Pain and Swelling in the Glans: When to Seek Medical Help - Urology

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When experiencing pain and swelling in the glans (the head of the penis), it is essential to take the symptoms seriously, especially if they persist or worsen over time. Based on your description, it seems you have been dealing with sensitivity and now have noticeable swelling and redness. Here are some considerations regarding your situation and when to seek medical help.


Understanding the Symptoms
1. Pain and Sensitivity: After surgery for phimosis, it is not uncommon to experience increased sensitivity in the glans. However, if the pain persists for an extended period (like a year, as you mentioned), it may indicate an underlying issue that needs addressing.

2. Swelling and Redness: The presence of swelling and redness is a sign of inflammation. This could be due to several reasons, including:
- Infection: Conditions such as balanitis (inflammation of the glans) can occur, often due to poor hygiene, irritants, or infections (bacterial or fungal).

- Allergic Reaction: Sometimes, sensitivity can arise from contact with soaps, lotions, or other products that irritate the skin.

- Scar Tissue: Post-surgical changes can lead to scar tissue formation, which may cause discomfort or pain.


When to Seek Medical Help
You should consider seeking medical attention if you experience any of the following:
- Persistent Pain: If the pain does not subside or worsens over time.

- Increased Swelling or Redness: If the swelling becomes more pronounced or if you notice any discharge, especially if it is foul-smelling.

- Difficulty Urinating: If you experience pain while urinating or have difficulty urinating.

- Fever or Systemic Symptoms: If you develop a fever or feel generally unwell, this could indicate a more serious infection.

- Changes in Sensation: If you notice any numbness or significant changes in sensation in the area.


Potential Treatments
If you decide to see a healthcare provider, they may conduct a physical examination and possibly order tests to determine the cause of your symptoms. Treatment options may include:
- Topical Treatments: Antifungal or antibiotic creams may be prescribed if an infection is suspected.

- Oral Medications: In cases of bacterial infections, oral antibiotics may be necessary.

- Hygiene Education: Proper hygiene practices can help prevent recurrent issues.

- Follow-Up Care: If scar tissue or sensitivity is the issue, your doctor may recommend follow-up treatments or therapies.


Conclusion
In summary, while some sensitivity may be expected after surgery, the combination of pain, swelling, and redness warrants a medical evaluation. It is always better to err on the side of caution when it comes to health concerns, especially in sensitive areas. A healthcare professional can provide a proper diagnosis and treatment plan tailored to your specific situation. Don't hesitate to seek help; your health and comfort are paramount.