Is Circumcision The Right Solution For Difficult Urination?
could be due to reminant stitch
Detailed Answer:
Hi Mam,
Welcome to HealthcareMagic .
I read your query and understand your concern . Usually circumcision is not of much use at this age. You said your doctor removed fibrous thing. Yes it is necessary to remove all fibers to make foreskin retractable because foreskin should always be able to retract completely. Otherwise it cause infection and pain and difficulty in urination.
To see how much area is reddened you may gentally retract the foreskin and see. Also after that place it back to its normal position.
After reading your query I feel some stitch have not dissolved and causing irritation and formed granuloma. This is causing itching and not healing. This can't be seen on x ray. By proper clincal examination it can be made out by touching the area. If needed by ultrasound it may be confirmed.
For this problem a expert urologist(urosurgeron) is the specialist who will deal . For genital problems there is no higher speciality available more then urologist.
If stitch is there then that may be removed without need for circumcision. If still stitch is there then unless it is removed the area won't heal. Usually penile lesions take longer time to heal.
I suggest you to discuss this with your urologist and discuss about stitch granuloma. The time taken for sutures to dissolve is different from person to person .
Hope I have answered your query . If any further queries are there I would love to help.
Regards
Dr.Deepika Patil
To clarify: The foreskin can not be retracted at all but appears loose along the shaft as it always had in the past. Only the top 1/4 inch around the opening appears to be attached to the penis The urologist would not allow my husband to push back the foreskin right after surgery because he said it would probably cause excessive bleeding. 7 day Follow up from surgery he said the same and the 2nd followup the skin was already fairly attached to the penis. As he stitched all around the opening of the foreskin it seems as though he simply stitched it too tight. (The stitched area is underneath the end of the foreskin and not at all visible.)
This urologist only wants to do more circumcision or partial circumcision. Is it possible after this amount of time that my husband can gradually push the skin back so that it will work loose and push back? He has normal erections with no pain and no pain other that that constant itching/burning in the one area .
Should we request ultra sound to determine if stitches remain?
not easy to pull it back
Detailed Answer:
Hi Mam,
Since from so many days your husband as not pulled the skin back and you say 1/4 th inch is attached I suggest you not to try yourself to pull it back. This may cause bleeding or pain. I suggest you to get it done by your doctor. It is unlikely that after so many days to easily pull back the skin. It might have been adhered there. With application of local anaesthetic gel gently doctor may try it. It may come smoothly and later can be done in home without need of gel.
If your doctor is not sure stitch is remaining after examining then better to request for ultrasound to find out the remnant stitch and later removal. Usually when we touch the area we can make out inside stitch is there or not as these are superficial stitches.
Don't worry about tight stitches . Usually when tight stitches are put that will cause swelling of the penis head and shaft. That is alarming sign and no doctor miss it to diagnose and rectify .
Hope I have answered your query . If any further queries are there I would love to help.
Regards
Dr.Deepika Patil
Also if these were not the natural type of stitches that dissolve on their own will they eventually breakdown and dissolve anyway?
Could a dermatologist be able to gently remove the stitching or must my husband undergo local anesthesia and have more foreskin cut off by the urologist/surgeon? We want no more trauma to his system.
Thank You!
may try mupirocin
Detailed Answer:
Hi Mam,
For the itching area you may apply mupirocin after consulting your doctor. This will reduce inflammation and itching.
In herbel medicine you get combination of calendula,lemon XXXXXXX vulgaris etc. This is proved to reduce itching and burning sensation. But none of the ointments are proved to fasten the healing. Once inflammation subscide healing occur by itself. Keep the area clean .
Those are naturally dissolving stitches but some may have reacted with your husband body and caused inflammation. Since it has reacted it is better to remove it for faster healing. It may dissolve but take more time and it won't heal untill stitch is gone. Non dissolving stitches won't dissolve and remain forever in body unless removed.
If your dermatologist is experienced or a surgeon may remove it and there is no need to cut foreskin . Where stitch is there that area may be opened and stith removed.
Stitches are classified as absorbable (dissolve) and non absorbable(dont dissolve).
Hope I have answered your query . If any further queries are there I would love to help.
Regards
Dr.Deepika Patil