Post-Electrosurgery Care for Skin Conditions: What You Need to Know - Dermatology

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Post-electrocautery care?


I have cauliflower lesions in the glans and have undergone electrosurgery in the urology department, but the postoperative care instructions were not very detailed.
Currently, I am wrapping the glans with gauze because there is still some oozing blood, so I haven't applied any medication.
Since I still have a foreskin, can I apply medication and retract the foreskin back into place the next day? If there is still some bruising on the foreskin, is it still okay to retract it?

Lurén Jiǎ, 30~39 year old female. Ask Date: 2015/07/15

Dr. Li Yufen reply Dermatology


Hello: It has been one week since the electrocautery procedure.
The wound should have improved significantly or may have healed, but if there are still issues with the wound, it is advisable to return to the urology department for postoperative follow-up.
Thank you!

Reply Date: 2015/07/15

More Info


Post-electrosurgery care is crucial for ensuring proper healing and minimizing complications, especially in sensitive areas such as the glans penis after the removal of warts (condylomas). Here’s a comprehensive guide on what you need to know about post-electrosurgery care for skin conditions, particularly in your case.


Immediate Post-Operative Care
1. Wound Dressing: It is common to have a dressing (like gauze) applied to the area after electrosurgery. This helps to absorb any drainage and protect the wound from external irritants. If you notice any bleeding or oozing, it's important to keep the area clean and dry. Change the dressing as needed, especially if it becomes saturated.

2. Medication Application: If your doctor has prescribed a topical medication, it is typically advised to wait until the initial bleeding has stopped before applying any ointments or creams. This is to prevent irritation and ensure that the medication can effectively penetrate the skin without being washed away by blood or fluid.

3. Hygiene: Maintain good hygiene in the area. You can gently clean the area with mild soap and water, but avoid scrubbing or using harsh chemicals. Pat the area dry with a clean towel.


When to Apply Medication
- Timing: If you are still experiencing slight bleeding, it is advisable to wait until the bleeding has subsided before applying any topical medication. This could be within a day or two, depending on your healing process.


- Pushing Back the Foreskin: If you have a foreskin and are considering pushing it back to apply medication, ensure that the area is not actively bleeding. If there is bruising or slight bleeding, it may be best to wait until the area has stabilized. Pushing back the foreskin too soon can cause additional irritation or bleeding.


Signs of Complications
- Infection: Watch for signs of infection, such as increased redness, swelling, warmth, or discharge that is yellow or green. If you notice any of these symptoms, contact your healthcare provider immediately.

- Persistent Bleeding: If bleeding continues beyond the first day or worsens, seek medical advice.

Follow-Up Care
1. Regular Check-Ups: Follow up with your urologist as recommended. They will assess the healing process and determine if further treatment is necessary.

2. Avoiding Irritation: During the healing process, avoid activities that may irritate the area, such as vigorous exercise or sexual activity, until cleared by your doctor.

3. Scar Management: Once the area has healed, you may want to discuss scar management options with your doctor, especially if you are concerned about the appearance of the skin post-surgery.


Conclusion
In summary, after electrosurgery for skin conditions like warts on the glans penis, it is essential to prioritize wound care and monitor for any signs of complications. Wait for any bleeding to subside before applying topical medications, and consult your healthcare provider for personalized advice on when it is safe to push back the foreskin and resume normal activities. Always follow your doctor's specific instructions, as they are tailored to your individual case and healing process.

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