Post-Circumcision Concerns: When to Seek Medical Advice and Treatment

Q: Post-Circumcision Concerns: When to Seek Medical Advice and Treatment

Hello： In response to your question, I recommend that you visit a urology clinic, as it may be an infection issue that requires further treatment.

Post-circumcision surgery?

Hello Doctor: I had a circumcision ten years ago, and there are suture holes and small granulation tissue at the sutured area.
Occasionally, when I squeeze the suture site, a white powdery substance is expelled.
Do I need treatment or surgery for this? Thank you.
If surgery is necessary, which specialist should I consult? Should I see a dermatologist, urologist, or another specialist? Thank you for your assistance.

Wang Jie, 20~29 year old female. Ask Date: 2013/05/07

Dr. Chen Bozhang reply Family Medicine

Hello: In response to your question, I recommend that you visit a urology clinic, as it may be an infection issue that requires further treatment.

Reply Date: 2013/05/07

More Info

After a circumcision, it is not uncommon for patients to experience various concerns related to the surgical site, including the formation of granulation tissue, discharge, or changes in the appearance of the skin. In your case, you mentioned that there are small granulation tissue formations at the suture site, and you occasionally notice a white powdery substance when you apply pressure.
Granulation tissue is a normal part of the healing process, but if it becomes excessive, it can lead to complications such as discomfort or cosmetic concerns. The white powdery substance you are describing could be a mixture of dead skin cells, smegma (a natural lubricant produced by the body), or other debris that can accumulate in the area.

When to Seek Medical Advice
You should consider seeking medical advice if you experience any of the following:
1. Increased Pain or Discomfort: If the area becomes increasingly painful or tender, it may indicate an infection or other complications.

2. Signs of Infection: Symptoms such as redness, swelling, warmth, or discharge that is yellow or green in color could suggest an infection that requires treatment.

3. Persistent Granulation Tissue: If the granulation tissue does not resolve over time or continues to grow, it may need to be addressed.

4. Changes in Appearance: Any significant changes in the appearance of the surgical site, such as unusual growths or changes in color, should be evaluated.

5. Difficulty with Hygiene: If the area becomes difficult to clean or maintain hygiene due to the granulation tissue or discharge, it is advisable to consult a healthcare professional.

Treatment Options
If treatment is necessary, options may include:
- Topical Treatments: Your doctor may recommend topical medications to help reduce granulation tissue or manage any irritation.

- Surgical Intervention: In some cases, if the granulation tissue is excessive or causing problems, a minor surgical procedure may be performed to remove it.

Which Specialist to Consult
For your specific concerns, you would typically want to consult a urologist. Urologists specialize in the male reproductive system and urinary tract, and they are well-equipped to handle post-circumcision complications. While dermatologists can also address skin-related issues, a urologist will have the specific expertise related to circumcision and its complications.

Conclusion
In summary, while some degree of granulation tissue and discharge can be normal after circumcision, it is essential to monitor the situation closely. If you notice any concerning symptoms or if the granulation tissue persists, seeking an evaluation from a urologist would be the best course of action. They can provide a thorough examination and recommend appropriate treatment options tailored to your needs. Remember, it is always better to err on the side of caution when it comes to your health.

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