Should You See a Dermatologist or Urologist for Penile Lymphangitis?

Q: Should You See a Dermatologist or Urologist for Penile Lymphangitis?

Hello： It can be done, but it may require a large hospital. <br>However, it is important to find one that has expertise in this area. <br>Wishing you good health.

Penile issues

Hello Dr.
Du, I would like to ask whether "penile sclerosing lymphangitis" should be evaluated by a dermatologist or a urologist in a clinical setting.
Recently, I noticed some swelling behind the coronal sulcus during masturbation, but it is not painful and there is no tenderness.
I do not experience pain during urination or ejaculation.
At that time, my masturbation frequency was relatively high, about once a day or once every two days.
After researching online, I suspect it might be sclerosing lymphangitis, but most sources indicate that this condition can resolve on its own.
However, it has been one to two months, and there is no significant reduction in swelling.
During this period, I have continued to masturbate, but the frequency has decreased considerably to about once a week.
Should I completely abstain from masturbation? Is it necessary to see a doctor for these symptoms? Thank you, Dr.
Du.

Wayne, 20~29 year old female. Ask Date: 2022/10/07

Dr. Du Shixi reply Urology

Hello: It can be done, but it may require a large hospital.
However, it is important to find one that has expertise in this area.
Wishing you good health.

Reply Date: 2022/10/07

More Info

When it comes to penile lymphangitis, particularly the condition known as sclerosing lymphangitis, it can be somewhat confusing regarding which specialist to consult. In general, both dermatologists and urologists can address this condition, but the choice may depend on the specific symptoms and the patient's comfort level.

Sclerosing lymphangitis is characterized by inflammation and hardening of the lymphatic vessels in the penis, often presenting as swelling in the area of the corona or along the shaft. It can occur after activities that cause trauma or irritation, such as vigorous sexual activity or masturbation. The good news is that this condition is often self-limiting, meaning it can resolve on its own without the need for invasive treatment.

Given your situation, where you have noticed swelling that has persisted for a couple of months without significant pain or discomfort during urination or ejaculation, it is advisable to consult a healthcare professional. A urologist would be particularly well-suited to evaluate any potential underlying issues related to the urinary or reproductive systems. They can provide a thorough examination and determine if further intervention is necessary.

On the other hand, if the swelling appears to be more related to the skin or if there are any dermatological concerns (such as rashes or lesions), a dermatologist could also be a good option. They specialize in skin conditions and can offer treatments for any dermatological manifestations that may accompany your symptoms.

Regarding your question about masturbation, while it is generally not necessary to completely abstain from it, it may be wise to reduce the frequency until the swelling resolves. Engaging in less vigorous activity can help minimize irritation to the area. If you notice that masturbation exacerbates the swelling or discomfort, it may be best to pause until you have consulted a doctor.

In summary, seeing a urologist would likely be the most appropriate first step for your symptoms. They can assess the condition, provide reassurance, and recommend any necessary treatment. If they feel that a dermatological evaluation is warranted, they can refer you accordingly. Remember, it’s always better to seek medical advice when you have concerns about your health, especially when symptoms persist.

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