Penile Swelling: When to See a Urologist

The penis is very healthy?

I have been experiencing swelling of the penis for the past few days, and initially, it was red and swollen.
Now it is still swollen but has a slightly white appearance.
Could this be due to me scratching the skin? If I need to see a doctor, which specialty should I consult?

A Tang, 10~19 year old female. Ask Date: 2012/11/26

Dr. Xu Weikai reply Urology

Hello, you can consult with the Urology and Dermatology departments.
Initially, it appears to be a localized inflammation.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Head of Urology, Taitung Hospital, Department of Health, Executive Yuan, who cares about your well-being.

Reply Date: 2012/11/26

More Info

Understanding penile swelling can be concerning, and it's important to approach this issue with care. Penile swelling can occur for various reasons, including infections, trauma, allergic reactions, or underlying medical conditions. Given your description of the swelling being red initially and now appearing swollen and slightly white, it could indicate a few possibilities.

Firstly, if the swelling is accompanied by redness, pain, or discharge, it may suggest an infection, such as balanitis (inflammation of the glans) or a sexually transmitted infection (STI). Infections can cause the tissue to become inflamed and swollen, and if there is a break in the skin, as you mentioned, it can exacerbate the situation. The white appearance could be due to a buildup of dead skin cells, pus, or even a fungal infection.

Secondly, if you have been scratching or irritating the area, this could lead to localized trauma, which can also cause swelling. Trauma to the penis can result in a condition known as penile hematoma, where blood collects in the tissue, leading to swelling and discoloration.
In terms of when to see a urologist, it is advisable to seek medical attention if you experience any of the following symptoms:
1. Persistent swelling that does not improve over a few days.

2. Severe pain or discomfort.

3. Discharge from the penis, especially if it is unusual in color or odor.

4. Fever or systemic symptoms that may indicate an infection.

5. Difficulty urinating or blood in the urine.

6. Any changes in sexual function or sensation.

A urologist is the appropriate specialist to consult for issues related to the male reproductive system and urinary tract. They can perform a thorough examination, possibly including laboratory tests or imaging studies, to determine the underlying cause of the swelling.
In the meantime, it is essential to maintain good hygiene and avoid any irritants, such as harsh soaps or lotions, that could worsen the condition. If you suspect an infection, it is crucial to avoid sexual activity until you have been evaluated by a healthcare professional to prevent potential transmission to partners.

In summary, penile swelling can arise from various causes, and while some may resolve on their own, others may require medical intervention. If you are experiencing concerning symptoms or if the swelling persists, it is best to consult a urologist for a proper diagnosis and treatment plan. Remember, early intervention can often lead to better outcomes and peace of mind.

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