Post-Circumcision Complications: Vascular Issues and Symptoms

Penile vascular insufficiency?

Hello Dr.
Fu: I underwent a circumcision on January 5th of this year.
Fourteen days later, after removing the stitches and taking a shower, I noticed inflammation and pus in the glans sulcus.
After diagnosis, it was identified as herpes.
After applying medication, it healed in ten days.
However, I later discovered a hardened tubular structure about 1 cm long on the dorsal side of the penis.
After researching online, I found it resembles "penile sclerosing lymphangitis." I thought it would self-resolve, so I didn't pay much attention to it and stopped masturbating.
Recently (on February 5th), I noticed that whenever I have a slight urge to urinate, I experience a sensation similar to a blocked blood vessel.
Sometimes, I also feel sharp pain between my buttocks and penis, and the glans itches unbearably, which is very uncomfortable.
The hardened tubular structure has not improved.
Is this a normal phenomenon after circumcision? It has been a month, and I am a bit worried.
Thank you for your response, doctor!

Niming, 20~29 year old female. Ask Date: 2016/02/06

Dr. Fu Shizhang reply Urology

Based on the symptoms, there are many possible diagnoses that may not necessarily be related to the circumcision procedure.
It is recommended to visit a urology clinic for examination.

Reply Date: 2016/02/06

More Info

Post-circumcision complications can vary widely, and it is essential to understand the potential vascular issues and symptoms that may arise following the procedure. Based on your description, it seems you are experiencing several concerning symptoms after your circumcision, which occurred on January 5th.
Firstly, the inflammation and pus you experienced in the glans area, diagnosed as herpes, is not uncommon after circumcision. Infections can occur due to various reasons, including improper hygiene, irritation from the surgical site, or even friction from clothing. The fact that this cleared up with medication is a positive sign, but it is crucial to monitor for any recurrence of symptoms.

The hardened tubular structure you mentioned on the dorsal side of the penis could be a result of several factors, including scar tissue formation, lymphatic vessel changes, or even a condition known as penile lymphangitis. Penile lymphangitis is characterized by inflammation of the lymphatic vessels in the penis, which can occur after trauma or surgery. While it may resolve on its own, persistent symptoms warrant further evaluation.

Your recent symptoms of a sensation of vascular blockage when you feel the urge to urinate, along with pain between the buttocks and penis, and itching of the glans, are concerning. These symptoms could indicate several underlying issues, including:
1. Vascular Complications: The sensation of blockage may suggest issues with blood flow or nerve irritation in the pelvic region. This could be due to swelling or changes in the vascular structure following the surgery.

2. Nerve Irritation: The pain you feel could also be related to nerve irritation or entrapment, which can occur post-surgery. The surgical procedure may have affected nearby nerves, leading to discomfort.

3. Infection or Inflammation: Persistent symptoms such as itching and discomfort could indicate an ongoing infection or inflammation that needs to be addressed.
4. Scar Tissue Formation: If the hardened area is scar tissue, it may be causing discomfort or affecting the surrounding tissues, leading to the symptoms you describe.

Given that it has been over a month since your circumcision and you are experiencing these symptoms, it is advisable to seek a follow-up appointment with your urologist or healthcare provider. They can perform a thorough examination, possibly including imaging studies, to assess for any vascular issues, infections, or other complications that may have arisen post-surgery.

In summary, while some discomfort and changes can occur after circumcision, the symptoms you are experiencing—especially the sensation of blockage, pain, and persistent itching—should not be ignored. It is essential to have a healthcare professional evaluate your condition to ensure that any complications are appropriately managed and to provide you with relief from your symptoms.

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