Post-Circumcision Concerns: Managing Bleeding and Healing at Week Three

Q: Post-Circumcision Concerns: Managing Bleeding and Healing at Week Three

Xiao Lin： Hello, it's been three weeks, and the wound may not have fully healed yet. <br>Localized bleeding could be due to premature detachment; enhancing local cleanliness should help improve the situation. <br>With bleeding, it is generally advised to avoid contact with water.

It has been nearly three weeks since the circumcision, and there is bleeding from the sutured area?

Hello, Doctor.
I previously asked you some questions and received many helpful responses.
Thank you.
I have encountered another issue.
It has been nearly three weeks (19 days) since my circumcision.
Since the second week, the wound has formed scabs (no more bleeding) and is gradually falling off.
Currently, there are still a few suture ends that haven't completely come off because the glans is still a bit swollen.
I am still changing the dressing and applying a bandage.
On the 18th day, with the doctor's permission, I tried not to use the bandage, but after one night and morning erections, I noticed that the sides of the glans near the frenulum had swollen.
So, I continued to use the bandage.
Today, after showering and changing the dressing, it seems that a cotton swab slightly touched one of the remaining suture ends, and it started to bleed (I was very careful and didn't apply much pressure...
there was no pain with the bleeding).
I initially used a cotton swab to absorb some blood and then immediately applied pressure with a bandage to stop the bleeding.
I would like to ask if this is normal so close to the third week.
I had been carefully removing the bandage while showering (to keep it cleaner, and I had previously received the surgeon's consent to fully expose it to water).
Now that it has started bleeding again, should I avoid getting it wet? Do I need to return to the doctor for an examination, or should I continue changing the dressing until it completely scabs over? Thank you.

Xiao Lin, 30~39 year old female. Ask Date: 2015/11/30

Dr. Xu Weikai reply Urology

Xiao Lin: Hello, it's been three weeks, and the wound may not have fully healed yet.
Localized bleeding could be due to premature detachment; enhancing local cleanliness should help improve the situation.
With bleeding, it is generally advised to avoid contact with water.
Monitor the wound for a few days; if there is no further bleeding, there is no need to seek medical attention.
For general sexual activity, it is recommended to wait for two months post-surgery.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, it is still important to visit a medical facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/11/30

More Info

After circumcision, it is common to have concerns about bleeding and healing, especially as you approach the third week post-operation. Based on your description, it seems that you are experiencing some normal post-operative issues, but there are a few important points to consider regarding your healing process.

Firstly, it is not unusual for some bleeding to occur after circumcision, particularly if there is any irritation or if a stitch is disturbed. The fact that you mentioned the bleeding started after you accidentally touched one of the remaining stitches suggests that the area is still sensitive and healing. The presence of swelling in the glans (the head of the penis) is also common during the healing process, especially if there has been any trauma or irritation to the area.

In terms of management, here are some recommendations:
1. Continue to Monitor the Area: Keep an eye on the wound for any signs of increased redness, swelling, or discharge, which could indicate an infection. If the bleeding is minor and stops with pressure, it is usually not a cause for alarm. However, if it continues or worsens, you should seek medical attention.

2. Avoid Irritation: Since you experienced bleeding after touching the stitch, it is advisable to be extra cautious. Avoid any unnecessary manipulation of the area, and consider keeping the bandage on until the stitches dissolve or fall off naturally. If the area is still tender, it might be best to avoid exposing it to water or friction until you are more certain of its stability.

3. Follow Medical Advice: Since you have already been given permission by your doctor to wash the area and avoid the bandage, it is essential to communicate any changes or concerns you have. If you feel uncertain about the bleeding or the state of your healing, do not hesitate to reach out to your healthcare provider for a follow-up appointment. They can assess the wound and provide reassurance or further treatment if necessary.

4. Pain Management: If you experience any discomfort, over-the-counter pain relief medications can help, but always follow the dosage instructions and consult your doctor if you have any concerns about interactions with other medications.

5. Healing Time: Generally, circumcision wounds can take several weeks to heal fully. The presence of scabs is a normal part of the healing process, and they will eventually fall off as the skin underneath heals. Patience is key during this time.

6. Hygiene: Maintaining good hygiene is crucial. Continue to clean the area gently with mild soap and water, and avoid any harsh chemicals or fragrances that could irritate the skin.

In summary, while some bleeding and swelling can be normal as you approach the third week post-circumcision, it is essential to monitor the situation closely. If you have any doubts or if the bleeding persists, it is always best to consult your healthcare provider for personalized advice and reassurance. Healing can vary significantly from person to person, and your doctor can provide the best guidance based on your specific circumstances.

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