Post-Operative Care After Circumcision: What to Expect - Urology

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After the circumcision procedure, I just had the dressing removed today and noticed that the area where the stitches are seems to be healing poorly, with a bit of redness.
It looks like the scab has just fallen off, but I don't recall it ever forming a scab.
Thank you for your explanation.

Niming, 20~29 year old female. Ask Date: 2016/01/07

Dr. Xu Weikai reply Urology


Hello, whether or not scabbing occurs is related to the individual's constitution and the nature of the surgical wound.
The presence or absence of a scab should not affect the healing process.

Reply Date: 2016/01/07

More Info


After a circumcision, it's common for patients to have questions about their recovery and what to expect in terms of healing. The healing process can vary from person to person, but there are some general guidelines and expectations that can help you understand what you might experience.

Firstly, it’s important to recognize that after circumcision, the surgical site will go through several stages of healing. Initially, you may notice some redness and swelling, which is a normal part of the healing process. The area may also appear slightly raw or have a scab, especially where the sutures were placed. If you’ve just had your sutures removed and you observe that the area looks a bit red and there seems to be a lack of scabbing, this could be due to several factors.

1. Healing Process: The area where the sutures were may still be in the process of healing. It’s not uncommon for the skin to appear slightly red or even moist as it heals. The absence of a scab does not necessarily indicate a problem; it might simply mean that the tissue is healing well and is in the granulation phase, where new tissue is forming.

2. Signs of Infection: While some redness is normal, you should be vigilant for signs of infection. If the redness worsens, if you notice increased swelling, warmth, or if there is any discharge (especially if it is yellow or green), these could be signs of an infection, and you should contact your healthcare provider immediately.

3. Suture Absorption: If absorbable sutures were used, they may dissolve over time, and it’s possible that some of the material may have come out with the dressing. This is normal, but if you see any loose ends or if the area seems to be opening up, it’s best to consult your doctor.

4. Pain Management: Post-operative pain is also common. If you experience discomfort, over-the-counter pain relievers like acetaminophen or ibuprofen can be helpful. However, if the pain is severe or persistent, you should reach out to your healthcare provider.

5. Follow-Up Care: It’s essential to follow any post-operative care instructions provided by your surgeon. This may include keeping the area clean and dry, avoiding certain activities (like heavy lifting or vigorous exercise) for a specified period, and attending follow-up appointments to ensure proper healing.

6. Activity Restrictions: After circumcision, it’s generally advised to avoid sexual activity and any strenuous physical activities for a few weeks to allow the area to heal properly.
7. Diet and Hydration: Maintaining a balanced diet and staying hydrated can also support your healing process. Foods rich in vitamins and minerals, particularly vitamin C and zinc, can promote skin healing.

In summary, while some redness and a lack of scabbing at the surgical site can be normal, it’s crucial to monitor the area for any signs of infection or complications. If you have any concerns about your healing process or if the symptoms worsen, don’t hesitate to reach out to your healthcare provider for further evaluation and guidance. They can provide you with the best advice tailored to your specific situation and ensure that your recovery is on track.

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