Managing Swelling and Injury to the Glans: Effective Treatment Options

Glans penis injury?

Prolonged sexual intercourse (possibly with a condom worn inside out that has raised bumps) and vigorous hand stimulation have caused redness and swelling in the area above the glans (specifically where the thumb grips).
It is not painful, but there is noticeable swelling.
What medication should be applied? I purchased Varso Gel (a German anti-swelling ointment), but it has not been effective for two weeks.
There has been no worsening or improvement.
Thank you.

Xiao Li, 30~39 year old female. Ask Date: 2009/11/23

Dr. Liu Jianting reply Urology

That's great! No broken skin, right? Don't apply medication haphazardly.
I suggest you visit a hospital to consult a urologist.

Reply Date: 2009/11/23

More Info

Managing swelling and injury to the glans can be a delicate issue, especially when it arises from activities such as prolonged sexual intercourse or vigorous manual stimulation. The symptoms you describe, including redness and swelling in the area of the glans, suggest that there may be some degree of irritation or trauma to the tissues. While it’s reassuring that you are not experiencing pain, it’s important to address the swelling effectively to promote healing and prevent further complications.

First and foremost, it’s crucial to ensure that the area is kept clean. Gentle washing with mild soap and water can help prevent any potential infections. After cleaning, you may want to apply a soothing ointment or cream. While you mentioned using Varso Gel, which is designed to reduce swelling, it may not be the most effective option for your specific situation. Instead, consider using a topical antibiotic ointment like Neosporin or Bacitracin, which can help prevent infection and promote healing.

In addition to topical treatments, you might also consider some home remedies. Applying a cold compress to the affected area can help reduce swelling and provide relief. Just be sure to wrap ice or a cold pack in a cloth to avoid direct contact with the skin, which can cause frostbite. Limit the application to 15-20 minutes at a time, several times a day.

If the swelling persists beyond a couple of weeks or if you notice any signs of infection, such as increased redness, warmth, pus, or fever, it is essential to seek medical attention. A healthcare professional can evaluate the area more thoroughly and may prescribe a stronger topical treatment or oral medications if necessary.

Regarding the use of over-the-counter medications, nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce inflammation and provide pain relief if you experience any discomfort. However, since you mentioned that there is no pain, this may not be necessary.

It’s also important to avoid any activities that could further irritate the area while it is healing. This includes abstaining from sexual activities until the swelling has resolved. Engaging in such activities too soon can exacerbate the condition and lead to prolonged healing times.

Lastly, if you find that this type of injury occurs frequently, it may be worth evaluating the techniques used during sexual activities. Ensuring that there is adequate lubrication and taking breaks during prolonged activities can help prevent similar issues in the future.

In summary, managing swelling and injury to the glans involves maintaining cleanliness, applying appropriate topical treatments, using cold compresses, and avoiding further irritation. If symptoms persist or worsen, don’t hesitate to consult a healthcare professional for further evaluation and treatment options. Your health and comfort are paramount, and addressing these issues promptly can lead to a quicker recovery.

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