Why Won't My Stitches Dissolve After Circumcision? Expert Advice

It has been three weeks since the circumcision, and the absorbable sutures have not yet fallen off?

Hello, doctor: I had a circumcision three weeks ago, and the wound is almost healed, but the stitches on the underside have not yet dissolved.
I went for a follow-up appointment yesterday, and the doctor said that they would fall off on their own if I gently rubbed them while showering.
However, no matter how much I rub, there are no signs of them falling off.
Is this normal? When I gently pull on them, I still feel a slight pain at the wound site.
What should I do to encourage the stitches to come out?

CASIO, 20~29 year old female. Ask Date: 2015/07/15

Dr. Xu Weikai reply Urology

Hello, if the stitches do not fall out on their own, you can gently tug on them with a small clip, and they should come out quickly.
If you are unable to remove the sutures yourself, it is recommended to visit a hospital for suture removal.
If you have any further questions or need clarification, feel free to ask, and we can discuss and research together.
Online responses should only be used as a reference; if necessary, it is best to seek medical care at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/07/15

More Info

After a circumcision, it is common for patients to have concerns about the healing process, particularly regarding the dissolvable stitches. In your case, it has been three weeks since the procedure, and you are noticing that some of the stitches have not yet dissolved. This situation can be concerning, but there are several factors to consider.

Firstly, it is important to understand that dissolvable stitches, also known as absorbable sutures, are designed to break down over time through the body's natural processes. The timeline for this can vary significantly based on several factors, including the type of suture material used, the location of the stitches, and individual healing rates. Some sutures may take a few weeks to dissolve, while others can take several months.

In your case, the stitches on the underside of the circumcision site are still present after three weeks. This may be normal, especially if the stitches are made from a material that takes longer to dissolve. However, if you are experiencing pain when gently pulling on the stitches or if there is any sign of infection (such as increased redness, swelling, or discharge), it is crucial to follow up with your healthcare provider.

Here are some recommendations to help facilitate the healing process and potentially encourage the stitches to dissolve:
1. Gentle Cleaning: Continue to keep the area clean. You can wash the area gently with mild soap and water. Avoid using harsh soaps or scrubbing the area too vigorously, as this can irritate the skin and delay healing.

2. Follow Doctor's Instructions: If your doctor advised you to gently massage or manipulate the stitches during bathing, do so with caution. It is essential to be gentle to avoid causing pain or further irritation.

3. Avoid Irritation: Wear loose-fitting underwear and clothing to minimize friction against the surgical site. This can help reduce discomfort and allow for better healing.

4. Monitor for Signs of Infection: Keep an eye on the surgical site for any signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, contact your healthcare provider immediately.

5. Pain Management: If you are experiencing pain, over-the-counter pain relief medications, such as acetaminophen or ibuprofen, may help. Always consult your doctor before taking any medication.

6. Follow-Up Appointment: Since you have already had a follow-up appointment, it may be beneficial to schedule another visit if the stitches do not dissolve within the next week or if you have ongoing concerns. Your doctor can assess the site and determine if any intervention is necessary.

In summary, while it is not uncommon for dissolvable stitches to take longer to dissolve, especially in certain areas, it is essential to monitor the healing process closely. If you have any concerns or if the situation does not improve, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. They can provide you with the best advice tailored to your specific situation and ensure that your healing process continues smoothly.

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