Questions after circumcision surgery?
Dear Doctor,
I underwent a circumcision one and a half months ago, but it seems that the sutures on the foreskin area have fused with the skin, making it impossible to separate them by hand.
As a result, the glans is exposed at all times.
I would like to know if this is normal, as I am a bit concerned.
Thank you very much for your response.
:)
Robert, 20~29 year old female. Ask Date: 2011/09/28
Dr. Xu Weikai reply Urology
Robert: Hello, some individuals may experience significant adhesion or large scar tissue formation due to their physiological factors affecting wound healing.
It is advisable to return to the outpatient clinic for follow-up as soon as possible.
In severe cases, a repeat surgery may be necessary to separate the adhesions.
Reply Date: 2011/09/28
More Info
After circumcision, it is common for the glans (the head of the penis) to remain exposed, especially as the healing process progresses. In your case, having undergone the procedure a month and a half ago, it is not unusual for the glans to be consistently exposed, particularly if the circumcision was performed with a technique that removes the foreskin entirely.
During the healing process, the area where the skin was sutured can sometimes adhere to the glans, which may create a sensation of tightness or discomfort. This is known as "frenular adhesion" and can occur as the skin heals. While some degree of adherence can be normal, it is essential to monitor the situation closely. If the glans is completely fused to the surrounding skin and you are unable to separate them gently, it could lead to complications such as irritation or infection.
Here are a few points to consider regarding your situation:
1. Healing Process: After circumcision, the healing process can vary from person to person. Generally, it takes about 4 to 6 weeks for the initial healing to occur, but complete healing can take longer. During this time, the glans may remain exposed, and the skin around the surgical site may appear red or slightly swollen.
2. Adhesion: If the skin has adhered to the glans, it is important to avoid forcefully trying to separate them, as this could cause injury or bleeding. Instead, allow the area to heal naturally. If you notice any signs of infection, such as increased redness, swelling, or discharge, you should seek medical attention.
3. Follow-Up Care: It is advisable to have a follow-up appointment with your surgeon or urologist. They can assess the healing process and determine if the adhesion is a normal part of healing or if any intervention is necessary. They may also provide guidance on proper hygiene and care for the area to prevent complications.
4. Normal Variations: The appearance and sensation of the glans can change after circumcision. Some men report increased sensitivity, while others may experience a decrease in sensitivity over time. These changes are typically normal and can vary widely among individuals.
5. When to Seek Help: If you experience persistent pain, discomfort, or any unusual symptoms, it is essential to consult with a healthcare professional. They can provide reassurance and address any concerns you may have regarding your recovery.
In summary, while it is generally normal for the glans to remain exposed after circumcision, it is crucial to monitor your healing process and consult with your healthcare provider if you have any concerns or if the situation does not improve. Your health and comfort are paramount, and professional guidance can help ensure a smooth recovery.
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