Swollen Blood Vessels Under the Foreskin: Causes and Care - Urology

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Swelling of the blood vessels in the foreskin?


Hello Doctor, I usually engage in DIY activities about twice a week before showering.
After each erection, when I retract the foreskin, I notice a vein (which I believe is a vein?) that appears slightly swollen.
Last week, I did DIY more frequently, and today when I retracted the foreskin during my shower, I observed that the vein was more swollen than before, and the surrounding small veins felt a bit bruised.
What could this issue be? Will self-care and maintaining cleanliness help it heal? Thank you!

JasonBourne, 30~39 year old female. Ask Date: 2017/05/19

Dr. Du Shixi reply Urology


Hello: Many people have such vascular tissue, but if the surrounding small blood vessels feel a bit bruised, it may indicate an injury.
Generally, if you take care to avoid further strain, the bruise should resolve within a week.
Currently, keep the area clean and dry.
However, if there is redness or broken skin, medical attention is necessary.
Thank you for your inquiry.

Reply Date: 2017/05/19

More Info


Swollen blood vessels under the foreskin can be concerning, especially when accompanied by changes in color or texture. Based on your description, it sounds like you may be experiencing a condition related to the venous system in that area, possibly due to increased pressure or trauma from your activities.
When you engage in activities that lead to frequent erections, such as the DIY practices you mentioned, the blood vessels in the penis, including those under the foreskin, can become engorged with blood. This is a normal physiological response; however, excessive or repetitive strain can lead to temporary swelling or even minor trauma to the vessels, resulting in the symptoms you are experiencing.

The appearance of a swollen vein, especially if it feels slightly tender or has a bruised sensation, suggests that there may be some localized inflammation or minor injury. In most cases, this type of swelling is benign and can resolve on its own with proper care. Here are some recommendations for managing your symptoms:
1. Rest and Avoidance: It’s important to give your body time to heal. Avoid activities that may exacerbate the swelling, such as excessive DIY or any other activities that may put strain on the area.

2. Hygiene: Maintaining good hygiene is crucial. Ensure that the area is kept clean and dry to prevent any potential infections. Gentle washing with mild soap and water is recommended.

3. Cold Compress: Applying a cold compress to the area can help reduce swelling and alleviate discomfort. Make sure to wrap ice or a cold pack in a cloth to avoid direct contact with the skin.

4. Monitor Symptoms: Keep an eye on the swelling and any changes in color or pain. If the swelling persists for more than a few days, or if you notice increased pain, redness, or any discharge, it would be wise to consult a healthcare professional.

5. Avoid Irritants: If you use any products (like soaps or lotions) that may irritate the area, consider stopping their use until the swelling subsides.

6. Hydration and Diet: Staying well-hydrated and maintaining a balanced diet can support overall vascular health. Foods rich in antioxidants, omega-3 fatty acids, and vitamins can help promote healing.

7. Consult a Doctor: If the swelling does not improve or worsens, or if you experience any additional symptoms such as fever, significant pain, or changes in urination, it is important to seek medical advice. A healthcare provider can assess for any underlying issues, such as thrombophlebitis (inflammation of a vein due to a blood clot) or other vascular concerns.

In summary, while the swelling you are experiencing is likely a temporary condition related to increased blood flow and minor trauma, it is essential to monitor your symptoms and practice good care. If you have any doubts or if symptoms persist, do not hesitate to reach out to a healthcare professional for further evaluation. Your health and comfort are paramount, and a professional can provide tailored advice based on a thorough examination.

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