Bolger Glans peeling after circumcision surgery can be treated by keeping the area clean, avoiding friction and irritation, using topical drugs, observing accompanying symptoms, and timely follow-up visits. This symptom is usually related to postoperative local dryness, inflammatory reaction, allergic reaction, fungal infection, abnormal wound healing and other factors.
1. Keep the area clean
After surgery, gently rinse the glans peeling area with warm water every day. The water temperature should not be too high. After rinsing, use sterile gauze to dampen the water and avoid wiping hard. Never use chemical cleansers such as soap or shower gel as they may irritate the new epidermis. After cleaning, apply a small amount of medical Vaseline to keep it moist.
2. Avoid friction and irritation
Wear loose cotton underwear to reduce friction and expose the perineum to promote ventilation during sleep at night. Avoid oppressive behaviors such as riding a bicycle and sitting for long periods of time. Sexual intercourse and masturbation are prohibited within 2 weeks after surgery. If itching occurs in the peeling area, do not scratch it. You can use cold compresses with refrigerated saline gauze to relieve it.
3. Use topical drugs
If it is accompanied by redness, swelling and pain, you can use compound polymyxin B ointment as directed by your doctor to prevent infection. For peeling skin caused by fungal infection, apply miconazole nitrate cream. Allergic peeling can be treated with short-term topical hydrocortisone cream. Clean your hands before applying the ointment and keep the area dry for 1 hour after applying the ointment.
4. Observe accompanying symptoms
Peeling combined with exudate and foul odor may indicate bacterial infection. If purple ecchymoses or persistent bleeding occur, you should be alert to blood supply disorders. Fever with swelling of the glans should warrant the consideration of cellulitis. Painful erections that worsen at night may be due to suture reaction. In the above situations, the frequency of symptom changes needs to be recorded for the doctor's evaluation.
5. Timely follow-up consultation
Simple peeling without other symptoms can be followed by routine review 1 week after surgery. If the peeling area expands to more than 1/2 of the glans area, or does not improve for more than 10 days, you must seek medical treatment in advance. Secondary treatment may include removal of abnormal sutures, laser wound modification, pathological biopsy, etc. Follow-up is required within 3 months after surgery to confirm that there are no long-term complications such as urethral stenosis.
Postoperative diet should increase high-quality protein such as fish and eggs to promote wound repair, and drink more than 2000 ml of water daily to reduce urine concentration. Vitamin C tablets can be appropriately supplemented to enhance skin regeneration ability. Avoid spicy food and alcohol during the recovery period. You can choose loose sports shorts and a medical protective mask for daily activities. Swimming, sauna and other humid environment activities are prohibited within 2 weeks after surgery. If scabs appear, do not force them to peel off, let them fall off naturally. It is necessary to continue to observe changes in skin color and sensation of the glans scalp within 6 weeks after surgery, and communicate with the surgeon in a timely manner if any abnormalities are found.
