Sclerosing Lymphangitis: Symptoms and Treatment Options - Urology

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Last time, there was a question regarding sclerosing lymphadenitis?


Hello Doctor, I would like to provide some additional information regarding the issue I previously inquired about.
There was already a lump in the penile area (suspected sclerosing lymphangitis), which became inflamed after I applied pressure to it (approximately 3-4 days ago).
The red, swollen lump is about 2 centimeters in size and is tender to the touch.
I have been applying local heat and using tea tree oil, but I am unsure of the effectiveness.
I am concerned whether this inflammation could be due to a bacterial infection or possibly cellulitis.
Currently, I am abroad and unable to seek medical attention.
I have a supply of Voren (25 mg) on hand; do you think it is necessary to use it?

Cheng, 20~29 year old female. Ask Date: 2015/09/09

Dr. Xu Weikai reply Urology


Hello, you may have a localized infection, and cellulitis cannot be ruled out.
Voren is only a pain reliever and anti-inflammatory; it does not contain any antibacterial components.
It can be used when experiencing pain.
However, if it is indeed an infection, antibacterial medication should be administered.
If there are any unclear points, feel free to ask again for further discussion and research.
Answers found online should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/09/09

More Info


Sclerosing lymphangitis is a condition characterized by inflammation and fibrosis of the lymphatic vessels, often presenting with symptoms such as swelling, pain, and redness in the affected area. In your case, the presence of a painful, swollen lump on the penis, which you suspect to be sclerosing lymphangitis, is concerning and warrants careful evaluation.

The symptoms you describe—specifically the 2 cm red, swollen lump that is tender to touch—could indeed be indicative of sclerosing lymphangitis, especially if it developed after manual manipulation of the area. However, it is also essential to consider other potential causes of these symptoms, such as bacterial infections (including cellulitis or abscess formation) or even sexually transmitted infections (STIs). The fact that you are experiencing pain and swelling raises the possibility of an underlying infection, which could require different management.

In terms of treatment options, local heat application and the use of tea tree oil may provide some symptomatic relief due to their anti-inflammatory and antimicrobial properties. However, these home remedies may not be sufficient if there is a significant bacterial infection present. If the swelling and pain persist or worsen, it is crucial to seek medical attention as soon as possible, even if you are currently abroad.
Regarding the medication you mentioned, Voren (which contains the active ingredient diclofenac) is a non-steroidal anti-inflammatory drug (NSAID) that can help reduce pain and inflammation. If you are experiencing significant discomfort, taking Voren as directed may provide some relief. However, it is important to be cautious with self-medication, especially if you suspect an infection. NSAIDs can mask symptoms, potentially delaying the diagnosis and treatment of an underlying issue.

If you are unable to access healthcare services immediately, monitor your symptoms closely. Look for signs of worsening infection, such as increased redness, swelling, warmth, fever, or the development of pus. If any of these symptoms occur, it is critical to seek medical care promptly.
In summary, while sclerosing lymphangitis is a possibility given your symptoms, the risk of infection cannot be overlooked. The use of local heat and tea tree oil may provide some relief, and taking Voren could help manage pain and inflammation. However, if your symptoms do not improve or worsen, please prioritize seeking medical attention, as timely intervention is crucial in managing potential infections effectively.

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