Penile Issues: Red Swelling and Pain Concerns - Urology

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Penile issues


Hello doctor, I have noticed a red swollen line on my penis in the past few days.
There is no pain during erection, and urination is normal.
However, when I gently squeeze the foreskin when not erect, there is a slight pain.
Is it possible to send a picture for the doctor to assess? Thank you.

Xiao Ze, 20~29 year old female. Ask Date: 2023/05/29

Dr. Du Shixi reply Urology


Hello: This facility is unable to provide such examinations.
Wishing you good health.

Reply Date: 2023/05/29

More Info


When it comes to penile issues, particularly the symptoms you've described—red swelling and pain—it's essential to approach the situation with care and understanding. Based on your description, it seems you are experiencing localized swelling and tenderness in the area of the penis, which could be indicative of several conditions.

Firstly, the presence of a red, swollen line on the penis could suggest a few possibilities. One common cause is balanitis, which is inflammation of the glans (the head of the penis) and can occur due to various reasons, including infections (bacterial or fungal), irritation from soaps or lotions, or even friction. Another possibility is peyronie's disease, which involves the development of fibrous scar tissue inside the penis, leading to curved, painful erections. However, this typically presents with more significant curvature and pain during erections.

Given that you mentioned the pain is only present when the penis is not erect and occurs upon gentle squeezing of the foreskin, it may also indicate posthitis, which is inflammation of the foreskin, often associated with infections or irritation. It's also worth considering that if there has been any recent sexual activity, it could be related to friction or an allergic reaction to a product used during intercourse.

While you mentioned that urination is normal and there is no pain during erections, these are positive signs that may indicate the issue is localized rather than systemic. However, the tenderness you feel when squeezing the foreskin should not be ignored, as it could signify an underlying condition that may require treatment.

In terms of management, here are a few steps you can take:
1. Maintain Hygiene: Ensure that the area is kept clean and dry. Use mild, unscented soap and avoid any harsh chemicals or products that could irritate the skin.

2. Avoid Irritants: If you suspect that any products (such as lotions, soaps, or condoms) may be causing irritation, discontinue their use.

3. Warm Compresses: Applying a warm compress to the affected area may help reduce swelling and discomfort.

4. Over-the-Counter Treatments: If the swelling is due to irritation or a mild infection, topical treatments such as hydrocortisone cream may help reduce inflammation. However, it's crucial to consult a healthcare professional before applying any medication.

5. Consult a Specialist: Given the symptoms you are experiencing, it would be wise to consult a urologist or a healthcare provider specializing in men's health. They can perform a physical examination and may recommend tests (such as a swab or blood test) to determine the exact cause of your symptoms.

6. Avoid Sexual Activity: Until you have a clearer understanding of the issue, it may be best to avoid sexual activity to prevent further irritation or injury.

In conclusion, while your symptoms may not seem severe, they warrant a professional evaluation to rule out any significant underlying conditions. It's always better to err on the side of caution when it comes to health concerns, especially those involving sensitive areas. If you have the option to send images to a healthcare provider, this could assist them in making a more accurate assessment. Remember, your health and comfort are paramount, so seeking professional advice is the best course of action.

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