Pain and Swelling in the Penis: Causes and Treatments

Pain upon pressure on the foreskin and swelling of the glans?

I have pain in a specific area of my foreskin when pressed.
It has lasted for about a month.
I have seen many doctors, and there has been slight improvement recently.
However, I may have used the wrong medication (a doctor gave me a bottle of what he said was alcohol to apply on the foreskin).
I poured the alcohol onto a tissue and pressed it on the painful area of the foreskin for about 10 minutes.
During the process, I felt a burning sensation and warmth.
Afterwards, it became swollen.
When I woke up in the morning, it felt like it had turned into a blister.
Two days later, the blister burst.
On the sixth day, I consulted two dermatologists who suggested it might be an erosive wound, but the glans is slightly red and swollen.
One of the doctors arranged for a gonorrhea swab test.
The nurse vigorously rubbed the swab in and out of the urethra, which was very painful.
After that, urination felt very uncomfortable and painful; is that normal? Now the entire glans and the injured foreskin appear red and swollen.
I am very worried.
The doctor only prescribed an antibacterial ointment.
I apologize for the lengthy message.
Thank you for your time.

Huli, 30~39 year old female. Ask Date: 2021/01/13

Dr. Li Xinyi reply Urology

Hello, under normal circumstances, it is not recommended to use alcohol on the perineal area, as it may cause burns.
Additionally, your initial symptoms did not appear to be indicative of gonorrhea.
I have not been involved in the subsequent treatment and developments, so I am unable to provide you with any advice.

Reply Date: 2021/01/13

More Info

Understanding pain and swelling in the penis, particularly in the foreskin area, can be complex and concerning. Based on your description, it seems you have been experiencing localized pain and swelling in the foreskin for about a month, which has been exacerbated by the application of alcohol and subsequent medical examinations. Here’s a comprehensive overview of potential causes, treatments, and considerations regarding your symptoms.

Possible Causes
1. Infection: The symptoms you describe, including redness, swelling, and pain, could indicate an infection. Common infections in this area include balanitis (inflammation of the glans), posthitis (inflammation of the foreskin), or sexually transmitted infections (STIs) such as gonorrhea or chlamydia. The swab test for gonorrhea is a prudent step to rule out STIs.

2. Irritation or Allergic Reaction: The use of alcohol on sensitive skin can lead to irritation or chemical burns, which may explain the burning sensation and subsequent swelling. The skin in the genital area is particularly sensitive, and harsh substances can cause inflammation.

3. Trauma: Physical trauma to the area, whether from vigorous cleaning, sexual activity, or the application of pressure, can lead to swelling and pain. The fact that you experienced a burning sensation after applying alcohol suggests that the skin may have been compromised, leading to further irritation or injury.

4. Dermatological Conditions: Conditions such as eczema, psoriasis, or lichen sclerosus can also cause localized pain and swelling. These conditions may require specific treatments beyond topical antibiotics.

Treatment Options
1. Topical Treatments: Since you have been prescribed an antibacterial ointment, it is crucial to continue using it as directed. This will help manage any bacterial infection. If the redness and swelling persist, follow up with your doctor to discuss the possibility of a stronger topical steroid or antifungal treatment, depending on the diagnosis.

2. Avoid Irritants: It is essential to avoid using alcohol or any harsh chemicals on the affected area. Gentle cleansing with mild soap and water is recommended. After washing, pat the area dry rather than rubbing it.

3. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. However, consult with your healthcare provider before taking any new medications, especially if you have underlying health conditions or are taking other medications.

4. Follow-Up Care: Given the persistence of your symptoms, it is advisable to have regular follow-ups with a urologist or dermatologist. They can provide a more thorough examination and may recommend additional tests, such as a culture or biopsy, if necessary.

5. Avoid Sexual Activity: Until the symptoms resolve, it may be wise to abstain from sexual activity to prevent further irritation or potential transmission of infections.

When to Seek Immediate Care
If you experience any of the following symptoms, seek immediate medical attention:
- Severe pain that does not improve with over-the-counter medications.

- Fever or chills, which may indicate a systemic infection.

- Increased swelling or discharge from the penis.

- Persistent or worsening redness.

Conclusion
Your symptoms of pain and swelling in the foreskin area can stem from various causes, including infections, irritation, or trauma. It is crucial to avoid irritants and follow your healthcare provider's recommendations closely. Regular follow-ups and open communication with your healthcare team will be key in managing your condition effectively. If your symptoms do not improve or worsen, do not hesitate to seek further medical advice. Your health and comfort are paramount, and addressing these issues promptly can lead to better outcomes.

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