Post-operative care for circumcision?
Hello, Dr.
Hsu! It has been 21 days since my circumcision surgery, and all the stitches have come out.
However, I feel some itching in certain areas where the stitches were when I walk.
The frenulum is very sensitive when sitting, even more so than touching the glans.
Could this be due to the fact that the swelling of the foreskin has not completely subsided? I understand that foreskin swelling can last from 1 to 3 months.
Is there any way to expedite the reduction of this swelling? Once the swelling goes down, will the frenulum still be sensitive when sitting? Additionally, regarding hygiene, is it sufficient to rinse the area around the glans with water? Can I use body wash to clean the foreskin?
Niming, 30~39 year old female. Ask Date: 2015/11/15
Dr. Xu Weikai reply Urology
Hello, local heat application and massage can enhance blood circulation, which may help reduce swelling.
It is advisable to avoid using body wash or soap for cleaning.
If there are any unclear points, feel free to ask again for further discussion and research.
Online responses should only serve as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.
Reply Date: 2015/11/15
More Info
Post-circumcision care is crucial for ensuring proper healing and minimizing discomfort. It’s common to experience sensitivity and swelling in the weeks following the procedure, and your symptoms, such as itching and heightened sensitivity around the frenulum (the band of tissue connecting the glans to the shaft of the penis), are not unusual. Here’s a comprehensive guide on how to manage these symptoms effectively.
Understanding Sensitivity and Swelling
After circumcision, the area can remain sensitive due to the exposure of the glans (the head of the penis), which was previously covered by the foreskin. The sensitivity you are experiencing, particularly when sitting, could be exacerbated by swelling, which is a normal part of the healing process. Swelling can last anywhere from a few weeks to a few months, and it is not uncommon for patients to report varying levels of discomfort during this time.
Managing Swelling
1. Cold Compresses: Applying a cold compress to the area can help reduce swelling and provide relief from discomfort. Make sure to wrap ice in a cloth to avoid direct contact with the skin, which can cause frostbite.
2. Elevation: When resting, try to keep the area elevated. This can help reduce swelling by promoting better blood circulation.
3. Avoiding Irritants: Wear loose-fitting underwear and clothing to minimize friction and irritation. Tight clothing can exacerbate swelling and sensitivity.
4. Hydration and Diet: Staying well-hydrated and consuming a balanced diet can support your body’s healing processes. Foods rich in antioxidants and anti-inflammatory properties may help reduce swelling.
5. Gentle Massage: If advised by your healthcare provider, gentle massage around the area can help improve circulation and reduce swelling. However, avoid any direct pressure on sensitive areas.
Hygiene Practices
Maintaining proper hygiene is essential to prevent infection and promote healing:
1. Gentle Cleaning: You can rinse the glans with warm water. It’s important to avoid using harsh soaps or body washes directly on the sensitive area, as these can cause irritation.
2. Mild Soap: If you choose to use soap, opt for a mild, unscented soap. Avoid using any products that contain fragrances or harsh chemicals, as these can irritate the skin.
3. Drying: After washing, gently pat the area dry with a clean towel. Avoid rubbing, as this can cause irritation.
Addressing Sensitivity
As for the heightened sensitivity you’re experiencing, this is often temporary. The glans will gradually become less sensitive as it adjusts to being exposed. However, if the sensitivity persists or worsens, it’s important to consult your healthcare provider.
Follow-Up Care
1. Regular Check-ups: Attend follow-up appointments with your healthcare provider to monitor your healing progress. They can provide personalized advice based on your specific situation.
2. Signs of Complications: Be vigilant for signs of infection, such as increased redness, swelling, discharge, or fever. If you notice any of these symptoms, seek medical attention promptly.
3. Discuss Concerns: If you have ongoing concerns about sensitivity or swelling, don’t hesitate to discuss them with your healthcare provider. They may suggest treatments or interventions to help alleviate your symptoms.
Conclusion
In summary, while sensitivity and swelling after circumcision can be uncomfortable, they are typically part of the healing process. By following proper care guidelines, maintaining hygiene, and consulting with your healthcare provider, you can manage these symptoms effectively. Remember that healing takes time, and it’s essential to be patient with your body as it recovers. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider for guidance.
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