Post-Circumcision Recovery: Healing and Pain Issues

Post-circumcision recovery issues?

Hello Doctor: It has been exactly 2 months since my circumcision surgery.
Although it has healed, the area where I was stitched can only barely stretch to the back of the glans when I have a full erection.
If I try to pull it further back, it noticeably constricts the penis and causes pain.
Should I wait longer for it to recover, or will I need to undergo another surgery?

Lawrance, 30~39 year old female. Ask Date: 2012/01/25

Dr. Xu Weikai reply Urology

Hello, you can continue to monitor the situation.
If it persists for more than 6 months, it may be necessary to return to the outpatient clinic for further evaluation.

Reply Date: 2012/01/25

More Info

Post-circumcision recovery can be a complex process, and it's important to understand the healing mechanisms and potential complications that may arise. After a circumcision, the healing of the surgical site typically takes several weeks, but complete recovery can vary from person to person. In your case, it has been two months since the procedure, and while you mention that the area has healed, the discomfort and tightness you are experiencing during erections are concerning.

Firstly, it is essential to recognize that after circumcision, the skin and tissues around the penis undergo significant changes. The surgical site may still be sensitive, and the scar tissue can sometimes cause tightness or discomfort, especially during erections. This sensation of being "constricted" or "tight" is not uncommon, particularly if the scar tissue is more fibrous than elastic.
In most cases, the healing process continues for several months, and many individuals find that their symptoms improve over time as the scar tissue becomes more pliable. However, if the tightness is severe and accompanied by pain, it may indicate a condition known as "phimosis," where the skin does not retract properly, or "scar contracture," where the scar tissue pulls the skin tighter than normal.

Here are some recommendations for managing your situation:
1. Consult Your Surgeon: It is crucial to follow up with the surgeon who performed your circumcision. They can assess the healing process and determine if the tightness is a normal part of recovery or if it requires intervention.

2. Gentle Stretching: If advised by your healthcare provider, gentle stretching of the skin around the circumcision site may help alleviate some of the tightness. However, this should be done cautiously to avoid further irritation or injury.

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

4. Avoiding Irritants: Ensure that you are keeping the area clean and dry, and avoid any products that may irritate the skin, such as scented soaps or lotions.

5. Monitoring Symptoms: Keep track of any changes in symptoms, including increased pain, swelling, or changes in the appearance of the surgical site. If you notice any concerning signs, seek medical attention promptly.

6. Consider Physical Therapy: In some cases, a physical therapist specializing in pelvic health may provide techniques to help with sensitivity and tightness in the area.

7. Surgical Revision: If the tightness persists and significantly impacts your quality of life, your surgeon may discuss the possibility of a revision surgery to alleviate the tightness and improve function.

In conclusion, while some discomfort and tightness can be expected during the recovery process, persistent pain and significant restriction should not be overlooked. It is essential to communicate openly with your healthcare provider about your symptoms and concerns. They can provide tailored advice and determine the best course of action for your recovery. Remember, healing takes time, and with appropriate care and follow-up, many individuals experience significant improvements in their symptoms.

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