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Is Cold Water Bath Advisable Post Frenuloplasty Operation?

Posted on Sat, 13 Jun 2015

Question: will there be any problem, if I vl take bath in cold water after 3 days of frenuloplasty operation?

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
would advise Lukewarm bath

Detailed Answer:
Hello and Welcome

I appreciate your concern

I would recommend that you take a bath with lukewarm water rather than cold water. Cold water can limit the blood flow even temporarily and can reduce the swelling somewhat but can later on cause some pain and discomfort. Try to gently soak the penis with warm wet pads rather then taking a regular bath as usual. Avoid any soap or bath salts, scented oils, lotions or gels especially near the operated frenulum/penis.

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr. Muhammad Sareer Khalil (10 hours later)

while doing my foreskin clear without breakfast, I feel like head spinning and there was some bleeding also..

Answered by Dr. Dr. Muhammad Sareer Khalil (5 hours later)

Brief Answer:
Low blood sugar, most likely, If transient then nothing to worry about

Detailed Answer:
Hello again,

Most likely it was a low blood sugar combined with some pain /discomfort that lead to the temporary head spinning episode. Get your B.P checked to rule out hypotension. Most likely it wont be anything to worry about if it was transient and you recovered in a few seconds.

As far as the wound goes, I read your previous queries, too and you seem to be worried about the wound healing process. If the medications are used in time and you are keeping a good hygiene w.r.t the operated region then slight bleeding is of no serious concern.

You may upload some good quality scanned images of the wound region to assess for any abnormal pattern.

Let me know if you have any query

Thanks

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Dr. Muhammad Sareer Khalil (3 hours later)

these are the images, if not clear reply me back I vl send again tomorrow.

Answered by Dr. Dr. Muhammad Sareer Khalil (6 hours later)

Brief Answer:
One Image is fine, got the picture

Detailed Answer:
Hello again,

Hope you have been feeling better.

Though only one image is somewhat clear, I got the idea based on it. The wound is still quiet fresh and at this stage no real bridging granulation tissue has formed yet. The margins are clean and clear. You need to take your antibiotics regularly , which must have been prescribed both orally and topically. Take good care of the wound and apply both the diluted antiseptic as well as the antibiotics as gently as possible. Try not to manipulate the foreskin by examining the area frequently. Keep the surrounding scrotal skin shaved and cleaned to avoid irritation and infection. It will take at least 2 weeks for the area to heal completely. You may let me know about the progress, then. For now just follow the above measures and hopefully you will recover very well.

Let me know if you have any query

Thanks.

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr. Muhammad Sareer Khalil (2 days later)

its 7th day of my frenuloplasty operation. yesterday night during erection there was blood drops on my trouser.its normal or should i go for a cheakup.

Answered by Dr. Dr. Muhammad Sareer Khalil (46 minutes later)

Brief Answer:
You should go for a follow up visit

Detailed Answer:
Hello,

Hope you have been feeling better.

As I said previously, based on the images you sent, the wound would still at the 7th post operative day be fresh. It can bleed with a trigger such as erection. There was no luminal manipulation done in frenuloplasty so its unlikely that the bleeding source was the urethra. You can go for a post operative follow up visit as its been a week since you got operated. After examining the wound your surgeon will most likely reassure you about the progress of your recovery.

Let me know if you have any other concern/clarification.

Thanks.

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr. Muhammad Sareer Khalil (3 hours later)

what are the questions I need to ask the doctor who had done the operation so that in future I shouldn't face any problem..

Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)

Brief Answer:
3 purpose followup visit

Detailed Answer:
Hello.

That is a good question.

The purpose of your visit should be

A) to have the surgeon examine the wound thoroughly to have a satisfactory opinion regarding the wound healing and recovery.

B) to ask whether there is any need for stitch removal at this stage depending upon the suture material used.

C) to let him know of the blood drops on your trousers history to advise a urine R/E and Culture sensitivity if appropriate.

Other than that there aren't many questions that would pertain to your situation based on your surgery.

Let me know if there is any query

I will be more than glad to clarify it

Thanks

Dr. M.S Khalil

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr. Muhammad Sareer Khalil (22 hours later)

what's the reason behind a felling of dry throat and weakness?

Answered by Dr. Dr. Muhammad Sareer Khalil (16 minutes later)

Brief Answer:
explained

Detailed Answer:
Hi.

The weakness can be an expected feeling since you have been operated recently. A complete blood count can be advised to look for anemia. The dry throat can be associated with the medications that you are currently using especially if they include opioids. Other than that you can increase your water intake and get your throat examined by your GP to look for a focus of infection.

Thanks.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Muhammad Sareer Khalil (2 hours later)

which foods and fruits will make my healing process as soon as possible. for non veg white eggs and its yellow part is good or not?

Answered by Dr. Dr. Muhammad Sareer Khalil (16 minutes later)

Brief Answer:
explained

Detailed Answer:
hi.

Carrots, Green beans, Oranges and Strawberries are foods that would benefit the healing process.

Eggs are a matter of preferrence. If a non veg person wants to start eating eggs, he can do so provided there is no history of allergy associated with it.

Thanks.

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Muhammad Sareer Khalil (8 minutes later)

also while sitting I am getting a larger sweating in whole body compared to before operation and while sitting able to hear the heart beat. also my weight has reduced a lot..can u clarify me about the urine pH and the blood pH that in the operation are. due to that is the frequency of urinating decreases and amount of urinating. does due to less urination my body is leaving the waste part of body in form of sweat. or high temp outside may also be the reason. today it was 43 degree c.

Answered by Dr. Dr. Muhammad Sareer Khalil (23 minutes later)

Brief Answer:
explained

Detailed Answer:
Hi.

If you feel that your sweating has increased post operatively and you are experiencing a rapid heartbeat on a persistent basis then the thyroid function tests including TSH should be done to rule out hyperthyroidism which can present with such a presentation. However if its a single episode then you should not worry as that can happen to anyone and can be related to anxiety. Such events can occur postoperatively as the apprehensions of the patient can increase.

Provided your kidneys are fine i.e the creatinine/GFR levels are normal , the kidney adjusts for the urine loss according to the water intake. Sweat loss is mainly due to the rise in external temperature and is not an alternative route for excretory purposes.

I couldn't really understand the query regarding the blood and urine ph

"can u clarify me about the urine pH and the blood pH that in the operation are"

You may elaborate it further so that I can answer accordingly.

Thanks.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 hour later)

urine is of diff.pH.if some urine comes in contact with the blood of wound then there may be some effect on the wound.also m facing another problem what the stitches are there some threads are in straight posn which after applying cream when I again cover the foreskin those threads impinges into inner foreskin creat somehow blood. how to get rid of it?

Answered by Dr. Dr. Muhammad Sareer Khalil (3 hours later)

Brief Answer:
explained

Detailed Answer:
Hi.

The urethra lumen is entirely closed of normally. Unless there is a urethral tear that leads to extravasation of urine, there is no way that there could be any significant intermixing that affects the blood ph.

As far as the stitches are concerned i wouldnt advise any manipulation by yourself. You should let your surgeon have a look at it to remove any unwanted stitches.

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Above answer was peer-reviewed by : Dr. Neel Kudchadkar