Penile Swelling: Causes, Concerns, and Recovery Tips - Urology

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The penis exhibits a prominent swelling resembling ring-shaped worms with protruding blood vessels?


Hello, Doctor.
I apologize for reaching out again.
First, I want to thank you for taking the time to address my questions and provide suggestions yesterday.
Today, I would like to follow up on the issue I raised yesterday.
Ten days ago, I experienced this situation for the first time, which was alarming enough for me to rush to the emergency room.
The emergency physician diagnosed me with balanitis.
Therefore, during the second occurrence, I went directly to the urology department.
Yesterday, while examining the area, I noticed a ring of swelling near the glans, resembling a worm twisting around, which was quite pronounced.
It appeared as if there was vascular swelling with a translucent skin color.
There was no pain upon light touch, and urination was normal, but this abnormality was quite frightening.
This is the second time this month.
I immediately went to the hospital and saw a urologist.
By the time I arrived at the hospital, the symptoms had subsided after about 20 minutes, and the engorgement of the penis had already decreased.
The ring-like swelling dissipated more quickly this time, returning to its original size and state, so I could only describe and point out the location to the doctor.
The doctor suggested it might be lymphadenitis and advised me to rest more and avoid any DIY or stimulation.
I understand that I need to break the habit of masturbation and take proper rest, and I plan to refrain from it for the rest of the year.
---------------------------------------------------------------
Here are my follow-up questions for today...
Could these symptoms be due to penile varicosities? That sounds quite alarming.
Or could it be related to the vascular issues or the lymphatic problems the doctor mentioned? I know that blood vessels and lymphatics are related but I can't distinguish between them.
Although I understand that everyone's body constitution is different and there is no standard answer, I would still like to ask how long I should rest for this condition to improve? I plan to refrain from any activities for the rest of the year and only allow normal nocturnal emissions, but I am worried that after resting, the ring-like swelling might reappear during erections.
Will this condition improve? Just thinking about it makes me anxious, and I am concerned about the possibility of developing psychological issues that could lead to erectile dysfunction or sexual dysfunction...
I apologize for the lengthy message today, and I hope to hear your professional advice.
Thank you.

Dan dan de you shang, 30~39 year old female. Ask Date: 2018/06/23

Dr. Du Shixi reply Urology


Hello: Blood vessels and lymphatic vessels are responsible for the flow of fluids in and out of the body.
If there is stagnation, it can lead to swelling.
DIY methods are not impossible, but your original approach may have issues that could cause impaired blood or lymphatic flow.
Therefore, it's important to be cautious.
Additionally, if blood vessels are frequently dilated, they may become lax, similar to varicose veins; however, varicose veins are more commonly found in the scrotum.
As for whether it will improve, this phenomenon will persist as long as circulation is impaired, so it's best to avoid it.
It will not affect sexual function, so there is no need for excessive worry.
Wishing you good health.

Reply Date: 2018/06/23

More Info


Penile swelling, particularly when accompanied by unusual symptoms such as a ring-like swelling resembling a worm, can understandably cause concern. Based on your description, it seems you have experienced episodes of swelling and changes in the appearance of your penis, which were initially diagnosed as balanitis (inflammation of the glans and foreskin). The subsequent visit to a urologist suggested a possible lymphatic issue, and you are understandably anxious about the implications of these symptoms.


Understanding the Symptoms
1. Balanitis: This condition can occur due to various factors, including infections (bacterial or fungal), irritants (such as soaps or lotions), or underlying skin conditions. It can lead to swelling, redness, and discomfort in the genital area.

2. Lymphatic Inflammation: The lymphatic system plays a crucial role in fluid balance and immune response. If there is inflammation in the lymphatic vessels, it can cause localized swelling. This could be due to an infection or irritation.

3. Venous Issues: While you mentioned concerns about varicose veins, it’s important to note that venous issues in the penis are less common but can occur. Conditions like penile venous insufficiency can lead to swelling and changes in appearance, especially during erection.


Recovery and Management
1. Rest and Avoidance: As advised by your doctor, resting and avoiding activities that may irritate the area (such as masturbation) is crucial. This allows the tissues to heal and reduces the risk of exacerbating any underlying condition.

2. Hygiene: Maintaining good hygiene is essential. Gently clean the area with mild soap and water, and avoid harsh chemicals or irritants.

3. Monitoring Symptoms: Keep an eye on any changes in symptoms. If swelling persists, worsens, or is accompanied by pain, discharge, or fever, seek medical attention promptly.

4. Follow-Up: Regular follow-ups with your urologist are important. They can provide further evaluation and may recommend imaging studies or other diagnostic tests if symptoms persist.


Psychological Considerations
It's natural to feel anxious about these symptoms, especially with concerns about potential impacts on sexual function. Here are some points to consider:
1. Education: Understanding your condition can alleviate some anxiety. Discuss your concerns with your healthcare provider to gain clarity on what to expect.

2. Mental Health: If you find that anxiety about your symptoms is affecting your mental health or daily life, consider speaking with a mental health professional. They can provide strategies to manage anxiety and stress.

3. Open Communication: If you have a partner, maintaining open communication about your concerns can help alleviate some of the psychological burden.


Conclusion
In summary, while your symptoms are concerning, they can often be managed effectively with proper care and attention. The key is to follow your doctor's advice, maintain good hygiene, and monitor your symptoms closely. If you have any further concerns or if symptoms recur, do not hesitate to seek medical advice. Remember, addressing both the physical and psychological aspects of your health is essential for overall well-being.

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