Pain and Symptoms in the Urogenital Area: What to Know

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This is the first time I've experienced this.
One afternoon, I woke up and felt some pain in my genital area.
When I went to the bathroom to check, I found that my penis and the area near the base of the penis, close to the abdomen, had scars that looked like pimples.
At that moment, I thought it was acne, so I picked at it.
Shortly after, it became very painful.
Now, the area on my abdomen has scabbed over, but the surrounding skin is red and swollen, and I also feel pain and swelling in my scrotum.
What symptoms could this be? How can it be treated? It has been painful for several days! I've never experienced anything like this before!

Lele, 20~29 year old female. Ask Date: 2020/04/30

Dr. Sun Hongshun reply Urology

Hello, it is uncertain whether your description indicates an infection.
I recommend that you visit a urology clinic for further evaluation and treatment.

Reply Date: 2020/04/30

More Info

It sounds like you're experiencing significant discomfort in the urogenital area, which can be concerning. Based on your description, it seems you have developed some form of irritation or infection, possibly exacerbated by your attempts to "pop" what you thought were pimples. This could lead to a condition known as folliculitis, which is the inflammation of hair follicles, or it could be a more serious infection such as a sexually transmitted infection (STI) or a skin infection.

The symptoms you describe—pain, redness, swelling, and the presence of scabs—indicate that there is likely some inflammation or infection present. The fact that you have pain in the area around the penis and scrotum, along with the redness and swelling, suggests that you should seek medical attention as soon as possible. A healthcare provider can perform a physical examination and may recommend tests to determine the exact cause of your symptoms.

Here are some potential causes for your symptoms:
1. Folliculitis: This is an infection of the hair follicles that can occur when bacteria enter through broken skin. It can cause red, swollen bumps that may be painful.

2. Infection: Bacterial or fungal infections can cause similar symptoms. If the area is red, swollen, and painful, it may indicate an infection that requires antibiotic treatment.

3. Sexually Transmitted Infections (STIs): Some STIs can cause pain and lesions in the genital area. If there is any possibility of exposure to STIs, it is crucial to get tested.

4. Dermatitis: Skin irritation from friction, allergic reactions, or other irritants can lead to redness and swelling.

5. Hernia: Although less likely, a hernia can cause pain in the lower abdomen and groin area, especially if there is swelling.

To manage your symptoms in the meantime, consider the following:
- Avoid touching or picking at the area: This can worsen the irritation and increase the risk of infection.

- Keep the area clean and dry: Use mild soap and water to gently cleanse the area. Avoid harsh soaps or products that may irritate the skin further.

- Apply a warm compress: This can help reduce pain and swelling. Make sure the compress is clean.

- Over-the-counter pain relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or acetaminophen can help alleviate pain and reduce inflammation.

- Wear loose-fitting clothing: This can help reduce friction and irritation in the area.

However, these are only temporary measures. It is essential to consult with a healthcare provider for a proper diagnosis and treatment plan. They may prescribe topical or oral antibiotics if an infection is present, or other medications depending on the diagnosis.

In summary, while there are several potential causes for your symptoms, the best course of action is to seek medical attention promptly. Early intervention can help prevent complications and ensure a quicker recovery. Please take care of yourself, and do not hesitate to reach out to a healthcare professional.

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