Post-Circumcision Concerns: Healing Issues and Recovery Timeline - Urology

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Post-circumcision surgery?


Hello Doctor: I underwent a circumcision on July 4th, and today marks the sixth day post-surgery.
I have a few concerns: 1.
The wound continues to bleed due to involuntary erections.
2.
The swelling has not improved.
3.
Sometimes, the wound and glans still hurt even without any friction.
4.
Additionally, due to the adhesive tape previously used, there is some residual gel-like substance on the glans.
5.
At times, I also feel pain in the scrotum.
Are these points normal? I've heard that the healing time for the wound is about two weeks.
It shouldn't take longer than a month, right? (I maintain a very normal routine and drink plenty of water.) Thank you for your detailed response, as my primary physician has not addressed these concerns.

Mr. Foreskin, 20~29 year old female. Ask Date: 2012/07/10

Dr. Xu Weikai reply Urology


Mr.
Foreskin: Hello.
1.
Wounds generally take about one month to fully heal, and it is usually recommended to wait at least two months before engaging in sexual activity; otherwise, the wound may reopen.
2.
Swelling typically lasts for more than two weeks.
3.
Pain in the wound and glans depends on individual pain tolerance.
4.
You can gently use your hand to remove any residual adhesive.
5.
If you experience scrotal pain, it is best to seek medical attention, as it may not be related to the circumcision wound.
If there are any unclear points, feel free to ask again for further discussion and research.
Online responses should only be used as a reference; it is still necessary to seek medical care at a healthcare facility.
This message is from the Department of Urology, Taitung Hospital, Ministry of Health and Welfare, responding to your concerns.

Reply Date: 2012/07/10

More Info


Post-circumcision recovery can vary significantly from person to person, and it is essential to monitor your healing process closely. Based on your description, it seems you are experiencing several common post-operative concerns, but some of them may warrant further evaluation by a healthcare professional.

1. Bleeding Due to Involuntary Erections: It is not uncommon for patients to experience bleeding from the surgical site due to involuntary erections, especially in the early days following the procedure. However, if the bleeding is persistent or significant, it is crucial to consult your doctor. They may need to assess whether there is any underlying issue that requires intervention.

2. Swelling: Swelling is a typical part of the healing process after circumcision. However, if the swelling has not improved after six days, it may indicate that your body is reacting more than expected. Applying ice packs to the area can help reduce swelling, but if the swelling continues or worsens, you should seek medical advice.

3. Pain in the Wound and Glans: Some discomfort and pain in the area are expected after circumcision, especially if the glans (the head of the penis) is exposed for the first time. However, if the pain is severe or persistent, it is essential to discuss this with your doctor. They may recommend pain management strategies or check for any complications, such as infection.

4. Residual Adhesive from Bandages: It is common for adhesive residue to remain on the skin after removing bandages. This can usually be cleaned gently with warm water and mild soap. If the residue is causing irritation or discomfort, you may want to consult your doctor for advice on safe removal methods.

5. Pain in the Scrotum: Experiencing pain in the scrotum can occur after circumcision, particularly if there is swelling or if the area is sensitive. However, if this pain is severe or accompanied by other symptoms, such as swelling or redness, it is essential to seek medical attention.

Regarding your recovery timeline, while many individuals may begin to feel significantly better within two weeks, complete healing can take longer, often up to four to six weeks. Factors such as your overall health, adherence to post-operative care instructions, and any complications can influence your recovery time.
It is crucial to follow up with your healthcare provider, especially since you mentioned that your primary doctor has not addressed your concerns adequately. If you feel that your symptoms are not improving or if you have any new or worsening symptoms, do not hesitate to seek a second opinion or visit a different healthcare professional.
In summary, while some discomfort and symptoms are expected after circumcision, persistent bleeding, significant swelling, and severe pain should be evaluated by a healthcare provider. Proper follow-up care is essential to ensure a smooth recovery and to address any potential complications early on.

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