Prepuce Issues: When to Seek Medical Attention - Urology

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Foreskin issues


Hello, doctor.
Since the urology clinic is closed from February 11 to February 12, I have to ask my question here.
Last night, I engaged in masturbation for about an hour without ejaculation and noticed some swelling.
I didn't think much of it at the time, but when I woke up this morning, I found that the area under the foreskin of my penis was swollen.
It is not painful or itchy, and urination is normal.
I can still retract the foreskin to expose the glans, but I suddenly became very worried and don't know what is happening.
Should I seek medical attention promptly, or can I just rest at home for a few days and it will get better?

Nìmíng, 10~19 year old female. Ask Date: 2017/02/11

Dr. Fu Shizhang reply Urology


If rest does not lead to recovery, it is recommended to visit an outpatient clinic, as it may be due to inflammation caused by prolonged friction of the foreskin.

Reply Date: 2017/02/11

More Info


When it comes to issues related to the prepuce (foreskin) and any associated symptoms, it is important to approach the situation with caution and awareness of your body’s signals. Based on your description, it seems that you are experiencing swelling beneath the foreskin after an extended period of masturbation. While the absence of pain, itching, or difficulty urinating is a positive sign, the swelling itself warrants attention.

Firstly, let's consider the potential causes of the swelling you are experiencing. Engaging in prolonged masturbation can sometimes lead to temporary swelling or irritation of the penile tissues, particularly if there was excessive friction or if the skin was not adequately lubricated. This is often a benign condition that may resolve on its own with rest and proper care. However, there are other factors to consider:
1. Infection: While you mentioned that there is no pain or itching, infections can sometimes present with minimal symptoms initially. If the swelling persists or worsens, or if you start to notice any unusual discharge, odor, or changes in urination, it would be prudent to seek medical attention.

2. Allergic Reaction or Irritation: If you used any products (such as lotions, lubricants, or soaps) during masturbation, it is possible that you may have had a mild allergic reaction or irritation. Observing whether the swelling decreases after avoiding such products can be helpful.

3. Phimosis: If you have difficulty retracting the foreskin or if the swelling is accompanied by tightness, this could indicate phimosis, a condition where the foreskin cannot be easily retracted over the glans. This may require medical evaluation, especially if it leads to recurrent infections or discomfort.

4. Trauma: If there was any trauma to the area during masturbation, even if it was not immediately apparent, this could also result in localized swelling.
Given that the urology clinic is currently closed, you may consider the following steps:
- Rest and Observe: Allow your body some time to recover. Avoid any further sexual activity until the swelling subsides. Monitor the area for any changes in symptoms.

- Cold Compress: Applying a cold compress to the area may help reduce swelling and provide some relief.

- Hygiene: Maintain good hygiene by gently cleaning the area with mild soap and water. Avoid any harsh chemicals or irritants.

- Hydration: Ensure you are well-hydrated, as this can help your body recover.

If the swelling does not improve within a few days, or if you notice any new symptoms (such as pain, fever, or changes in urination), it is advisable to seek medical attention as soon as possible. A healthcare professional can provide a thorough examination and determine if any treatment is necessary.

In conclusion, while it is possible that the swelling may resolve on its own, it is essential to remain vigilant and attentive to your body’s signals. If there is any doubt or concern, do not hesitate to seek medical advice. Your health and well-being are paramount, and addressing any potential issues early on can prevent complications down the line.

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