Penile Swelling: Causes and When to Seek Help - Urology

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Penile swelling, particularly when accompanied by redness and the presence of bumps or granules, can be concerning and may indicate an underlying condition that requires medical attention. In your case, the symptoms you describe—swelling of the penis, redness, and the appearance of bumps—could suggest several potential issues, including inflammation, infection, or other dermatological conditions.

One common cause of these symptoms is balanitis, which is inflammation of the glans (the head of the penis). Balanitis can be caused by a variety of factors, including poor hygiene, irritants (such as soaps or lotions), infections (bacterial or fungal), or sexually transmitted infections (STIs). Symptoms typically include redness, swelling, itching, and sometimes discharge.
Another possibility is phimosis, a condition where the foreskin cannot be easily retracted over the glans. This can lead to swelling and inflammation, especially if there is an infection present. If you are experiencing pain or difficulty retracting the foreskin, this could be a sign of phimosis.

Additionally, the presence of bumps or granules could indicate pearls or papules, which are often harmless and can occur on the penis. However, if these bumps are new, painful, or changing in appearance, they warrant further evaluation.

It is important to note that while some conditions may resolve on their own, others may require treatment. Here are some guidelines on when to seek medical help:
1. Persistent Symptoms: If the swelling, redness, or bumps do not improve within a few days, or if they worsen, it is advisable to see a healthcare provider.

2. Pain or Discomfort: If you experience significant pain, discomfort, or difficulty urinating, seek medical attention promptly.

3. Discharge: If you notice any unusual discharge from the penis, this could indicate an infection that requires treatment.

4. Fever or Systemic Symptoms: If you develop a fever or other systemic symptoms (such as chills or malaise), this could indicate a more serious infection.

5. Sexual Activity: If you have had unprotected sexual contact recently, it is important to get evaluated for STIs, especially if you notice new symptoms.

In conclusion, while some causes of penile swelling may be benign, it is essential to err on the side of caution. Given your symptoms, it is recommended that you schedule an appointment with a healthcare provider, preferably a urologist, who can perform a thorough examination and provide an accurate diagnosis. They may recommend tests such as a swab for infection, a urine test, or other evaluations to determine the underlying cause of your symptoms. Early intervention can help prevent complications and ensure appropriate treatment.