Swelling after adult circumcision

Circumcision is a common surgical procedure used to remove the foreskin of the penis. The tip of the penis, called the glans, is typically left exposed. The foreskin is reattached to the penis shaft. As with any surgery, circumcision can leave a scar. The circumcision technique you choose often determines what type of scarring may form. Scarring is less likely when the procedure is done during infancy. However, there are ways to reduce the risk of scarring in older children and adults. The first step is to seek out a qualified practitioner. Your doctor or surgeon will be able to walk you through the different techniques available, as well as discuss the different scars that these procedures may leave. Keep reading to learn more about each technique, what the scarring may look like, and what you can do to help minimize its appearance.
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It is one of the oldest and most common surgical procedures, often performed on infants, for religious, social, medical, and cultural reasons. However, not all health authorities agree, and the recommendations remain somewhat controversial. In the United Kingdom U. The foreskin is the shroud of skin that can be gently pulled back to uncover the head of the penis. The foreskin is freed from the head of the penis and, in a child, it is clipped off, in a procedure taking 5 to 10 minutes in total. In adults, it is removed with a scalpel, and it takes around 1 hour. The first circumcisions may have taken place 15, years ago. It slowly spread across a variety of cultures, especially in the Middle East. It may have become popular in the ancient world as a public health measure and a way of preventing balanitis. Balanitis leads to swelling and pain in the head of the penis.

Why circumcision is carried out in men

Circumcision is surgery to remove the skin that covers the head of the penis. This is called the foreskin. Your doctor "pushed" the foreskin from the head of the penis and trimmed it off. He or she sewed down the edges using small stitches that will dissolve. Your doctor may have used any one of a number of techniques to do this. Most men go home the same day as the surgery. Your penis may swell and bruise for the first 2 days. It is generally not very painful, and over-the-counter pain relievers such as ibuprofen or acetaminophen are all you usually need. You will probably have a dressing over the area or over your entire penis. Follow your doctor's directions about when to remove it.

This often causes a sore throat, which can be quite painful. This typically goes away in the first day. If this bothers your child, we suggest cold drinks and soft foods. Some may need to avoid hard and crunchy foods for days. After surgery, it is normal for your child to have a low-grade fever, usually 99 or degrees Fahrenheit.

We become concerned if the fever is greater than Usually, fever after surgery is due to respiratory infections, such as ear infections, colds and possibly, pneumonia.

The penis normally becomes swollen after surgery. The swelling is usually greatest between the line of the circumcision and the ridge of the head of the penis. This skin has a different color and is usually pink.

The swelling gets worse for the first few days after surgery and then slowly resolves. Most of the swelling will be gone within a month but it takes up to 6 months for all of the swelling to go away. The head is often raw when the foreskin is pulled back for the circumcision. A yellow-whitish film may develop on the head of the penis in the first few days after surgery.

This typically goes away within one week. This is not pus or a sign of infection. Your son will have a yellowish piece of tape around his penis. This may fall off by itself. If the tape does not come off in two days you can remove it. You may get it wet to help remove it. Once the dressing is off, apply antibiotic ointment to the head of the penis several times a day until this film disappears.

This should be done with each diaper change if your son is still in diapers. Urine will not hurt the circumcision and should not cause pain since surgery was not performed on the area where the urine comes out. Urine is sterile and does not cause infections. It is not unusual to see a small amount of bleeding from the incision for the first day or two.

Please call us if you see large blood clots in the diaper or underwear. Bruising on the penis and even around the base of the penis or in the scrotum is common and usually disappears in one to two weeks. The stitches that were placed will dissolve over a period of weeks. You may bathe your son beginning three days after surgery. Until this time just give him a sponge bath and do not soak his penis underwater. If he has a messy bowel movement, clean the penis gently with warm water, wiping bottom to tip.

Itching is a normal occurrence after surgery and is a normal part of the healing process. This does not mean that your child is in pain. Children usually get through surgery very well and have little pain. We suggest giving ibuprofen every eight hours for the first three days after surgery; this may prevent pain before it begins and reduce the need for stronger medications. This occasionally can upset the stomach, so it is a good idea that your child eat or drink something at the same time as taking the medication.

After 3 days, your child can take this medication as needed. Ibuprofen may not be strong enough to deal with all of the pain after surgery. Your doctor has written a prescription for a stronger medicine a narcotic to manage severe pain. Narcotics will not cause addiction in that short period after surgery. We suggest that you fill this prescription before going home. Sometimes, the patient may feel fine but then wake up in the middle of the night needing the stronger pain medicine. Constipation and nausea are common side effects of the stronger pain medicine.

Therefore, the stronger pain medicine should only be used if he is having severe pain not helped by ibuprofen. If you have problems, contact our office at or There is an answering service at night and on weekends to locate a nurse or doctor. See our adult Urology Services. Appearance and care of the incisions The penis normally becomes swollen after surgery. Pain control Children usually get through surgery very well and have little pain.

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