Post-Circumcision Concerns: Healing, Stitch Issues, and Normal Variations

Prepuce

Hello Doctor: I have completed my circumcision surgery a month and a half ago, but I have noticed that the area where the stitches are seems to be fused with the penis, and there is a slight bulge at the stitch site that cannot be pulled apart.
Is this normal? Additionally, when I have an erection, the skin on the front of the penis (facing outward) can stretch completely without any folds, but on the back of the penis (facing my stomach), the skin from the stitch line to the circular edge of the glans is wrinkled.
Is this normal? I am quite worried.
Thank you for your response.
BLACKBOY

hei zi nan ren, 20~29 year old female. Ask Date: 2011/09/29

Dr. Huang Pinyao reply Urology

1.
The typical circumcision procedure uses absorbable sutures made from catgut, which do not require removal after surgery.
This type of suture gradually gets absorbed and broken down, causing the area where the foreskin was sutured to appear as if it is healing together with the penis.
Externally, it may also appear slightly raised, but after approximately 45 to 90 days (depending on individual healing), the catgut will be absorbed, and the wound will gradually flatten.
Therefore, this situation is normal, unless there is inflammation or infection, which would cause irregularities in the healing process.

2.
Based on your description, it is possible that during the surgery, a bit more foreskin was left on the dorsal side of the penis, while the ventral side (the so-called front) had just the right amount remaining, leading to the phenomenon you mentioned.
However, as long as you do not experience pain or excessive tightness during erections post-surgery, the circumcision can be considered successful.
As for whether it is normal, perceptions vary from person to person, making it difficult to determine.
If you are particularly concerned, it is advisable to take a photograph of the area during an erection (remember not to include your face) and discuss any aspects you are dissatisfied with with a urologist.
This will help the urologist better understand your concerns and suggest more tailored solutions.

Reply Date: 2011/09/29

More Info

Post-circumcision concerns are quite common, especially in the weeks and months following the procedure. It’s important to understand that healing after circumcision can vary significantly from person to person, and what you are experiencing may be within the range of normal healing processes.
Firstly, regarding the stitches you mentioned, it is not uncommon for the area where the stitches were placed to feel somewhat adhered to the skin of the penis. This can happen due to the natural healing process where the skin begins to fuse together as it heals. If the stitches are dissolvable, they should gradually break down and be absorbed by the body, typically within a few weeks to a couple of months. If you notice a slight bump or raised area at the stitch site, this could be a normal part of the healing process, but it’s essential to monitor it for any signs of infection, such as increased redness, swelling, or discharge.

As for the appearance of your penis during an erection, it is also normal for there to be some variations in how the skin appears. The fact that the skin on the front side of the penis stretches smoothly without wrinkles while the back side appears wrinkled could be due to several factors, including the way the skin was sutured, the amount of skin removed, and how the skin has healed. The skin on the back side may have more tension or may not have healed as evenly as the front side, which can lead to a wrinkled appearance when erect.

However, it’s crucial to differentiate between normal healing and potential complications. If you experience any of the following symptoms, you should consult your healthcare provider immediately:
1. Increased Pain: If the pain worsens instead of improving over time, it may indicate an issue.

2. Signs of Infection: Redness, warmth, swelling, or pus at the site of the stitches could suggest an infection.

3. Severe Adhesions: If the skin appears to be excessively adhered and you cannot move it at all, this could indicate a problem that may need medical intervention.

4. Changes in Sensation: Any numbness or loss of sensation in the area could also be a concern.

In terms of normal variations, it’s important to remember that every individual’s anatomy is different, and healing can be influenced by many factors, including age, overall health, and adherence to post-operative care instructions.
If your concerns persist or if you feel uncertain about the healing process, it’s always best to reach out to your surgeon or a urologist. They can provide a thorough examination and reassurance, as well as address any specific concerns you may have about the appearance and function of your penis post-circumcision. Regular follow-up appointments are essential to ensure that healing is progressing as expected and to catch any potential issues early on.
In summary, while some variations in healing and appearance are normal after circumcision, it’s crucial to monitor your symptoms and consult a healthcare professional if you have any concerns. Your comfort and health are paramount, and seeking professional advice can help alleviate any worries you may have.

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