Swelling of the Penis and Testicles: Causes and Solutions

Q: Swelling of the Penis and Testicles: Causes and Solutions

Hello： General edema of the foreskin and scrotal skin is often associated with kidney dysfunction or heart problems. <br>In a minority of elderly individuals, it may also be due to malnutrition or poor absorption. <br>It may be necessary to first check kidney function and assess

Why do my foreskin and testicles seem to be swollen?

Hello.
I would like to ask a question.
First of all, I suddenly experienced difficulty breathing on the first day of the Lunar New Year and was taken to the emergency room.
The doctor mentioned that there might be a heart issue, and the actual cause is still under investigation.
I have a condition of phimosis, where my glans is covered by the foreskin, but I can retract it without pain.
However, the night before last, I noticed that my foreskin has developed edema, making it impossible to retract the glans.
If I attempt to do so, it is very painful.
Over the past two days, it seems to have swollen even more, to the point where my entire penis is swollen, and even my testicles appear to be swollen.
I would like to know why this is happening and how I should handle it.
Thank you.

Xiao Wu, 30~39 year old female. Ask Date: 2017/04/13

Dr. Du Shixi reply Urology

Hello: General edema of the foreskin and scrotal skin is often associated with kidney dysfunction or heart problems.
In a minority of elderly individuals, it may also be due to malnutrition or poor absorption.
It may be necessary to first check kidney function and assess for severe proteinuria.
Poor cardiac function can lead to inadequate blood return, which may also result in localized edema.
Therefore, the condition of your heart is a key concern.
If there are issues, treatment or careful management may be required.
(If you have heart disease and the swelling is increasing, it could indicate a worsening condition, and it is advisable to seek medical attention at a hospital.)

Reply Date: 2017/04/13

More Info

Swelling of the penis and testicles can be concerning and may arise from various causes. Given your recent history of breathing difficulties and heart issues, it is crucial to approach this situation with caution. Here’s a comprehensive overview of potential causes and solutions for the swelling you are experiencing.

Possible Causes of Swelling
1. Infection: One of the most common causes of swelling in the genital area is an infection. Conditions such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin) can lead to swelling, redness, and pain. If there is any discharge, fever, or systemic symptoms, this could indicate a more serious infection.

2. Edema: Swelling can also be due to fluid retention or edema. This can occur for various reasons, including heart issues, kidney problems, or even localized trauma. Given your recent heart concerns, it is essential to consider this as a potential cause.

3. Trauma or Injury: Any recent trauma to the genital area, even if minor, can lead to swelling. This could be from vigorous sexual activity or an accident.

4. Allergic Reaction: Sometimes, an allergic reaction to soaps, lotions, or latex (from condoms) can cause localized swelling and irritation.

5. Phimosis: Since you mentioned having a long foreskin, phimosis (the inability to retract the foreskin) could be contributing to the swelling. If the foreskin is tight and cannot be retracted, it can lead to inflammation and swelling.

6. Testicular Torsion or Hernia: Although less common, conditions like testicular torsion (twisting of the spermatic cord) or an inguinal hernia can cause significant swelling and require immediate medical attention.

Recommended Actions
1. Seek Medical Attention: Given the severity of your symptoms, including the inability to retract the foreskin and the increasing swelling, it is essential to seek medical attention promptly. A healthcare provider can perform a physical examination and may order tests such as an ultrasound to assess for any underlying issues.

2. Avoid Irritants: Until you can see a doctor, avoid any potential irritants, such as scented soaps or lotions, and refrain from any sexual activity that could exacerbate the swelling.

3. Cold Compress: Applying a cold compress to the swollen area may help reduce inflammation and provide some relief from discomfort.

4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce swelling. However, consult with a healthcare provider before taking any medication, especially considering your recent health issues.

5. Hydration and Rest: Ensure you are well-hydrated and rest as much as possible. This can help your body manage any underlying issues more effectively.

Conclusion
Swelling of the penis and testicles can result from various conditions, some of which may require urgent medical intervention. Given your recent heart issues and the current symptoms, it is crucial to consult a healthcare professional as soon as possible. They can provide a thorough evaluation and appropriate treatment based on the underlying cause of your symptoms. Remember, timely medical intervention is key to addressing any potential complications effectively.

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