Urgent Help Needed: Painful Swelling and Discomfort in the Groin - Urology

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Please help me... It will be too late if I wait any longer?


Hello doctor, my little brother has been swelling more and more over the past two days.
At first, I thought it would get better in a few days, but now it hurts even when I walk.
There is also a discharge of pus, and it feels like there is necrosis.
Additionally, the glans is difficult to expose.
I am hesitant to bring this up with my family.
Of course, I know my body is my own, but I hope to hear your professional opinion.
Maybe just applying ice for 1-2 weeks could help.
It's a bit embarrassing to talk about urinary issues.
Please help me.

Tai Ai Wan, 20~29 year old female. Ask Date: 2005/02/01

Dr. Du Shixi reply Urology


Hello: It could be either 1.
an infection or 2.
paraphimosis.
An infection can be managed with medication and proper hygiene, but paraphimosis requires surgical intervention.
Please consult a urologist.
Wishing you health and happiness.
Miaoli Hospital, Urology Department, Dr.
Du Shixi.

Reply Date: 2005/02/01

More Info


It sounds like you are experiencing a serious medical issue that requires immediate attention. The symptoms you describe—swelling, pain, discharge, and difficulty exposing the glans—could indicate a range of conditions, including but not limited to infections, inflammation, or even more severe complications such as necrosis. Given the severity of your symptoms, it is crucial that you seek medical help as soon as possible.

Firstly, the presence of swelling and pain in the groin area, especially if accompanied by discharge, suggests that there may be an infection present. Conditions such as epididymitis (inflammation of the epididymis), orchitis (inflammation of the testicle), or even a sexually transmitted infection (STI) could be at play. The fact that you mention a foul-smelling discharge and a sensation of necrosis raises the concern for a more serious infection, possibly requiring antibiotics or other medical interventions.

It is understandable to feel embarrassed about discussing issues related to genital health, but it is essential to remember that healthcare professionals are trained to handle such matters with sensitivity and confidentiality. They have likely seen similar cases before and will not judge you for seeking help. Ignoring these symptoms could lead to complications, including chronic pain, infertility, or more severe systemic infections.

In terms of immediate care, while ice packs can help reduce swelling and discomfort temporarily, they are not a substitute for professional medical evaluation and treatment. You should avoid any home remedies that could exacerbate the condition, such as applying ointments or creams without medical advice.
Here are some steps you should take:
1. Seek Medical Attention: Visit a healthcare provider, preferably a urologist, as soon as possible. They will perform a physical examination and may order tests such as a urine analysis, blood tests, or imaging studies to determine the cause of your symptoms.

2. Be Honest About Your Symptoms: When you see the doctor, be open about all your symptoms, including the discharge and any other changes you have noticed. This information is crucial for an accurate diagnosis.

3. Avoid Self-Diagnosis: While it may be tempting to look up symptoms online, self-diagnosis can lead to unnecessary anxiety and delay in receiving appropriate treatment.

4. Follow Medical Advice: If prescribed medication, such as antibiotics, be sure to complete the full course as directed, even if symptoms improve before finishing the medication.

5. Consider Counseling: If embarrassment about discussing these issues is a significant barrier, consider speaking with a counselor or therapist who can help you work through these feelings.

In summary, your symptoms warrant prompt medical evaluation. Do not delay seeking help, as early intervention can lead to better outcomes and prevent potential complications. Remember, your health is the priority, and healthcare providers are there to assist you without judgment.

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