Redness and Pain in the Penis: When to See a Doctor - Urology

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Redness and swelling of the glans and foreskin?


Last week, after having intercourse with my girlfriend, I noticed that the area where the foreskin connects to the glans has a tear, which is itchy and painful, and there is a wound.
Now it has swollen.
What could be the cause of this? Should I see a dermatologist or a urologist? Thank you, doctor.

A Yi, 30~39 year old female. Ask Date: 2015/10/27

Dr. Xu Weikai reply Urology


A1: Hello, please consult a urologist as it may be a localized infection; it could also be due to insufficient lubrication or excessive friction causing skin abrasion.
Since there is already swelling, it is likely a confirmed bacterial infection.
Regardless of the cause, it is advisable to seek medical attention promptly to prevent further complications, such as cellulitis.
If you have any further questions, feel free to ask, and we can discuss and research together.
Online responses should only be considered as references; it is essential to visit a medical facility for proper care.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/10/27

More Info


When experiencing symptoms such as redness, pain, itching, and swelling in the genital area, particularly after sexual activity, it is essential to approach the situation with caution. Your description suggests that there may be a few potential causes for these symptoms, including irritation, infection, or even a sexually transmitted infection (STI).
Firstly, the fact that you have noticed broken skin and swelling in the area where the foreskin connects to the glans (the head of the penis) could indicate a condition known as balanitis, which is inflammation of the glans. This can occur due to various reasons, including poor hygiene, irritation from soaps or lotions, or infections. If the area is itchy and painful, it could also suggest a fungal or bacterial infection.
Additionally, if you have had unprotected sexual intercourse, there is a possibility of contracting an STI, which can present with similar symptoms. Common STIs such as herpes or gonorrhea can lead to redness, swelling, and pain in the genital area.
Given these possibilities, it is advisable to seek medical attention. You may wonder whether to see a dermatologist or a urologist. In this case, a urologist would be the more appropriate choice, as they specialize in male reproductive health and urinary tract issues. They can perform a thorough examination, take a detailed history, and possibly conduct tests to determine the exact cause of your symptoms.

When you visit the urologist, be prepared to discuss your symptoms in detail, including when they started, any other symptoms you may have noticed, and your sexual history. This information will help the doctor make an accurate diagnosis. They may perform a physical examination and, if necessary, take swabs or samples to check for infections.

In the meantime, it is crucial to keep the area clean and dry. Avoid using any harsh soaps or lotions that could further irritate the skin. If you experience severe pain, fever, or if the swelling worsens, seek immediate medical attention.

In summary, while it may be tempting to wait and see if the symptoms resolve on their own, it is generally best to consult a healthcare professional when dealing with genital symptoms, especially after recent sexual activity. Early diagnosis and treatment can prevent complications and ensure a quicker recovery.

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