bleeding or severe discomfort, it is essential to consult your healthcare provider. They can evaluate whether this is a normal part of the healing process or if there are underlying issues that need to be addressed.


Recovery Tips:
- Follow-Up Appointments: Ensure you attend all follow-up appointments with your surgeon. They can monitor your healing and address any concerns you may have.

- Gentle Care: Be gentle when cleaning the area. Use mild soap and water, and avoid any harsh chemicals or scrubbing.

- Pain Management: Over-the-counter pain relief medications can help manage discomfort. However, consult your doctor before taking any medication.

- Avoid Sexual Activity: It is generally advised to avoid sexual activity until you have fully healed and received clearance from your doctor.

- Monitor for Complications: Keep an eye out for signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, contact your healthcare provider immediately.

In summary, while some discomfort and complications can occur post-circumcision, it is essential to communicate openly with your healthcare provider about your symptoms. They can provide the best guidance tailored to your situation and ensure a smooth recovery.

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