Managing Post-Circumcision Edema: Tips for Recovery and Care

Preputial edema

Hello, doctor.
I underwent a circumcision at the end of May, and my recovery has been good, although I have experienced some swelling of the foreskin.
During the swelling period, I did not feel any pain at the incision site, so I masturbated for the first time after the surgery and continued to do so regularly, which has led to persistent swelling.
If I stop masturbating now, how long will it take for the swelling to subside? Are there any methods to help reduce the swelling? Additionally, the surgeon mentioned that only the excess skin was removed during the procedure, so I can still cover the glans when not erect.
Should I keep it covered or exposed? I previously tried to keep it covered, but after a while, I felt tightness and mild pain when pulling it back due to the healing area.
Should I wait for the swelling to go down and keep the glans exposed?

Xiang Xiang, 20~29 year old female. Ask Date: 2015/09/28

Dr. Xu Weikai reply Urology

Hello, local edema may be due to incomplete establishment of blood and lymphatic circulation after surgery.
It could also be caused by scar tissue from the surgery leading to localized narrowing.
During erection, increased blood flow can exacerbate the edema.
It is advisable to consult a physician to determine if the narrowing is the cause; if so, surgery may be necessary.
If it is a circulation issue, local heat application and massage may help improve the condition.
If there are any unclear points, feel free to ask again for further discussion and research.
Online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if needed.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/09/28

More Info

Post-circumcision edema is a common occurrence following the procedure, and it can be concerning for patients. It’s important to understand that edema, or swelling, is a natural part of the healing process. After circumcision, the body responds to the surgical trauma by increasing blood flow to the area, which can lead to swelling. Here are some tips for managing post-circumcision edema and promoting recovery.

1. Avoid Irritation: Since you mentioned that you have been engaging in masturbation, it is advisable to refrain from any sexual activity, including masturbation, until the swelling has significantly reduced. Engaging in these activities can exacerbate the swelling and delay healing. The duration for the edema to subside can vary from person to person, but typically, if you stop irritating the area, you may start to see improvement within a few days to a couple of weeks.

2. Cold Compress: Applying a cold compress to the area can help reduce swelling. Make sure to wrap ice in a cloth to avoid direct contact with the skin, which can cause frostbite. Apply the cold compress for 15-20 minutes several times a day, especially during the first few days post-surgery.

3. Elevation: Keeping the area elevated can also help reduce swelling. When resting, try to keep your hips elevated with pillows. This can help reduce blood flow to the area and minimize swelling.

4. Hygiene: Maintaining proper hygiene is crucial. Gently clean the area with mild soap and water, and avoid any harsh chemicals or fragrances that could irritate the skin. After cleaning, ensure the area is dried properly to prevent moisture buildup, which can lead to infection.

5. Follow-Up Care: It’s essential to attend any follow-up appointments with your surgeon. They can assess the healing process and provide personalized advice based on your specific situation. If the swelling persists or worsens, or if you experience pain, redness, or discharge, it’s important to contact your healthcare provider.

Regarding your question about whether to keep the glans (head of the penis) covered or exposed, this can depend on individual comfort and healing. After circumcision, it is common for the glans to be exposed. However, if you experience discomfort or tightness when the glans is exposed, it may be beneficial to allow it to be covered for a while longer, but ensure that it is not constricting. The goal is to allow the area to heal without excessive friction or irritation.

In conclusion, managing post-circumcision edema involves avoiding irritants, applying cold compresses, maintaining hygiene, and following up with your healthcare provider. The swelling should gradually decrease as you allow your body to heal. If you have any concerns or if the swelling does not improve, do not hesitate to reach out to your doctor for further evaluation and guidance.

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