Brief Answer: Sunnath operation is circumcision. Detailed Answer: Hello Welcome to Health Care Magic Sunnath operation is the common name of circumcision operation. The operation involves cutting the fore skin of the penis. It is one of the commonest operation done world wide in boys, as it is done as a part of custom in Muslims. It is usually done before 7 years of age in Muslim boys. In adults as in you the indications for the operation are Phimosis Paraphimosis Recurrent infections called as balanitis or posthitis. There are many proven advantages of surgery like it prevents cancer of the penis, urinary tract infections and sexually transmitted infections. The few side effects are infection and bleeding during surgery. These can be prevented by correct surgical technique and use of antibiotics to prevent infection. It will not lead to any sexual related problem nor it will affect the sexual activity. The surgical wound usually heals completely by 4 weeks. Sexual activitiy can be done safely after 6 weeks of surgery. Probably in your case surgery was done for phimosis and it seems it is the cause for small penis size and not getting errection quickly. All these problems will be solved by the surgery. Hope I have answered your query. Thank you

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Brief Answer: You can wear underwear and travel. Detailed Answer: Hello Welcome to Health Care Magic Thank you for the follow up query After operation the wound needs to heal and the swelling because of surgery needs to be decreased. The wound heals over 3-4 weeks and the swelling subsides by about 2 weeks. Coming to your questions, You can travel after surgery but you should prevent jerky drive as this may disturb the wound by causing trauma. You can wear underwear after surgery, the only precaution is to prevent trauma by the underwear to the operated site. This can be done using tight briefs with protection inside by using gauze or cotton placed as using loose under wears may lead to free movement of the penis which may result in injury. Coming to the promotion of healing, local application of antiseptics is not compulsory you can take the antibiotic tablets and analgesic drugs prescribed by your surgeon. Since penis is very vascular it will heal quickly. Along with these if your surgeon has placed removable sutures they have to be removed by 2-3 weeks. Along with the above general information do follow the specific advice given by your surgeon. Hope I have answered your query. Thank you

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Brief Answer: Yes you can do physical exercises by 2 to 3 weeks. Detailed Answer: Hello Thank you for the follow up query. The wound of the surgery normally heals by 2to 3 weeks. Hence you can start jogging and physical exercises by this period by the wound would have healed. To begin with initially avoid jumping and stretching of legs. Start with brisk walking and by 4 weeks you can do all types of physical exercises. Thank you asking to Health care magic. With regards Dr Dadapeer k

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Brief Answer: Pain and edema will decrease by 2 weeks. Detailed Answer: Hello, Thank you for the followup query. First and foremost I need to say no need to worry as edema(swelling) and pain are common in the post operative period. Since the skin of the penis is very loose and thin pain and edema are commonly seen in the first week after surgery. Pain and edema will come down by 2-3 weeks. Give it some time you will be alright. Coming to the second part regarding erection, erection should be avoided in first 2-3 weeks as this will increase pain and delays wound healing. Do continue the treatment by antibiotic tablets as advised by your doctor. If the pain is severe you can take analgesic tablets for pain relief. Do not worry regarding erection as once the edema and pain subsides you will be able to do it without any difficulty. Since there is two months for your marriage you will be alright by then. Please do attend followup as told by your doctor to look at the operated site once. Hope the information helps. with regards Dr. Dadapeer K

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Brief Answer: These are common followingsurgery,no need to worry Detailed Answer: Hello, Thank you for the follow up query. Iam glad to know that my answers makes you feel better. Coming to your first question,My edge of the penis is still sensitive while wearing underwear. When that sensitive will go?. The sensitivity of the penis following circumcision is due to the fact that the nerve endings are cut during surgery and once they regenerate the sensitivity will decrease over a period of time. I cannot tell you exact time as it will vary depending on the individuals response and healing and it may take 2- 3 months. Coming to second question, My penis outside skin is looking bumpy after this circumcison still on day 5, will it go to normal size after healing? The skin of the penis will come back to normal and the bumpy edema will decrease by 2-3 weeks. Coming to your third question, Sleeping erection is normal and no need to worry much about it and it will not affect wound healing much. Coming to your last question, It is normal for the nodge to come out half without skin. Hope I have answered all your queries. Thank you

