Swelling After Foreskin Retraction: Causes and Solutions - Urology

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Hello, after retracting the foreskin, the area around the glans and the frenulum has swollen to about the size of a peanut.
What could have happened? Thank you.

Lin, 10~19 year old female. Ask Date: 2018/07/09

Dr. Chen Jiansheng reply Urology


There may be localized inflammation and swelling.

Reply Date: 2018/07/09

More Info


Swelling after foreskin retraction, particularly at the frenulum (the band of tissue on the underside of the penis), can be concerning and may arise from several causes. Understanding these causes can help in determining the appropriate steps to take for relief and management.


Possible Causes of Swelling
1. Frenulum Tear or Injury: The frenulum is a sensitive area, and if the foreskin is retracted forcefully or if there is friction during sexual activity or masturbation, it can lead to a tear or injury. This can cause localized swelling, pain, and sometimes bleeding.

2. Infection: If the area is not kept clean, it can become infected. Symptoms of infection may include redness, warmth, swelling, and discharge. Conditions such as balanitis (inflammation of the glans) can also occur, leading to swelling.

3. Allergic Reaction or Irritation: Certain soaps, lotions, or lubricants can cause irritation or an allergic reaction, leading to swelling. It’s essential to consider any new products that may have come into contact with the area.

4. Phimosis or Paraphimosis: If the foreskin cannot be retracted fully or if it gets stuck behind the glans, it can lead to swelling. Paraphimosis is a medical emergency where the retracted foreskin cannot be returned to its original position, leading to swelling and potential complications.

5. Lymphatic Response: Sometimes, after retraction, the body may react with localized swelling as part of the inflammatory response. This can happen if there has been any trauma or irritation to the area.


Solutions and Recommendations
1. Rest and Avoid Irritation: If the swelling is due to a minor injury or irritation, it’s advisable to avoid further irritation. This means refraining from sexual activity or any activities that may cause friction in the area until the swelling subsides.

2. Cold Compress: Applying a cold compress to the swollen area can help reduce swelling and alleviate discomfort. Ensure that the compress is wrapped in a cloth to avoid direct contact with the skin.

3. Hygiene: Maintaining proper hygiene is crucial. Gently clean the area with mild soap and water, ensuring that it is dry afterward. Avoid using harsh soaps or products that may cause irritation.

4. Topical Treatments: If there is redness or signs of infection, over-the-counter topical antibiotics may be beneficial. However, consult a healthcare professional before applying any medication.

5. Consult a Healthcare Professional: If the swelling persists, worsens, or is accompanied by severe pain, discharge, or fever, it is essential to seek medical attention. A healthcare provider can assess the situation, rule out infections, and provide appropriate treatment.

6. Avoid Self-Diagnosis: While it’s tempting to self-diagnose based on symptoms, it’s crucial to consult a healthcare professional for an accurate diagnosis and treatment plan. Conditions like paraphimosis require immediate medical intervention.


Conclusion
Swelling after foreskin retraction can be due to various causes, ranging from minor injuries to infections. Understanding the underlying cause is essential for effective management. If the swelling is significant or accompanied by other concerning symptoms, seeking medical advice is the best course of action. Remember, maintaining good hygiene and being gentle with the area can help prevent future issues.

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