Post-Circumcision Concerns: Healing, Pain, and Narrowing Issues

Questions After Circumcision

1.
It has been over a month since I had my circumcision.
A week after the procedure, the wound reopened and required re-stitching.
Now the wound has healed, but I originally had the circumcision because the opening at the tip of the foreskin was too small.
I have noticed that the area is still noticeably narrower after the procedure, and it feels tight whether I have an erection or not.
Will this area eventually expand on its own, or is this a result of a failed surgery?
2.
The area where the wound healed is uneven, with some raised spots that are a bit painful when touched.
Additionally, the entire stitched area feels hard (like a lump).
During an erection, that area becomes particularly narrow.
Is this due to inflammation, or is it related to the re-stitching after the wound reopened?
3.
The portion of the foreskin near the glans is currently swollen and feels loose.
Will it return to normal in the future?

Niming, 10~19 year old female. Ask Date: 2015/09/22

Dr. Li Xinyi reply Urology

It is advisable to return to the urologist who performed the original surgery for a consultation, as they will be better able to confirm the diagnosis and assess the condition.

Reply Date: 2015/09/22

More Info

Post-circumcision concerns can be quite common, especially regarding healing, pain, and the potential for narrowing of the circumcision site. Based on your description, it seems you have several issues that may need to be addressed. Let's break down your concerns and provide some insights.

1. Narrowing of the Circumcision Site: After circumcision, it is not unusual for the area to appear narrower than expected, especially if the initial reason for the procedure was due to a tight foreskin. The area may take time to adjust, and while some expansion can occur as healing progresses, significant narrowing may indicate that the surgical outcome was not as intended. If you are experiencing discomfort or a sensation of tightness during erections, it is advisable to consult with your surgeon or a urologist. They can assess whether the narrowing is due to scar tissue formation or if there are other underlying issues that need to be addressed.

2. Irregular Healing and Pain: The presence of a hard lump along the suture line and uneven healing can be concerning. This may be due to scar tissue formation, which is a normal part of the healing process, but if it is painful or if you notice any signs of infection (such as increased redness, swelling, or discharge), you should seek medical advice. The pain you experience when touching the raised areas could be due to inflammation or sensitivity in the healing tissue. If the area continues to be painful or does not improve, further evaluation may be necessary to rule out complications.

3. Swelling and Loose Skin: Post-operative swelling is common and can lead to a feeling of looseness in the skin around the circumcision site. This swelling should gradually subside as healing progresses. If the swelling persists or if you notice significant changes in the skin texture or appearance, it is important to follow up with your healthcare provider. They can determine whether the swelling is a normal part of healing or if it indicates a complication.

Recommendations for Management:
- Follow-Up Appointment: It is crucial to have a follow-up appointment with your surgeon or a urologist. They can provide a thorough examination and determine if any further intervention is necessary. They may also offer treatments to help with pain management and to improve the appearance of the scar.

- Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. However, consult your doctor before taking any medication, especially if you have other health conditions or are taking other medications.

- Gentle Care: Ensure that you are keeping the area clean and dry. Avoid any activities that may irritate the area, including vigorous sexual activity, until you have been cleared by your healthcare provider.

- Monitoring Symptoms: Keep an eye on any changes in the area, such as increased pain, redness, or discharge. If you notice any concerning symptoms, seek medical attention promptly.

- Physical Therapy or Scar Management: If scar tissue becomes a significant issue, your doctor may recommend physical therapy or specific treatments to help manage scar formation and improve flexibility in the area.

In summary, while some discomfort and irregularities can be part of the healing process after circumcision, persistent issues should be evaluated by a healthcare professional. They can provide tailored advice and treatment options to ensure proper healing and address any complications that may arise.

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