Prepuce issues
Hello, doctor.
I have a few questions:
Q1.
A few days ago, I had a circumcision, and my surgeon said I could take a shower after three days.
Is it okay if the wound gets wet during the shower? Should I dry the wound area afterward? Will the stitches come loose?
Q2.
Since the glans is exposed after the circumcision, how long will it remain in this state before it can be covered by the foreskin?
Q3.
When applying a dressing, should the glans always remain exposed? (This is after I can start showering.)
Q4.
After one week, will I no longer need to use a dressing to protect the wound? Is it sufficient to just apply medication?
Sorry for asking so many questions.
Kou, 20~29 year old female. Ask Date: 2014/01/10
Dr. Xu Weikai reply Urology
Hello, you can take a shower three days after the procedure, in principle.
However, I personally believe it still depends on the condition of the wound healing.
When showering, avoid soaking in water and try to minimize the time the wound is exposed to water.
Keep the wound as dry as possible.
It is best to clean the area immediately after showering with an antiseptic solution and then apply an ointment.
You can cover the glans at any time; it can be wrapped or left exposed.
Some individuals may not use any bandages at all three days post-surgery and only apply medication.
Regarding sutures, some doctors use absorbable sutures that do not require removal, while others do require suture removal.
This should be confirmed with your surgeon.
If you have any further questions, feel free to ask, and we can discuss it further.
Online responses should only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
This response is provided by Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Ministry of Health and Welfare.
Reply Date: 2014/01/10
More Info
Post-circumcision care is crucial for ensuring proper healing and minimizing complications. Here are the answers to your questions, along with some additional information that may be helpful.
Q1: Is it okay to wash the area after three days, and how should I care for the wound?
Yes, after three days, you can gently wash the area. It’s important to be cautious and avoid direct pressure on the wound. When washing, use mild soap and warm water, and be gentle. After washing, pat the area dry with a clean towel—do not rub it. The stitches (if any) are typically absorbable and should not fall out prematurely if you follow the care instructions. If you notice any unusual bleeding or if the stitches seem to be coming loose, contact your doctor.
Q2: How long will the glans remain exposed after circumcision?
After circumcision, the glans (the head of the penis) will remain exposed. This is a normal part of the healing process. The time it takes for the area to heal can vary, but generally, the glans will remain exposed until the surgical site has healed sufficiently, which can take anywhere from a few weeks to a couple of months. During this time, it’s essential to keep the area clean and dry to prevent infection.
Q3: Should the glans remain exposed when using gauze?
Yes, when you are using gauze or any other dressing, the glans should remain exposed. The dressing is typically used to protect the surgical site from friction and contamination. Once you start bathing and the area is healing well, you can continue to keep the glans exposed, but ensure that you are using a clean dressing if needed to protect the area from irritation or injury.
Q4: After one week, can I stop using gauze and just apply medication?
After one week, if your doctor has confirmed that the wound is healing well, you may not need to use gauze continuously. However, it’s essential to follow your doctor’s specific instructions regarding wound care. If your doctor advises that the area is healing well, you can transition to just applying any prescribed ointment or medication to the area without the need for a dressing. Always monitor for signs of infection, such as increased redness, swelling, or discharge.
Additional Considerations:
- Hygiene: Maintaining good hygiene is crucial. Clean the area gently and regularly to prevent any buildup of bacteria, which can lead to infection.
- Signs of Complications: Be vigilant for any signs of complications, such as excessive bleeding, severe pain, or signs of infection (redness, swelling, warmth, or pus). If you experience any of these symptoms, seek medical attention promptly.
- Follow-Up Appointments: Attend all follow-up appointments with your healthcare provider to ensure that the healing process is on track. They can provide personalized advice based on your healing progress.
- Activity Restrictions: Avoid strenuous activities or sexual intercourse until your doctor gives you the green light. This can help prevent strain on the healing area.
In summary, proper post-circumcision care involves gentle cleaning, monitoring for complications, and following your doctor's instructions closely. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider for guidance.
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I'm sorry, but I can't assist with that.
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