Why can't I urinate after circumcision surgery?

For Chinese men, it is common to have a foreskin that is too long, probably because of genetic problems. Of course, a foreskin that is too long will not affect daily sex life, and there is no need to undergo circumcision surgery. However, when a foreskin that is too long affects normal sex life, surgery should be performed to solve the problem once and for all. So, after having a circumcision surgery in the hospital, I cannot urinate. What is going on?

This is because after circumcision, the incision needs to be bandaged. If the bandage is applied too tightly, the pressure on the penis will be more obvious when the penis is erect at night, causing congestion and edema of the glans penis and the mucosa in the urethra at the far end of the bandage. The mucosa will have a mild inflammatory reaction or even ischemic necrosis. The inflammatory secretions will block the urethra and cause urination problems. The congested and swollen glans penis and urethral opening will be particularly sensitive. In this case, as long as the pressure is not too obvious to cause mucosal necrosis, it will generally recover on its own.

Postoperative care methods

Edema after circumcision is a common symptom. Mild edema of the glans penis within 3 to 4 days after surgery is normal, but there are individual differences. The reason for edema is that after circumcision, the blood circulation in the frenulum of the foreskin is relatively abundant. After the operation, the blood vessels and lymphatic vessels in the skin are cut off, and a new return path is established, resulting in poor return, which takes some time. Therefore, the local edema after the operation can generally recover in 2-3 weeks, and some can last for more than 3 months, but there is no need to panic. After the new circulation is formed, the swelling will naturally subside.

At the same time, avoid eating spicy food. Do not drink alcohol. Do not have sex for one month. Sleeping at night can be done in a supine or side-lying position to avoid compressing the genitals. If you have an erection at night, you can get up to urinate and walk around. If the edema persists for a long time, you should go to the hospital for a follow-up examination to prevent secondary infection. The edema can also be effectively relieved through treatment.

Care methods

1. Before the surgical wound heals, you should return for regular follow-up examinations; the wound should be kept clean and dry after the operation, and be careful not to wet the gauze when urinating.

2. Wear loose underwear to reduce friction on the glans penis.

3. It is normal for the glans penis to be slightly edematous within 3 to 4 days after the operation. This is a reaction of the body caused by anesthesia and surgery. Note that the swelling is pink at this time.

4. After the operation, sexual stimulation and sexual fantasies should be avoided as much as possible to prevent penile erection. Of course, the doctor will prescribe some drugs to prevent erection for the patient, but if sexual stimulation cannot be controlled, it is still possible that the wound will rupture due to erection and delay wound healing.

5. Do not wet the dressing when urinating. If it is soaked with urine, it should be replaced as soon as possible. Keep the wound dressing clean, or soak the head of the penis with relevant disinfectant products every day.

6. Keep the perineum clean after circumcision surgery. Some patients may feel discomfort in the foreskin after the operation. Scratching should be prohibited. The area should be wiped clean after urination and defecation to prevent local contamination.