Post-Circumcision Complications: What to Know About Bumps - Urology

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Small lumps have developed along the sutures of the foreskin?


Dr.
Hsu: Hello! I had a circumcision about two months ago, and the scab on the outside has fallen off.
However, when I touch the area where the stitches were, it feels a bit hard.
Two days ago, I had sexual intercourse with my girlfriend, and afterwards, I started to feel some itching at the stitch site (the itchy area felt a bit painful during intercourse).
Today, I noticed a small bump where the itching is.
Could this be a sexually transmitted infection? (I had protected intercourse with another girl about four months ago, so I’m worried it might be genital warts, but I have no other symptoms besides this small bump.) I'm quite anxious about this...
I saw a dermatologist today, and the doctor said it doesn't look like genital warts.
Can you help me analyze this?

Xiao Wen, 20~29 year old female. Ask Date: 2015/11/23

Dr. Xu Weikai reply Urology


Hello, if it's not cauliflower, then it's not cauliflower.
It could be another inflammatory response, similar to the proliferation of granulation tissue and other phenomena.
I cannot be certain.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, it is still important to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/11/23

More Info


After undergoing circumcision, it is not uncommon to experience various sensations and changes in the area, especially as the healing process unfolds. The presence of bumps or hard areas around the incision site can be concerning, particularly for someone who has recently engaged in sexual activity.
From your description, it seems that you are experiencing some itching and discomfort at the site of the stitches, along with the appearance of a small bump. It is important to note that post-operative healing can sometimes lead to the formation of scar tissue, which may feel hard or raised. This is a normal part of the healing process, and many individuals experience similar sensations as their body recovers.

The bump you mentioned could be a few different things. It might be a normal part of the healing process, such as a small cyst or a granulation tissue, which is a common response to surgical wounds. Granulation tissue is a type of tissue that forms during the healing process and can sometimes appear as a bump. It is usually not a cause for concern unless it becomes painful or shows signs of infection.

Regarding your concern about sexually transmitted infections (STIs) such as genital warts (caused by the human papillomavirus, HPV), it is reassuring that the dermatologist you consulted did not believe the bump resembled warts. Genital warts typically have a distinct appearance, often described as small, flesh-colored or gray swellings that can appear in clusters. If the bump you are experiencing does not match this description and you have no other symptoms (such as unusual discharge, pain, or lesions), it is less likely to be an STI.

However, it is crucial to monitor the bump and any associated symptoms. If it becomes painful, changes in appearance, or if you develop new symptoms, you should seek further medical evaluation. Additionally, if you have concerns about STIs, it may be beneficial to undergo testing, especially since you mentioned a previous sexual encounter. Regular STI screenings are an important aspect of sexual health, particularly if you have any concerns.

In terms of managing the itching and discomfort, maintaining good hygiene is essential. Gently cleaning the area with mild soap and water can help prevent irritation. Avoiding tight clothing and irritants can also reduce discomfort. If the itching persists or worsens, over-the-counter hydrocortisone cream may provide relief, but it is advisable to consult your healthcare provider before applying any topical treatments.

In summary, while the sensations and changes you are experiencing post-circumcision can be concerning, they are often part of the normal healing process. The bump may not be indicative of an STI, especially given the dermatologist's assessment. However, continued monitoring and communication with your healthcare provider are key to ensuring a smooth recovery and addressing any concerns that may arise. If you have further questions or if your symptoms change, do not hesitate to reach out for medical advice.

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