Concerns After Circumcision: Recovery and Function - Urology

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A little worried?


1.
Is circumcision the procedure where the foreskin is sewn onto the penis? If so, would cutting too much affect the length of an erection, or is it simply flipped and sewn to the underside of the remaining foreskin, allowing for movement between the penis and the foreskin?
2.
It has been 5 days since the procedure, and I still cannot achieve an erection.
Is this normal? How long does it typically take to regain normal erectile function? I apologize for my concerns, as my experience seems different from what I have read online about circumcision.
I would appreciate your clarification.

Mu Chen, 30~39 year old female. Ask Date: 2011/12/17

Dr. Xu Weikai reply Urology


Hello,
1.
Circumcision will not affect the length of an erection.
However, if the foreskin is too short, it may cause pain during an erection.
For information on circumcision, you can search online for surgical illustrations.

2.
This is considered normal.
The pain from the wound alone may prevent a successful erection.
If you have any further questions, feel free to ask, and we can discuss and research together.
Please note that online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.

Sincerely,
Director of Urology, Hsu Wei-Kai, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2011/12/17

More Info


After circumcision, it's common to have concerns regarding recovery and the functionality of the penis. Let's address your questions one by one.

1. Understanding the Procedure: Circumcision involves the surgical removal of the foreskin, which is the fold of skin that covers the glans (the tip) of the penis. The remaining skin is typically stitched back to the shaft of the penis, but it does not mean that the foreskin is simply sewn back onto the penis. Instead, the skin is usually pulled back and sutured in a way that allows for some mobility. If too much skin is removed, it can potentially affect the length of the penis during an erection, but this is generally not a significant concern for most patients. The penis and the remaining skin should still be able to move and function normally.

2. Erection Post-Surgery: It is completely normal to experience difficulty achieving an erection in the days immediately following circumcision. The surgical site is healing, and there may be swelling, discomfort, or anxiety that can inhibit the ability to achieve an erection. Typically, patients can expect to regain normal erectile function within a few weeks after the procedure, but this can vary based on individual healing processes and psychological factors. If you are still unable to achieve an erection after a week or two, it may be beneficial to consult with your surgeon or a urologist to ensure that there are no complications such as infection or excessive scarring.


Additional Considerations for Recovery:
- Pain Management: Post-operative pain is common, and managing this with prescribed medications or over-the-counter pain relievers can help ease discomfort. It's important to follow your doctor's recommendations regarding pain management.

- Hygiene: Keeping the area clean is crucial for preventing infection. Follow your doctor's instructions on how to care for the surgical site, including any recommended cleaning routines.

- Activity Restrictions: Avoiding strenuous activities, including sexual activity, heavy lifting, or vigorous exercise, is important during the initial healing phase. Your doctor will provide guidance on when it is safe to resume these activities.

- Signs of Complications: Be vigilant for signs of complications such as increased swelling, redness, discharge, or fever. If you notice any of these symptoms, contact your healthcare provider promptly.

- Emotional Well-being: It's normal to feel anxious or concerned about changes in your body after surgery. If you find that anxiety is affecting your recovery or quality of life, consider discussing this with a mental health professional or your doctor.

In summary, while it is normal to have concerns after circumcision, most patients recover well and regain normal function within a few weeks. If you have ongoing issues or specific concerns, do not hesitate to reach out to your healthcare provider for personalized advice and reassurance. Your health and comfort are paramount, and open communication with your medical team is key to a successful recovery.

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