Swollen Foreskin: When to Seek Urgent Medical Attention - Urology

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Preputial edema


Hello doctor, my foreskin has been very itchy since the day before yesterday, and yesterday the tip of the foreskin started to swell, and it seems to be getting bigger.
It is now almost blocking the urinary opening.
Should I see a doctor immediately? I am a bit at a loss since there are no urology clinics open on Sunday.
Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2018/10/28

Dr. Du Shixi reply Urology


Hello: It is advisable to seek medical attention.
Wishing you good health.

Reply Date: 2018/10/28

More Info


Swollen foreskin, or preputial edema, can be a concerning condition, especially when accompanied by itching and the potential for obstructing the urinary opening. Given your symptoms, it is crucial to understand when to seek urgent medical attention.

Firstly, the swelling of the foreskin can be caused by various factors, including infections (such as balanitis), allergic reactions, or irritations from soaps or other products. In some cases, it may also be due to a condition known as phimosis, where the foreskin cannot be retracted fully over the glans penis, leading to swelling and discomfort.

In your situation, the fact that the swelling is progressively worsening and approaching the point of obstructing the urinary opening is particularly concerning. Here are some key points to consider:
1. Urgency of Symptoms: If the swelling is significant enough to block the urinary opening, this can lead to urinary retention, which is a medical emergency. Difficulty urinating or a complete inability to urinate requires immediate medical attention.

2. Signs of Infection: If you notice additional symptoms such as fever, chills, or discharge from the penis, these could indicate an infection that may require antibiotics or other treatments. Infections can escalate quickly, and timely intervention is essential.

3. Pain and Discomfort: If the swelling is accompanied by severe pain, this could indicate a more serious condition that needs to be addressed promptly. Pain management and treatment of the underlying cause are critical.

4. Allergic Reactions: If you suspect that the swelling may be due to an allergic reaction (for example, to a new soap, lotion, or condom), it is still advisable to seek medical help, especially if the reaction is severe.

Given that you mentioned the situation began two days ago and has progressively worsened, it is advisable to seek medical attention as soon as possible. If you cannot see a urologist due to the weekend, consider visiting an urgent care facility or an emergency room. They can provide the necessary evaluation and treatment.

In the meantime, avoid any irritants, such as soaps or lotions, and refrain from any activities that may exacerbate the condition. Keeping the area clean and dry is essential, but do not attempt to forcefully retract the foreskin if it is painful or difficult to do so.

In summary, due to the potential for urinary obstruction and the worsening symptoms, it is crucial to seek medical attention urgently. Do not wait until you can see a specialist; instead, go to an urgent care or emergency department where they can assess your condition and provide appropriate treatment. Your health and comfort are paramount, and timely intervention can prevent complications.

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