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Phimosis surgery, Purulent discharge, white flaky substance around the cut - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Penis Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   Hi
Doctor :   How can i help you today?
User :   Hm, you didnt get that long question I typed in the question box, did you?
Doctor :   Sorry, it did not come through
Doctor :   can u please type in again ?
User :   Ok, I will simply copy it here
User :   I've received a phimosis surgery (circumcision) a week ago. During my first few nightly erections most of the suture broke. My doctor said that it will be ok so I was properly rebandaging it each day for a week. Currently there is no pain nor blood but it looks very weird: between the top and bottom parts of the skin there is a white solid substance all around the cut. The skin itself wont seem to grow together at all. What is that white substance and should it be there? Is it a problem that the skin did not grow together after a week or should it be that way? I can make a photo of it if that's allowed by the site rules.
Doctor :   let me read it
Doctor :   please give me a few minutes
Doctor :   yes , you can send the picture to
Doctor :   but it will take a few minutes
User :   Ok, 3 min
Doctor :   after i recieve it to analyse
User :   ok, made the photos, should I write some specifics in the subject of that mail?
Doctor :   just mention
User :   Done
Doctor :   ok, please give a few minutes , so that i can recieve it and view it
Doctor :   in the mean time, i would like to give a brief interpretation
Doctor :   The white substance described could be due to smegma or normal exudates that occurs post surgery
User :   1 sec
User :   done
Doctor :   a minute
Doctor :   yes
Doctor :   it seems that there is a separation of the skin
Doctor :   and there is a purulent discharge
User :   It does not seem to be purulent. It's kind of solid.
Doctor :   yes it has crusted, with formation of granulation tissue
Doctor :   this is common during healing of a wound
User :   Ok, and in case of a circumfusion, is this bad?
Doctor :   the condition will improve soon , within a week
User :   Should the bottom and top skin grow together or will that "purulent discharge" become skin itself?
Doctor :   it is a common after such surgeries and there is no need to worry
User :   Just wondering
Doctor :   it will become a fibrous tissue
Doctor :   AND Then become normal
User :   Thanks for the help :) Now I can sleep peacefully
User :   I was scared that it will need another surgery and new suture
Doctor :   the condition can improve by applying a antibiotic like neosporin
Doctor :   and taking a ibuprofen, to reduce the inflammation
User :   Hm, ok, thanks, I'll ask that in pharmacy store
User :   Thanks for all the help.
Doctor :   you are most welcome
User :   Good bye
Doctor :   take care and have a good night
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