Post-Operative Pain After White Membrane Folding Surgery: What to Expect? - Urology

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Postoperative Pain after Pterygium Surgery


Hello Dr.
Hsu, I would like to ask about the pain I'm experiencing in my penis after undergoing a penile fold surgery in November.
Is it possible that the internal wounds have not healed yet, or could it be that the sutures or suture ends have not absorbed properly? How long does the postoperative recovery period typically take? What can I do to promote faster healing? Would I need to undergo another surgery?

Li, 20~29 year old female. Ask Date: 2015/02/04

Dr. Xu Wencang reply Urology


Return to the original hospital where the surgery was performed for a follow-up examination.

Reply Date: 2015/02/04

More Info


Post-operative pain following any surgical procedure, including white membrane folding surgery, is a common concern for many patients. It is important to understand that pain can be a normal part of the healing process, but persistent or severe pain may indicate complications that need to be addressed.

In your case, experiencing ongoing pain in the penis months after the surgery could be attributed to several factors. Firstly, the healing process for surgical wounds can vary significantly from person to person. Typically, it takes about 6 to 8 weeks for a surgical site to heal to approximately 80% of its original strength. During this time, it is not unusual to experience discomfort or pain, especially if the area is sensitive or if there are stitches or sutures that have not fully absorbed or dissolved.

The pain you are experiencing could be due to several reasons:
1. Incomplete Healing: If the internal tissues have not fully healed, you may continue to feel pain. This is particularly true if the surgery involved significant manipulation of the tissues.

2. Scar Tissue Formation: After surgery, scar tissue can form, which may lead to discomfort or pain. This is often referred to as "adhesions," and while some degree of scar tissue is normal, excessive scar tissue can lead to chronic pain.

3. Suture Reaction: If non-absorbable sutures were used, or if the absorbable sutures are taking longer to dissolve than expected, this could cause ongoing pain. Sometimes, the body can react to the sutures, leading to inflammation and discomfort.

4. Nerve Sensitivity: Surgical procedures can sometimes irritate or damage nearby nerves, leading to neuropathic pain. This type of pain can feel different from typical post-operative pain and may require different management strategies.

5. Infection: Although less common, an infection can also cause persistent pain. Signs of infection include increased redness, swelling, warmth, or discharge from the surgical site.

Regarding your question about the recovery period, while most patients can expect to see significant improvement within a few weeks, complete healing can take several months. If you are concerned about the duration of your pain or if it is worsening, it is crucial to consult your surgeon or a healthcare professional. They can perform a physical examination and possibly imaging studies to assess the surgical site and determine if there are any underlying issues that need to be addressed.

As for your concern about needing another surgery, this decision should be made carefully and in consultation with your healthcare provider. Additional surgery may be necessary if there are complications such as significant scar tissue or if there is a need to remove non-absorbable sutures. However, it is essential to explore all conservative management options first, such as physical therapy, pain management strategies, or medications that can help alleviate discomfort.

In summary, while some post-operative pain is expected, persistent pain warrants further evaluation. It is essential to communicate openly with your healthcare provider about your symptoms, as they can provide tailored advice and treatment options based on your specific situation. Remember, recovery is a process, and patience is key, but you should not hesitate to seek help if your pain is affecting your quality of life.

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