Swelling at the Base of the Penis: Causes and What to Do - Urology

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Swelling at the base of the penis, particularly in the area connecting to the scrotum, can be concerning and may arise from various causes. It’s good to hear that you are not experiencing pain or itching, as these factors can help narrow down potential issues. Here are some common causes of swelling in that area and what you might consider doing:
1. Inguinal Hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause swelling in the groin or scrotum. If you notice a bulge that increases with activity or straining, this could be a possibility.

2. Epididymitis: This is inflammation of the epididymis, which is the tube at the back of the testicle that stores and carries sperm. It can cause swelling and discomfort in the scrotal area. This condition is often caused by infections, including sexually transmitted infections.

3. Hydrocele: A hydrocele is a fluid-filled sac surrounding a testicle that results in swelling. It is usually painless and can occur in newborns or adults.
4. Varicocele: This is an enlargement of the veins within the scrotum, similar to varicose veins. It can cause a feeling of heaviness and may lead to swelling.

5. Lymphadenopathy: Swelling of the lymph nodes in the groin area can also lead to swelling at the base of the penis. This can occur due to infections or other medical conditions.

6. Skin Conditions: Conditions such as dermatitis, folliculitis, or infections can cause localized swelling and irritation.
Given that you mentioned the swelling feels soft and is not painful, it may not be an emergency. However, it is essential to monitor the situation closely. Here are some steps you can take:
- Observation: Keep an eye on the swelling. If it resolves on its own and does not return, it may not be a cause for concern.

- Hygiene: Maintain good hygiene in the genital area to prevent infections. Gently wash the area with mild soap and water.

- Avoid Irritation: Wear loose-fitting underwear and avoid activities that may irritate the area, such as vigorous exercise or sexual activity, until you have a better understanding of the swelling.

- Consult a Healthcare Provider: If the swelling persists, increases in size, or if you develop additional symptoms such as pain, fever, or changes in urination, it is crucial to seek medical attention. A healthcare provider can perform a physical examination and may recommend imaging studies or lab tests to determine the underlying cause.

- Emergency Care: If you experience severe pain, sudden swelling, or any other alarming symptoms, seek immediate medical attention, as these could indicate a more serious condition.

In conclusion, while the swelling you are experiencing might not be immediately alarming, it’s essential to monitor the situation and consult a healthcare professional if it persists or worsens. Early diagnosis and treatment can help prevent potential complications.