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Brief Answer: Sensitivity and edema require 2 weeks to subside. Detailed Answer: Hello, Thank you for the follow up query. Coming to your first question of being uncomfortable because of the edges of the penis touching the underwear. This can be reduced by using tight briefs preferably v shaped. The routine box type of under wears should be better avoided as these are loose and allow free movements of the penis lead to touching of the penis to the under wear resulting in pain. You can also use a cotton or gauze piece inside the underwear so that it prevents rubbing of the penis against the under wear. Coming to the second question, Wearing v shaped underwear will help the wound to heal quickly, however if you are wearing loose box type under wear, the frequent movement may hamper wound healing. The edema will definitely decrease and no need to worry. If you can tell me regarding the medications which you are using following surgery, I can guide you regarding any medications to use as these vary from doctor to doctor. Hope I have answered your queries. Thank you

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Brief Answer: You can continue same treatment. Detailed Answer: Thank you for the follow up query. Your doctor has prescribed oral antibiotic (Cefuroxime), antiinflammatory with antiedema drug (Diclofenac Potassium & Serratiopeptidase tablets), antigastric drug (Pantoprazole tablets) and local antibiotic ointment ( Mupirocin Ointment). The treatment is in right direction, since oral antibiotic is required only for 5-7 days, you can stop that drug as told by your doctor. If you are having pain and edema, you can continue other two drugs as advised for another 3-4 days. No other drug is required as your doctor as prescribed all the essential drugs and ointment for local application. Hence I advice you to continue same treatment and no need to worry. Thank you

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Brief Answer: If it is not painful, then no need to worry. Detailed Answer: Hello, Thank you for the follow up query. From the history you have told I feel that penis is buried or trapped inside the skin. It should come down once the erection comes down. No need to worry if it is not painful and if it is slowly getting clear. Most of the times it will be concealed penis, a gentle pressure on the base of the penis will correct it. If it is painful and penis is still buried or trapped inside the skin as you are saying it requires retraction of the skin. This can be done by your doctor. Hence if the skin wont retract and becomes painful do consult your doctor. Hope the information helps. Thank you

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Brief Answer: No need to worry, it may not occur again. Detailed Answer: Hello, Thank you for the follow up query. Good that you went to doctor and got the skin retracted and you may be relieved now. Coming to the medications, he has also prescribed same type of medicines which you are already taking. He has replaced antibiotic by Cefixime, before you were using cefuroxime, both are from same group and you can use any one of them. Diclofenac with seratiopeptidase is replaced by aclenofenac with seratiopeptidse, both belong to same group you can use any one of them. He has added antioxidants and vitamin C, you can use it no problem. I feel you have to continue mupirocin ointment for local application. The skin trap will reduce as the edema of the wound decreases, hence no need to worry it will not occur again. If at all it occurs it can be relieved by gentle pressure to the base of the penis. But don't worry it may not occur again. Hope I have answered your query. With regards and wishing you a speedy recovery Dr. Dadapeer K

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Brief Answer: It is stitch related reaction of the wound. Detailed Answer: Hello, Mr. XXXXXXX I reviewed the photos which you have sent. These indicate a minor stitch related wound healing reaction. It seems it is not infective as the wound is appearing clear. Hence no need to worry. As you have told to me that stitches were removed, if not removed completely consult once your surgeon at chennai /Tirunalveli for removal of sutures. If sutures are removed already and if the condition is not painful continue the treatment as advised it should decrease as the wound heals. If it is causing too much discomfort or annoying or painful or if the tissue turns yellow, kindly get once examined by your surgeon at chennai /Tirunalveli. Do inform me back after you consult your surgeon. Thank you

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Brief Answer: The split up is normal, no need to worry. Detailed Answer: Hello, Mr. XXXXXXX XXXXXXX Thank you for the follow up query. In the third follow up question you had mentioned that you removed sutures, but in the photo which you had sent, I could see a suture end protruding, that's why I advised you that probably the sutures are removed completely. However no need to worry since absorbable suture materials are used they will dissolve gradually as the wound heals. Coming to the second question the split up is normal during the healing process, as the healing completes it will be covered no need to worry. Everything will be fine by another 10 to 14 days, just relax and there is no need to worry. Just take care to prevent secondary infection of the wound by continuing the medications as advised by your doctor. With regards Dr. DADAPEER K

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Brief Answer: The wound appears healthy and healing. Detailed Answer: Hello,Mr. XXXXXXX XXXXXXX Thank you for the follow up query. Good morning I went through the photo which you have sent along with the query, the wound is fine, healthy and healing. The splitup what you have mentioned is normal and it is also doing well. Hence no need to worry. The split up what you are saying is called as frenulum and it is normal and it is present in everyone. Hence you cannot expect it to be completely closed by healing. Hope I have cleared your doubt. Have a good day. Thank you

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