Urological Issues: Swelling and Changes in Young Men - Urology

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I've been feeling anxious for a long time?


At the age of 18, after a day of DIY activities, I experienced swelling in my penis after urinating.
Since that incident, my semen has lost its viscosity, and I feel discomfort in my testicles when lifting heavy objects.
After DIY activities, my penis tends to sag.
Is this a normal phenomenon? Before that incident at 18, I never experienced such significant sagging.

Niming, 20~29 year old female. Ask Date: 2009/12/16

Dr. Liu Jianting reply Urology


It's normal! Don't overthink it.

Reply Date: 2009/12/16

More Info


It sounds like you're experiencing a variety of urological issues that are understandably concerning for you. Let's break down your symptoms and questions to provide a clearer understanding of what might be happening.

Firstly, the swelling of the penis (陰莖) after DIY activities could be attributed to a few factors. If you experienced trauma or excessive pressure during the activity, it could lead to temporary swelling or discomfort. The body often reacts to physical stress or injury with inflammation, which might explain the swelling you noticed. If this swelling persists or is accompanied by pain, it would be wise to consult a healthcare professional for a thorough examination.

Regarding the changes in your semen, such as the loss of viscosity (黏性), this can be influenced by several factors. Semen consistency can vary based on hydration levels, diet, frequency of ejaculation, and overall health. If you are noticing a significant change that persists, it may be worth discussing with a urologist. They can perform tests to evaluate your semen quality and check for any underlying issues.

You mentioned discomfort in the testicles (睪丸) when lifting heavy objects. This could be a sign of a few potential conditions, including testicular torsion, epididymitis (inflammation of the epididymis), or even a hernia. Testicular torsion typically presents with severe, sudden pain, but it's important to note that not all cases are the same. If you experience discomfort, especially if it is persistent or worsening, seeking medical attention is crucial.

As for the issue of your penis hanging lower than before, this can be a normal anatomical variation, especially during different stages of life. Factors such as temperature, arousal, and even body weight can influence how the penis appears. However, if you feel that this change is significant or accompanied by other symptoms (like pain or swelling), it would be advisable to have it evaluated.

In summary, while some of the changes you're experiencing could be normal variations, others may warrant further investigation. Here are some recommendations:
1. Consult a Urologist: Given your symptoms, a urologist can provide a comprehensive evaluation. They may perform a physical examination and possibly imaging studies to rule out any serious conditions.

2. Monitor Symptoms: Keep track of any changes in your symptoms, including pain, swelling, or changes in semen consistency. This information will be helpful for your healthcare provider.

3. Avoid Heavy Lifting: If lifting heavy objects exacerbates your discomfort, it may be wise to avoid such activities until you have a clearer understanding of your condition.

4. Stay Hydrated and Maintain a Healthy Diet: Proper hydration and nutrition can positively impact your overall health and may help with semen quality.

5. Educate Yourself: Understanding your body and its changes is important. Don't hesitate to ask questions during your medical appointments to gain clarity on your concerns.

Remember, it's essential to prioritize your health and seek professional advice when needed. Urological issues can be sensitive and complex, but with the right support and information, you can navigate these challenges effectively.

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