Swelling Under the Glans: Causes and Treatment Options Explained - Urology

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Swelling beneath the glans?


A few days ago, I used a masturbation cup for the first time.
I have always had phimosis, but after this experience, my foreskin has retracted behind the glans and cannot be pulled back.
On the day of masturbation, there were no issues, but the next day I noticed swelling beneath the glans, which feels somewhat translucent, although there is no discomfort, just a bit of sensitivity.
Could you please tell me what the problem is? Will the edema subside, or do I need to seek medical treatment?

Enen, 10~19 year old female. Ask Date: 2016/11/21

Dr. Du Shixi reply Urology


Hello: If you are unable to retract your foreskin, please seek assistance from a doctor.
Thank you for your inquiry (if retraction is possible, the swelling should subside within a few hours).

Reply Date: 2016/11/21

More Info


Swelling under the glans, particularly after using a masturbation device like a masturbation cup, can be concerning, especially if you have a history of phimosis (a condition where the foreskin cannot be easily retracted over the glans). The swelling you are experiencing may be due to several factors, including irritation, trauma, or fluid accumulation in the area.


Possible Causes of Swelling Under the Glans
1. Irritation or Trauma: The use of a masturbation cup may have caused friction or pressure on the sensitive skin of the glans and the surrounding area. This can lead to localized swelling as the body responds to the irritation.

2. Edema: The transparent appearance you describe could indicate edema, which is the accumulation of fluid in the tissues. This can occur due to increased blood flow or inflammation in response to irritation.

3. Infection: Although you mentioned there is no discomfort, it is important to consider the possibility of an infection, especially if there is any redness, warmth, or discharge. Infections can sometimes present with swelling and may require medical intervention.

4. Phimosis Complications: Since you have a history of phimosis, the inability to retract the foreskin could lead to complications such as paraphimosis, where the retracted foreskin cannot return to its original position. This can lead to swelling and requires prompt medical attention.


Treatment Options
1. Observation: If the swelling is mild and there are no signs of infection (such as fever, increased pain, or discharge), you may choose to observe the situation. Swelling due to irritation often resolves on its own within a few days.

2. Cold Compress: Applying a cold compress to the area can help reduce swelling and provide relief from any sensitivity. Make sure to wrap ice in a cloth to avoid direct contact with the skin.

3. Avoid Irritation: Refrain from any activities that may further irritate the area, including masturbation or tight clothing, until the swelling subsides.

4. Topical Treatments: Over-the-counter hydrocortisone cream may help reduce inflammation if irritation is suspected. However, consult with a healthcare provider before applying any topical treatments.

5. Medical Evaluation: If the swelling does not improve within a few days, or if you notice any worsening symptoms such as increased pain, redness, or discharge, it is crucial to seek medical attention. A healthcare provider can assess for possible infections or complications related to phimosis.


Conclusion
In summary, the swelling under your glans could be due to irritation from the masturbation cup, and it may resolve on its own. However, close monitoring is essential. If symptoms persist or worsen, do not hesitate to consult a healthcare professional for a thorough evaluation and appropriate treatment. Remember, maintaining good hygiene and being gentle with sensitive areas is key to preventing similar issues in the future.

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