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⚡ Circumcision scar: nodules and bumps, healing time, prevention

Are Scars Inevitable?

Circumcision is a common surgical procedure used to remove the foreskin from the penis. The tip of the penis, known as the glans, is usually left free. The foreskin is reconnected to the penile shaft.

As with any surgery, circumcision can leave a scar. The circumcision technique you choose often determines the type of scarring that can result.

Scarring is less likely if the procedure is performed in infancy. However, there are ways to reduce the risk of scarring in older children and adults.

The first step is to find a qualified practitioner. Your doctor or surgeon will be able to guide you through the different techniques available and discuss the different scars these procedures can leave.

continue reading, around more about the individual techniques to experiencewhat the scarring may look like and what you can do to minimize it.

Different techniques leave different scars

The scar placement varies depending on the technique. Direct excision of the foreskin can leave a scar anywhere the skin is cut. If a longer portion of the foreskin is removed, the remaining skin can be sutured along the shaft. This can leave a scar in the middle of the shaft. If less skin is removed, the scar may be closer to the glans.

Occlusion or staple removal can leave a scar almost directly under the tip of the penis. The goal of this procedure is to remove just enough skin to reveal the glans while hiding the area where the skin under the glans was glued or sutured to the penis. This also applies to the shield method.

The dorsal slit method leaves a scar right around the incision. However, because the foreskin is not completely removed, the scar can be much smaller than the scars from other circumcision procedures.

It's important to talk to your doctor or your child's pediatrician about what a circumcision scar might look like, and how it might differ between options.

They should be able to show you photos before and after previous procedures. This can help you imagine what the scars might look like on you or your child.

Techniques used for infants

There are three main methods used in infant circumcision. You are:

Gomco bracket method

In this procedure, your child's doctor will use a device to pull the foreskin away from the tip of the penis head. He puts a bell-shaped cover over the tip of the penis and under the foreskin.

Then they pull the foreskin over the cover and attach a clip around the foreskin. The clamp cuts off blood flow to the skin. The foreskin is removed with a scalpel. You can leave the clip in place for several minutes to minimize bleeding.

Mogen bracket

Your child's doctor will use a probe to separate the foreskin from the glans penis. The foreskin is pulled upwards away from the head of the penis. You will insert the foreskin into a metal clip that will cut off blood flow to the skin. Then the foreskin is removed with a scalpel.

Plastibell apparatus

As with the Gomco clamp method, a plastic bell-like device is placed between the foreskin and over the glans. Your child's doctor will tie a suture or plastic ring around the foreskin to cut off the blood supply. The foreskin is removed with a scalpel, but the plastic ring remains in place to reattach the skin to the shaft. The ring will fall off on its own in a week or two.

Techniques for older children and adults

Older children and adults can have one of four types of circumcision surgery. Each type offers several procedural options, but they fall into these main categories:

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The Gomco stapling method and the Mogen stapling device are also used in the circumcision of adult males. To do this, your doctor will put a protective cap over the glans of your penis. He will also put a hanging suture or plastic ring under the glans of your penis to stop blood flow.

Then your doctor will use a scalpel to cut off the top of the foreskin. The area may be stitched to reduce your risk of bleeding excessively. In some cases, glue can be used to secure the remaining foreskin to the shaft while the skin heals.

Clamp

Your doctor will put a plastic clip around the foreskin, which will be removed. This clip is left on the foreskin for about a week. During this time, the clamp stops blood flow to the foreskin. This leads to the death of the skin. The unwanted skin turns black and falls off in a week or two. The remaining skin should reconnect to the shaft. Your doctor can also apply glue.

Dorsal slit

A dorsal slit is a small cut or incision in the foreskin. The shield and bracket methods sometimes require a dorsal slot in order for the shield or bracket to sit properly. For cosmetic reasons, doctors typically won't make a dorsal slit without removing the entire foreskin.

Excision

The most common type of excision is sleeve resection. To do this, your doctor pulls the foreskin over the glans of your penis. He will then make a circular incision in the foreskin with a scalpel. A clamp can be used to hold the excess skin during the incision. The remaining foreskin is sewn to the shaft while it heals.

What will the scarring look like?

Any surgical procedure can create scar tissue where the skin is cut. Scarring from an incision is normal. It appears as a red or pink area of ​​thickened tissue. It can be higher than the surrounding tissue.

Over the course of two to three years, the light color of the scar tissue will fade. The scar itself can even shrink and fade. However, it is unlikely that the scar will go away on its own.

