Adult circumcision is generally performed under local anesthesia in the outpatient operating room, and you can leave the hospital after resting for half an hour, because the operation is a key part of the operation, the postoperative effect and postoperative care have a great relationship, now the common problems and precautions after circumcision are explained as follows
A. What about the painful incision after circumcision?
Post-operative pain is evident 30 minutes to 2 hours after surgery. The degree of pain varies according to the individual’s pain threshold. Adults can generally tolerate it. If you feel obvious pain, you can take painkillers, and if you have poor pain tolerance, you can take painkillers regularly for 1-2 days. Secondly, erection at night for 1~3 days after surgery may also cause pain, and the penis will return to normal after it weakens. (Ice, ice towels, etc. placed on the inner thighs to cool down can quickly make the penis weak; urination can also make the penis soft), such as repeated erections, which seriously affect sleep, can take estrogen for 3 days to reduce erections.
Second, what if the incision bleeds after surgery?
Bleeding from the incision after circumcision is common within 2 hours after surgery and after erection at night. If the bleeding is not large and only a small part of the gauze is dipped in red, it can be observed and can generally stop bleeding on its own. If incisional bleeding occurs more than once, the progressive range of gauze stained red increases, drips from the gauze, the penis swells and deforms, or there is a situation where the patient cannot determine the condition of the wound, please go to the hospital immediately.
Third, can I urinate normally after surgery?
Generally, it is possible to urinate after surgery. However, some patients may experience painful and strenuous urination, bifurcation or scattering of urine, and obliquity due to compression bandages to prevent edema and bleeding after surgery, which is normal. When urinating, tilt your body forward (or bend forward) so that the urethral opening is downward, and wipe the urine from the urethra with a tissue at the end of urination to avoid wetting the dressing with urine. If the gauze is wet a little, you can use a hair dryer to dry it, if it is all wet, come to the hospital immediately for a dressing change. (Prepare a large mouth empty drink bottle, such as nutrition fast, pulsation bottle, every time you urinate, put the urethral opening into the bottle, so that even if the urine is scattered, it is scattered in the bottle and will not get wet gauze). This situation will improve after the first change of medicine three days after surgery.
Do I need to change the medication after circumcision? How often? How many times in total? Can I change it at a hospital near my home?
Generally, after circumcision, the medication will be changed once in 3 days, 3 times in total. Generally, the dressing can be removed 10 days after surgery and the external disinfectant sprayed 4-5 times a day. The sutures will fall off in about 3 weeks, if they are not fallen off in more than 3 weeks, they can be removed in the hospital. It is recommended to change the dressing at the hospital where the surgery was done. There is a great deal to learn about the position and tightness of the dressing gauze, such as too loose a dressing will cause edema and hematoma, too tight a dressing will cause ischemia, etc.
Why is there exudation on the trauma after circumcision?
If there are preoperative glans adhesions, the adhesions will be separated during surgery, and after surgery there will be local yellow-white exudate at the glans, coronal sulcus and incision, mainly fibrin exudate, not pus, yellow scab after 2-3 days, 6-7 become black scab, 3-4 weeks after decabbing, if the hard scab covers the urethral opening and affects urination, the urethral opening can be coated with erythromycin ointment. After surgery, in order to prevent the inner plate of the foreskin and the glans from adhering again, the operation will generally be sewn in the coronal sulcus with petroleum jelly gauze, which generally falls off automatically in about 3 weeks.
Can I take a shower after circumcision?
9 days after circumcision can generally take a shower, it is recommended to quickly wash, the wound with a hair dryer, do not soak in the tub. After blowing dry, use the antiseptic solution taken during the surgery externally.
Seven, what about edema after circumcision?
There is rarely edema after cuffed circumcision, but depending on the physique, individual patients may have foreskin edema after surgery, and generally the edema has little effect on the recovery of the incision. It is usually obvious with the coronal groove under the urethral opening. Appropriate pressure bandage after the discovery of edema can promote recovery. Generally 2-4 weeks after surgery foreskin edema will gradually subside, but there will be a few patients with longer postoperative foreskin edema, generally will be in 6 months after surgery swelling.
What should I pay attention to in the postoperative diet?
Avoid alcohol, spicy food, tonic or herbs that activate blood circulation and remove blood stasis. Appropriate supplementation of meat, milk, eggs, poultry food and other high protein can promote wound healing.
Nine, circumcision after dressing what attention?
After circumcision, because of the existence of the incision and the sensitivity of the glans, especially in patients with circumcision, the activity will cause pain or discomfort due to friction. It is recommended to wear loose and breathable cotton underwear after surgery to reduce friction on the head of the penis and to keep the perineum fresh and breathable. If the glans has more ooze, you can use a disposable cup (go to the bottom to breathe) to cover the penis to avoid contact with the glans around, then wear loose underwear, or surrounded by a towel, which can reduce friction and keep the air dry and clean.
X. Can I go to work/school after the operation?
After circumcision, it is recommended to rest for 1-2 days due to pain, avoiding bleeding, avoiding sweating, etc. Avoid standing, sitting or walking for a long time. Generally, you can work indoors after 1-2 days after surgery. Normal work, including physical labor and outdoor activities, can be done 9 days after surgery, but if there is edema, reduce exercise appropriately.
11. Will the incision open after surgery? What should I do in case of splitting?
It is common to see bleeding after surgery as well as frequent erections, premature sex and strenuous exercise. Therefore, within 1 month after circumcision, try to avoid repeated erections caused by sexual stimulation and refrain from sex and strenuous sports (swimming, basketball, climbing, swimming, lifting heavy objects, etc.). In case of splitting, you should seek follow-up consultation with the surgeon who operated on you in time.
What should I do in case of emergency after surgery?
If there is abnormal swelling and deformation of the incision site, large amount of blood oozing and dripping from the gauze after the surgery, contact the surgeon immediately or go back to the hospital for follow-up (please go to the urology clinic during regular shift hours and to the emergency department at night during non-regular shift hours). If the glans is bruised and battered, and you cannot judge by yourself whether it is normal or the bandage is too tight, you should also come to the hospital immediately.
XIII. How long can I have sex after surgery?
Generally, the incision will heal well in about 9 days, but the suture is not off, so sex is not allowed. About 3 weeks after the operation, the incision will be disconnected, but the incision will not heal firmly, and it will be easy to crack if there is tension. Sexual intercourse is also not allowed. Generally, about 40 days after surgery, the incision heals firmly, and you can have sex. But the incision is after all new tissue, such as sex is too rough, will cause lacerations or abrasions, so in full foreplay, fully lubricated after.
Although circumcision is a small surgery, but if you do not pay attention to the post-operative, poor care, there will be problems. Post-operative self-care is very important, and good care can reduce pain and bleeding, reduce complications, and promote early and perfect healing of the incision.