Painful Swelling of the Glans During Erection - Urology

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Experiencing painful swelling of the glans during an erection can be concerning and may indicate an underlying issue that requires attention. The symptoms you describe—intense pressure and discomfort in the glans (the head of the penis) during erection, as well as an increase in the size of the urethral opening (meatus)—can be attributed to several potential causes.

One common reason for such discomfort 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 a noticeable bend in the penis rather than just swelling of the glans.
Another possibility is phimosis, a condition where the foreskin cannot be easily retracted over the glans. This can lead to increased pressure during an erection, causing discomfort and swelling. If you are uncircumcised and have difficulty retracting the foreskin, this could be a contributing factor.

Infections or inflammation of the glans (balanitis) or the urethra (urethritis) can also cause swelling and discomfort. These conditions may arise from poor hygiene, sexually transmitted infections, or irritants. Symptoms might include redness, swelling, and discharge, in addition to the swelling you are experiencing.

Allergic reactions to soaps, lubricants, or condoms can also lead to localized swelling and discomfort. If you have recently changed any products you use during sexual activity, this could be a factor.

In some cases, vascular issues may be at play. Conditions that affect blood flow, such as atherosclerosis or diabetes, can lead to abnormal swelling and discomfort during erections.
It is also worth considering that psychological factors, such as anxiety or stress related to sexual performance, can manifest physically and lead to discomfort during erections.

Given the range of potential causes, it is crucial to consult a healthcare professional for a thorough evaluation. A urologist would be well-equipped to assess your symptoms, conduct any necessary tests (such as a physical examination, ultrasound, or urine tests), and provide a diagnosis.
In the meantime, here are some general recommendations:
1. Avoid irritants: If you suspect that soaps, lubricants, or other products may be causing irritation, discontinue their use and observe if symptoms improve.


2. Maintain hygiene: Keeping the genital area clean can help prevent infections that could lead to swelling and discomfort.

3. Monitor symptoms: Keep track of any additional symptoms, such as discharge, changes in urination, or pain, and report these to your doctor.

4. Avoid sexual activity: If the discomfort is significant, it may be wise to refrain from sexual activity until you have consulted with a healthcare provider.

5. Stay hydrated: Proper hydration can help maintain overall vascular health, which is important for erectile function.

In summary, painful swelling of the glans during an erection can arise from various causes, including infections, inflammation, anatomical issues, or psychological factors. It is essential to seek medical advice to determine the underlying cause and receive appropriate treatment.