Swollen Foreskin: Symptoms and Next Steps - Urology

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Swollen foreskin, or preputial swelling, can be concerning, especially when it appears suddenly. Based on your description, it seems that you have experienced swelling at the tip of the foreskin, which is accompanied by mild itching but no pain. Here are some potential causes and recommended next steps:

Possible Causes of Swollen Foreskin
1. Infection: One common cause of foreskin swelling is an infection, such as balanitis, which is inflammation of the glans (the head of the penis) and can occur due to poor hygiene, irritants, or infections (bacterial or fungal).
2. Allergic Reaction: The swelling could also be a result of an allergic reaction to soaps, lotions, or other products that come into contact with the genital area.
3. Irritation: Friction from sexual activity or tight clothing can cause irritation and subsequent swelling.

4. Phimosis: If the foreskin cannot be easily retracted, it may lead to swelling and discomfort. This condition is more common in younger males but can occur at any age.

5. Lichen Sclerosus: This is a chronic skin condition that can cause white patches and swelling of the foreskin and glans.


Recommended Next Steps
1. Maintain Hygiene: Ensure that you are practicing good hygiene. Gently clean the area with mild soap and water. Avoid harsh soaps or products that may irritate the skin.

2. Avoid Irritants: If you suspect that an allergic reaction may be the cause, try to identify and avoid any new products you may have used recently.

3. Cold Compress: Applying a cold compress to the area may help reduce swelling and provide relief from itching.

4. Over-the-Counter Treatments: You may consider using over-the-counter hydrocortisone cream to alleviate itching and inflammation. However, avoid using it for extended periods without consulting a doctor.

5. Monitor Symptoms: Keep an eye on the swelling and any other symptoms that may develop, such as increased redness, pain, or discharge.
6. Consult a Healthcare Provider: If the swelling persists for more than a few days, worsens, or if you develop additional symptoms (such as pain, discharge, or fever), it is important to seek medical attention. A healthcare provider can perform a physical examination and may recommend tests to determine the underlying cause.

7. Avoid Sexual Activity: Until the swelling resolves, it may be wise to avoid sexual activity to prevent further irritation or potential injury.


When to Seek Immediate Care
If you experience severe pain, significant swelling, difficulty urinating, or any signs of systemic infection (such as fever or chills), seek immediate medical attention. These could be signs of a more serious condition requiring prompt treatment.

In summary, while mild swelling of the foreskin can often be managed at home, it is essential to monitor your symptoms closely and consult a healthcare provider if there is no improvement or if symptoms worsen. Early intervention can help prevent complications and ensure proper treatment.