Post-Circumcision Wound Issues: What to Expect and When to Seek Help - Urology

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Post-circumcision wound issues?


Hello doctor, I underwent a circumcision surgery last Friday, February 25th.
On the third night after the surgery, I experienced a sudden sharp pain during an erection and noticed some bleeding from the wound, although it was minimal, and there was slight separation of the edges.
This continued for two to three days, and I would wake up in pain during erections.
However, starting the day before yesterday, I noticed that the pain during erections has subsided, and the bleeding has decreased, which makes me feel better.
The surface that has separated seems to be split in two and is not adhering together.
Currently, there is no sign of inflammation or pus.
It has been over a week since the surgery.
Is this normal? Should I go back for stitches, or will it heal on its own?

Niming, 20~29 year old female. Ask Date: 2016/03/06

Dr. Xu Wencang reply Urology


It will heal on its own; return for a follow-up if there are any issues.

Reply Date: 2016/03/06

More Info


After undergoing a circumcision procedure, it is not uncommon to experience some discomfort and complications during the healing process. Based on your description, it seems that you are experiencing some typical post-operative issues, such as pain during erections, minor bleeding, and a slight separation of the wound edges. Here’s a detailed overview of what you can expect during recovery and when to seek further medical assistance.


Normal Healing Process
1. Pain and Discomfort: It is normal to experience some pain, especially during erections, as the area is still healing. The pain should gradually decrease over time. If the pain becomes severe or is accompanied by other symptoms, it may warrant further evaluation.

2. Bleeding: Minor bleeding can occur as the surgical site heals. If the bleeding is light and stops on its own, it is generally not a cause for concern. However, if you experience heavy bleeding or if the bleeding does not stop, you should seek medical attention.

3. Wound Separation: It is not unusual for the edges of the wound to appear slightly separated, especially if there was tension on the sutures during the healing process. As long as there is no sign of infection (such as increased redness, swelling, or discharge), this may resolve on its own. The body often has a remarkable ability to heal itself, and the tissue may eventually grow together.

4. Signs of Infection: Keep an eye out for any signs of infection, which can include increased pain, swelling, redness, warmth at the site, or discharge that is yellow or green in color. If you notice any of these symptoms, it is important to contact your healthcare provider.


When to Seek Help
1. Persistent Pain: If the pain does not improve or worsens over time, it may indicate a complication that needs to be addressed.

2. Heavy Bleeding: If you experience significant bleeding that does not stop, you should seek immediate medical attention.

3. Signs of Infection: As mentioned earlier, if you notice signs of infection, you should consult your doctor.

4. Wound Healing Issues: If the wound does not appear to be healing or if the separation increases, it may be necessary to have the area evaluated by a healthcare professional. In some cases, additional suturing may be required to promote proper healing.


Conclusion
In your case, since you mentioned that the bleeding has decreased and the pain during erections has improved, it seems that you are on the right track in terms of healing. However, the separation of the wound edges is something to monitor closely. If you have any concerns or if the situation does not improve, it is advisable to follow up with your surgeon or healthcare provider. They can assess the healing process and determine if any further intervention, such as suturing, is necessary.

In summary, while some discomfort and minor complications can be expected after circumcision, it is essential to remain vigilant for any signs of complications. Regular follow-up with your healthcare provider can ensure that your recovery proceeds smoothly. If in doubt, do not hesitate to reach out to your doctor for guidance.

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