Any circumcision scar that you will develop will depend on several factors, including but not limited to

Scar tissue

The skin around an incision can harden or thicken. This scar tissue may not fade or shrink as well over time. This can leave grooves or bumps along the shaft of the penis or under the glans.

Stitches

If your doctor used the excisional or stapling method, stitches can reattach the skin to the shaft. The stitches hold the new edges of the skin in place as it heals. You may have minor scars where the stitches were sewn. Larger scars can develop if the stitches tear or slip as they heal.

Keloids

In rare cases, a scar can develop a thick growth of tissue. These growths, called keloids, may look like tumors but are not cancerous. The growths can be large and require additional surgery.

If you've formed keloids over other scars, whether from surgery or injury, you are more prone to developing keloids after circumcision. This should be discussed with your surgeon prior to surgery.

Dark discoloration

You may notice a difference in skin color between the newly exposed skin and the remaining foreskin on the shaft. Likewise, the scar can be a different color (lighter or darker) than the surrounding skin. However, over time, these color differences should fade.

Will the scars change over time?

Proper healing can take several weeks.

In the first few days after circumcision, the skin around the penis may appear red and puffy. As the healing progresses, the redness fades and the swelling subsides.

Likewise, any scar tissue that is raised or uneven in the first few days and weeks after surgery should shrink.

Even if the scar itches as it heals, it's important not to scratch it. This can disrupt the healing process of the scar and lead to complications.

Smoking cigarettes can also increase your recovery time. People who smoke may also be at a higher risk of complications after surgery.

It's important to remember that even after the area has completely healed, the scar can be so far from the rest of the penis that it is noticeable.

How to care for your scars and minimize their appearance

The older you are at the time of surgery, the more difficult your recovery will be.

You should always follow your surgeon's instructions for follow-up treatment.

For babies

After the procedure, your child's doctor will put a protective bandage over their penis. You will need to change this dressing every day until the wound has healed. This usually takes 7 to 10 days.

During this time, wash your child's penis daily with soap and warm water. You should also apply a petroleum jelly to the glans to avoid friction between the penis and the diaper.

For older children and adults

You will need to wash your penis daily with soap and warm water for several weeks to avoid infection and skin irritation.

During this time, it's a good idea to wear tight-fitting underwear that can support your genitals. Loose underwear, such as boxer shorts, can cause your penis to rub against clothing or skin and become irritated.

Most doctors recommend that you avoid sexual intercourse for four to six weeks after surgery. For some men, the wait may be longer as you wait for the sensitivity to end. Your doctor can discuss your options with you.

Tips for scar reduction

If a scar forms, you may be able to minimize its appearance.

Although many of these products are available over-the-counter (OTC), you should check with your doctor - or your child's pediatrician - before using them.

You should also do a skin patch test before doing a full application. To do this, do a test:

  1. Apply a small amount to the inside of your forearm or your child's forearm.
  2. Cover the area with a bandage and leave it alone for the next 24 hours.
  3. If itching or other irritation occurs, discontinue use. If there is no adverse reaction, it should be safe to apply it elsewhere.

You may be able to use one or more of the following scar reduction methods:

  • Vitamin E. OTC skin creams that contain vitamin E can help reduce scarring. Ask your doctor or pharmacist for a specific recommendation.
  • Scar oils. Some OTC products, such as Bio-Oil and Mederma, help moisturize the skin and help soothe scarring. Every product is different and your results may vary. Talk to your doctor about what you should be using.
  • Lightening creams. A skin lightening product can help reduce color differences around a scar. These products are not recommended for everyone, so speak to your doctor before using them.

Can you have the scars removed?

Removing a circumcision scar requires additional surgery. This process will leave a new scar, but it may be less noticeable than your current one.

If you are interested in removing a circumcision scar, speak to a plastic or cosmetic surgeon. These doctors specialize in reducing the scars around the incisions. They will be able to discuss your options with you.

If your circumcision scar develops a keloid, surgery to remove the keloid may be required. The scar from this surgery should be much less noticeable than the keloid itself.

While circumcision scarring seems inevitable, there are things you can do to reduce the risk of scarring for you or your child. For example, choosing a doctor or surgeon with sufficient experience can go a long way towards achieving results that you are satisfied with.

You should also follow any aftercare instructions they give you. Maintaining the incision site is a surefire way to reduce your risk of scar-aggravating complications.

Make sure you plan any recommended follow-up appointments. In this way, you or your child's doctor can monitor the healing process and look for changes in the skin. You can also use this time to report side effects such as itching and to discuss your concerns.