Fistulae may present as an obvious fistulous tract or as a split urine stream. Often this is a result of compression necrosis from a retained Plastibell ring or a direct injury from incorrect placement of the Gomco clamp. Injury to the urethra during any ventral dissection can occur during a “free-hand” circumcision.
A split stream of urine is usually a sign of an issue with the bladder or the urethra. A split urine stream can also result from a condition called prostatitis. Prostatitis is an inflammation of the prostate gland in males. A split urinary stream can occur in both men and women but most commonly occurs among men.
Meatal stenosis, a narrowing of the urethral opening, is an uncommon complication of circumcision that usually does not require treatment. It is thought to result either from chronic meatitis that leads to scarring or from mild ischemia of the glans during circumcision.
Wearing light, loose-fitting clothing for 2 or 3 days after your operation will also help avoid irritation to your penis while it heals. You may feel some discomfort while passing urine, but contact your GP if painkillers don't help or if the pain is getting worse.
Urine will not hurt the circumcision and should not cause pain since surgery was not performed on the area where the urine comes out. Urine is sterile and does not cause infections. It is not unusual to see a small amount of bleeding from the incision for the first day or two.
Clean the penis by gently blotting or squeezing warm water from a washcloth or cotton ball onto the penis. Do not use soap, lotion, powder or diaper wipes to clean the penis because they may cause stinging or irritation. Reapply a new piece of gauze with pure petroleum jelly.
Normal Circumcision Healing
The incision starts off red and tender. The tenderness should be much less by day 3. The scab at the incision line comes off in 7 to 10 days. If a Plastibell (plastic ring) was used, it should fall off by 14 days.
When something blocks the free flow of urine through the bladder and urethra, you might experience urinary retention. The urethra is the tube that carries urine from the bladder to the outside of your body. In men, a blockage can be caused when the prostate gland gets so big that it presses on the urethra.
The most common symptoms of urethral injuries include blood at the tip of the penis in men or the urethral opening in women, blood in the urine, an inability to urinate, and pain during urination. Bruising may be visible between the legs or in the genitals. Other symptoms may arise when complications develop.
Don't strain and push to pee.
“You should be actively urinating for as long as you need, but the key is to relax and not push,” says Dr. Chung.
If you finish peeing and then dribble after you've zipped up your pants, know you're not alone. Urinary dribbling, also known as post-void dribbling, occurs when you leak urine immediately after urinating, and affects up to 58% percent of men.
While incidents of injury resulting from the circumcision procedure are rare, surgical errors do occur and the severity can range from excessive bleeding to significant tissue loss, and even partial amputation. A botched circumcision can have life-long effects ranging from deformities to pain and erectile dysfunction.
Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or aerobic exercise, for 4 weeks or until your doctor says it is okay. You can return to work and normal activities, including driving, when you are comfortable doing them.
Sometimes the foreskin still covers the head of the penis and it looks like nothing was done. Other times, there's more skin left on one side than the other.
Bacteria can then make its way from the urethra to the bladder, resulting in a UTI. Peeing after sex helps to flush bacteria out of the urethra, helping to prevent UTIs.
Holding it in for too long gives bacteria the chance to multiply and settle in the bladder, leading to infection. Holding urine can overstretch the bladder and lead to voiding dysfunction, which is a lack of coordination between the bladder muscle and the urethra.
Hot baths. Sitting in a hot bath can also help relax the muscles of your pelvic floor and make it easier to urinate. Medication. Your doctor may also prescribe medicines to relax the urethral muscles.
After circumcision, your baby's penis may look red and swollen. It may have petroleum jelly and gauze on it. The gauze will likely come off when your baby urinates. Follow your doctor's directions about whether to put clean gauze back on your baby's penis or to leave the gauze off.
At first, the incision (cut) will be red and the glans (head of the penis) will look like it has been scraped. The area may be tender, but this will lessen over the first couple of days. The penis may also have some redness and swelling and have some yellow pus on the head in particular for up to a couple of weeks.
Wash the area daily with warm water and pat it dry. Don't use hydrogen peroxide or alcohol, which can slow healing. You may cover the area with a thin layer of petroleum jelly, such as Vaseline, and gauze bandage if it weeps or rubs against clothing. Change the bandage every day.
The area should be kept dry for 48 hours after the operation. After this, take warm baths or showers once or twice a day. Don't use bubble bath or scented soaps, as these may irritate your healing wound. Leave the penis to dry naturally after having a bath or shower.
You can shower the day after the operation, and showering daily is recommended to keep the wound clean. Apply the antibiotic ointment to the wound lightly twice a day. Continue to use this each day until the tube runs out (usually 5-7 days). You may return back to your normal activities when it is comfortable to do so.