Swollen and Painful Glans After Retracting Foreskin: Causes and Solutions

Q: Swollen and Painful Glans After Retracting Foreskin: Causes and Solutions

Xiao Wang： Hello, you have a condition called paraphimosis. <br>You should immediately and carefully retract the foreskin back to its original position and cover the glans; otherwise, it may lead to increasing swelling of the glans, which could require surgical intervention in se

After circumcision, the area under the glans may become swollen, red, and painful?

In the past few days, I have retracted my foreskin to the coronal sulcus while showering.
After a day or two, the area beneath the glans started to swell, resembling a ring around it.
It hurts when I walk and it touches.
What could be the issue? How can I improve this situation? This is the first time I've retracted my foreskin to the coronal sulcus, and I don't know how to return it to its original position.
Please help me, thank you.

Xiao Wang, 10~19 year old female. Ask Date: 2016/01/10

Dr. Xu Weikai reply Urology

Xiao Wang: Hello, you have a condition called paraphimosis.
You should immediately and carefully retract the foreskin back to its original position and cover the glans; otherwise, it may lead to increasing swelling of the glans, which could require surgical intervention in severe cases.
If you have any further questions, feel free to ask, and we can discuss and research it together.
Please note that online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
This message is a response from Dr.
Hsu Wei-Kai, the Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/10

More Info

Swelling and pain in the glans after retracting the foreskin can be concerning, especially if it is your first experience with this. The symptoms you are describing, such as swelling around the glans (the head of the penis) and pain when walking, may indicate a condition known as balanitis or posthitis. Balanitis refers to inflammation of the glans, while posthitis refers to inflammation of the foreskin. Both conditions can occur simultaneously, leading to discomfort and swelling.

Causes
1. Irritation or Trauma: When the foreskin is retracted, it can cause irritation to the sensitive skin of the glans, especially if it is not a common practice for you. This irritation can lead to swelling and pain.

2. Infection: Bacterial or fungal infections can develop, particularly if there is any residual moisture or if the area is not kept clean. Yeast infections, in particular, are common in uncircumcised males.

3. Allergic Reaction: Sometimes, soaps, lotions, or other products used during bathing can cause an allergic reaction, leading to inflammation and swelling.

4. Phimosis: If the foreskin is too tight and cannot be retracted easily, it can lead to pain and swelling when forced back. This condition can also contribute to inflammation.

Solutions
1. Gentle Cleaning: Ensure that the area is kept clean. Use mild soap and water to gently wash the glans and the foreskin. Avoid harsh soaps or products that may irritate the skin.

2. Warm Compresses: Applying a warm compress to the swollen area can help reduce swelling and provide relief from discomfort.

3. Topical Treatments: Over-the-counter hydrocortisone cream may help reduce inflammation. However, it is essential to consult a healthcare professional before applying any medication to the area.

4. Avoid Irritants: If you suspect that soaps or other products may be causing irritation, discontinue their use and observe if symptoms improve.

5. Consult a Healthcare Provider: If the swelling and pain persist or worsen, it is crucial to seek medical attention. A healthcare provider can assess the situation, rule out infections, and provide appropriate treatment, which may include prescription medications if necessary.

6. Retraction Techniques: If you are unsure how to retract the foreskin safely, it is best to consult a healthcare provider for guidance. Forcing the foreskin back can lead to further injury or complications.

When to Seek Immediate Help
- If you experience severe pain that does not improve with home care.

- If there is significant redness, discharge, or fever, which may indicate an infection.

- If you are unable to retract the foreskin back to its original position (a condition known as paraphimosis), as this can lead to serious complications.

In conclusion, while the symptoms you are experiencing can be uncomfortable, they are often manageable with proper care. However, it is essential to monitor your symptoms closely and seek medical advice if they do not improve or if you have any concerns. Taking care of your genital health is vital, and a healthcare professional can provide the best guidance tailored to your specific situation.

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