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"Many changes to the wound are a normal part of the healing process."  hierfür noch etwas Zeit.

Below are some important changes that the wound may undergo after circumcision, from the first day until healing (duration approximately 7 to 10 days). Next to the images, you will find possible explanations and solutions for any issues. If needed, you can contact me during office hours.



If you notice on the same day after the circumcision that the bandage is no longer in place properly, you can proceed as follows:
Don’t worry, it’s nothing serious. Apply some Bepanthen ointment to the wound and rewrap it with a fresh compress.



 

Cases 2-4 serve as a reminder that the bandage must absolutely be removed the day after circumcision. If the bandage has already adhered to the wound, we recommend carefully moistening it with clean lukewarm water or olive oil to facilitate removal. Please note that the adhesion becomes more stubborn if the bandage is left on for an extended period.

 

In Case No. 4, the glans appears irritated due to the bandage sticking, but this will heal quickly.

 

24 hours after the circumcision, the remaining foreskin behind the glans should be gently retracted during each diaper change. This is a crucial step, as noted on your instruction sheet. Cases 5 and 6 demonstrate potential complications when this isn't done properly. The residual skin may adhere to the glans and, under tension, elongate. In some instances, it might even advance forward enough to narrow the urethral opening, potentially causing urination difficulties.
Typically, this retraction needs to be performed for just 3 days. However, in certain cases and after consulting with your doctor, the procedure might need to be continued for a longer period.

Case No. 7 demonstrates findings that must be absolutely prevented. Please contact us immediately if the residual foreskin cannot be easily retracted, to avoid requiring timely surgical correction!



Cases 8, 9, and 10 demonstrate normal wound progression following circumcision:

  • Case 8 shows an open wound surface toward the scrotum that appears clean and non-irritated - the expected presentation during the first 3-4 days post-procedure.


Cases 11 and 12 demonstrate preventable swelling. It's crucial to:

  • Avoid fastening the diaper too tightly, especially after removing the bandage/dressing
  • Change soiled diapers promptly when wet or containing stool, particularly overnight

Cases 13 and 14 show the consequences when the diaper remains adhered to the glans for extended periods. In such situations, occasional minor bleeding may occur.

Cases 16 through 19 demonstrate the formation of fibrinous deposits and accumulation of wound exudate-like material in the surgical site, particularly on the ventral surface as compared to Case 18.

During sitz baths, gently attempt to remove these deposits. While the body can naturally cleanse and shed minor accumulations, active cleaning helps maintain proper healing.



Cases 20 and 21 demonstrate a bluish discoloration of the glans. This represents neither a disease nor a symptom of any disorder.
The intensity of the blue hue varies with skin transparency, as it results from underlying blood vessels showing through the tissue. While the duration of this discoloration cannot be predicted, it holds no pathological significance.





Example of circumcision's effect on a so-called "buried penis":
The procedure does not alter the penis's fundamental nature, but rather makes more apparent how its positioning changes without the foreskin.



Clinical Demonstration:
This shows a buried penis without scar tissue - when gently pressed at the base, the penis emerges completely with normal anatomy. This contrasts sharply with Case 7, where adhesions and scarring prevent proper penile extrusion.