Prepuce Inflammation and Scrotal Issues: Causes and Treatments

Phimosis, redness and swelling of the foreskin, and serous fluid discharge from the foreskin and scrotum?

Hello Doctor, I am currently being treated for glans inflammation.
During the treatment, I switched from wearing cotton underwear to disposable underwear (100% cotton, made in China, white, disposed of after daily use).
After wearing the disposable underwear for four days, I experienced severe itching in the scrotum, and the next day the condition worsened with redness of the foreskin and exudation of tissue fluid.
Two days later, the foreskin became swollen, and both the foreskin and scrotum were exuding tissue fluid, making it difficult to retract the glans (previously I could retract it during an erection).
After another two days, I switched back to regular cotton underwear, and after two days, the exudation from the scrotum decreased, but the foreskin remained swollen.
When the foreskin is about to expose the glans, it feels sharp pain, and there are folds with small red spots in the painful area.
Throughout this process, urination has been normal without discomfort.
I would like to ask the following two questions: 1.
Is it possible that the exudation from the foreskin and scrotum is an allergic reaction to the components of the disposable underwear? If so, what components could be responsible? 2.
How long is it expected for this foreskin swelling to subside? Should I continue to retract the foreskin despite the sharp pain (as I need to apply medication to the inflamed area)? Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2015/07/11

Dr. Li Yilun reply Urology

You have sought medical attention; please consult your physician for a clinical evaluation that requires visual inspection and palpation to determine the possible causes of skin changes.
The underlying causes may be related to dermatitis or allergic skin conditions, but the situation can vary significantly among patients.
It is important to note that a simple description cannot adequately assess the condition.
Therefore, if symptoms have not improved or have worsened, it is strongly recommended to seek professional medical advice and examination to avoid any delay in treatment.
Physicians often need to gather a medical history, perform visual inspections, palpation, and conduct examinations to establish a diagnosis and treatment plan.
If you have a medical condition, you should seek evaluation and treatment from a nearby dermatologist or urologist.

Reply Date: 2015/07/11

More Info

Understanding prepuce inflammation and scrotal issues can be quite complex, as they can arise from various causes, including infections, allergies, and irritations. Based on your description, it seems that you are experiencing significant discomfort and inflammation in the prepuce (foreskin) and scrotum, which has worsened after switching to disposable underwear. Let’s address your questions and provide some insights into the potential causes and treatments.

1. Allergic Reaction to Disposable Underwear: It is indeed possible that the symptoms you are experiencing—such as the redness, swelling, and discharge—could be a result of an allergic reaction to the materials used in the disposable underwear. Many disposable products, including those made from non-woven fabrics or treated with chemicals for absorbency, can cause skin irritation or allergic reactions in sensitive individuals. Common allergens in such products may include:
- Dyes and Fragrances: Many disposable underwear products are treated with dyes and fragrances that can irritate sensitive skin.

- Chemical Additives: Some products may contain chemical additives for absorbency or antibacterial properties that could provoke a reaction.

- Synthetic Materials: Even if the product claims to be 100% cotton, the presence of synthetic components or coatings can lead to irritation.

If you suspect an allergy, it would be wise to discontinue the use of the disposable underwear and return to breathable cotton underwear. Observing whether your symptoms improve after this change can help confirm if the underwear was the culprit.

2. Duration of Swelling and Pain: The duration of prepuce and scrotal swelling can vary depending on the underlying cause. If the inflammation is due to an allergic reaction or irritation, you may notice improvement within a few days after removing the irritant. However, if the inflammation is due to an infection (such as balanitis or a fungal infection), it may take longer to resolve, especially if treatment is required.

Regarding the pain when retracting the foreskin, it is crucial to be cautious. If you experience significant pain, it may indicate that the inflammation is still quite severe. It is generally advisable to avoid forcing the foreskin back if it causes pain, as this could exacerbate the inflammation or lead to further injury. Instead, you should follow your physician's advice regarding the application of any topical medications. If the inflammation persists or worsens, or if you develop additional symptoms such as fever or increased discharge, it is essential to seek medical attention promptly.

Treatment Options: Treatment for prepuce inflammation typically involves:
- Topical Corticosteroids: These can help reduce inflammation and itching.

- Antifungal or Antibiotic Creams: If a fungal or bacterial infection is suspected, appropriate topical treatments may be necessary.

- Good Hygiene Practices: Keeping the area clean and dry is crucial. Avoiding irritants and wearing loose-fitting cotton underwear can also help.

In conclusion, it is essential to monitor your symptoms closely and maintain open communication with your healthcare provider. If your symptoms do not improve or if you have concerns about the severity of your condition, a follow-up appointment may be warranted to reassess your treatment plan. Remember, self-diagnosis and treatment can sometimes lead to complications, so professional guidance is always recommended.

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