Redness and Pain: Common Urology Concerns Explained

Genital issues!?

Dr.
Hsu: My girlfriend helped me with some DIY (not very forcefully), and after ejaculation, I noticed redness and swelling of my foreskin.
Washing it with water causes a stinging sensation, and the symptoms have persisted for a month.
I have never experienced this before, and I'm unsure what the issue might be.

Cheng~, 20~29 year old female. Ask Date: 2014/01/19

Dr. Xu Weikai reply Urology

Hello, you may be experiencing an infection, an allergy, or improper cleaning methods.
For detailed instructions on cleaning the glans, please refer to the advice I previously provided to users on the Taiwan e-Hospital platform.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only serve as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2014/01/19

More Info

The symptoms you are experiencing, including redness and swelling of the foreskin accompanied by pain, can be indicative of several urological conditions. Given that these symptoms have persisted for a month, it is essential to consider a few potential causes and the appropriate steps to take for diagnosis and treatment.

One common cause of redness and swelling in the foreskin area is balanitis, which is an inflammation of the glans (the head of the penis) and the foreskin. Balanitis can be caused by various factors, including infections (bacterial, fungal, or viral), irritants (such as soaps or lotions), or even poor hygiene. Symptoms typically include redness, swelling, pain, and sometimes discharge. If the inflammation is due to a yeast infection, you might also notice a whitish discharge or a cottage cheese-like appearance.

Another possibility is posthitis, which is inflammation of the foreskin itself. This condition can occur alongside balanitis and may be caused by similar factors. If the foreskin is too tight (a condition known as phimosis), it can lead to irritation and inflammation, especially during sexual activity.

Given that you mentioned the symptoms began after a DIY sexual experience, it is also important to consider the possibility of trauma or irritation to the area. Even gentle manipulation can sometimes lead to micro-tears or irritation, especially if there was any friction or if the area was not adequately lubricated.

In terms of treatment, the first step is to maintain good hygiene. Gently clean the area with warm water and avoid any harsh soaps or irritants. Over-the-counter antifungal creams may be beneficial if a yeast infection is suspected, but it is crucial to consult with a healthcare provider for a proper diagnosis before starting any treatment.

If symptoms persist or worsen, it is advisable to see a urologist. They may perform a physical examination and possibly recommend tests, such as a swab of the affected area, to identify any underlying infections. Depending on the diagnosis, treatment may include topical antifungal or antibiotic medications, corticosteroids to reduce inflammation, or other specific therapies.

In summary, while the symptoms you are experiencing can be concerning, they are often treatable with the right medical intervention. It is essential to seek professional help to ensure an accurate diagnosis and appropriate treatment plan. Delaying consultation could lead to complications or prolonged discomfort, so I encourage you to make an appointment with a urologist as soon as possible.

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