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.
Similar Q&A
Understanding Post-Surgery Discomfort After Urethral Surgery
Hello Doctor, I recently underwent a capsular folding procedure and I feel particularly uncomfortable (swelling and pain) when standing, but it returns to normal when sitting. What could be causing this swelling and pain? Pain relievers don't seem to help. How long does this...
Dr. Xu Weikai reply Urology
Mr. Jiang: Hello, it is difficult to determine if it may be due to a certain posture causing localized blood flow compression or nerve compression. Could you please describe in detail where the swelling is located, the extent of the swelling, and what positions may exacerbate or ...[Read More] Understanding Post-Surgery Discomfort After Urethral Surgery
Post-Surgery Pain Management: Understanding Discomfort After Disc Surgery
Dear Director Lai, I apologize for taking up your time with this lengthy message, but I would like to know what the next steps should be. 1. After waking up from surgery, I experienced pain in my left lower back and left calf before getting out of bed. For the past six months, ...
Dr. Lai Zhaokang reply Neurosurgery
Hello: 1. After lying flat for an extended period, the compressed nerves can become more vulnerable. Under certain conditions, poor blood circulation in the surrounding area may trigger pain and numbness, which is not uncommon. You can apply warmth through heat packs, adjust yo...[Read More] Post-Surgery Pain Management: Understanding Discomfort After Disc Surgery
Understanding Penile Curvature Treatment: Absorbable Sutures and Post-Surgery Pain
In the treatment of penile curvature, doctors use absorbable sutures to straighten the penis. After the sutures are absorbed, they can still help maintain the straightness of the penis due to the formation of scar tissue that provides structural support. Regarding your concern ...
Dr. Xu Weikai reply Urology
Sunny: Hello, the information you referenced comes from Professor Hsieh Ru-Tun at National Taiwan University. Coincidentally, I have also had the honor of being guided by him and am one of his students. The method he published involves suturing the white membrane, which leads to ...[Read More] Understanding Penile Curvature Treatment: Absorbable Sutures and Post-Surgery Pain
Post-Surgery Pain: Is It Normal to Feel Tearing Sensation After Vasectomy?
Hello, doctor. I would like to ask about my sterilization surgery performed on October 29. After the surgery, I had absorbable sutures made of catgut. On November 16, I noticed that one side of the wound has healed to just the suture ends, but the other side experiences a tearing...
Dr. Xu Kaixi reply Surgery
The incision from the sterilization procedure should have healed after two weeks post-surgery. If there are no signs of infection such as redness, swelling, heat, or pain at the surface, it is normal to experience temporary tearing pain in the area due to movement that pulls on t...[Read More] Post-Surgery Pain: Is It Normal to Feel Tearing Sensation After Vasectomy?
Related FAQ
(Urology)
Post-Hernia Surgery(Urology)
Post-Anal Fissure Surgery(Surgery)
Post-Circumcision(Urology)
Anal Pain(Surgery)
Post-Electrocautery(Urology)
Perineal Swelling(Urology)
Sphincter(Surgery)
Interstitial Cystitis(Urology)
Post-Fistula Surgery(Surgery)