and Managing Swelling of the Foreskin: What to Know - Urology

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The issue of phimosis?


A few days ago, I retracted my foreskin for the first time.
After a day, it became swollen around the area, and it has been swollen for 3 to 4 days without any reduction.
Will it resolve on its own?

bāng yōng, 10~19 year old female. Ask Date: 2016/01/12

Dr. Liu Jiaju reply Urology


If the swelling of your foreskin persists without improvement, it is necessary to rule out the possibility of phimosis.
It is advisable to visit a urology clinic as soon as possible to seek professional treatment.

Reply Date: 2016/01/12

More Info


Swelling of the foreskin, also known as preputial edema, can occur for various reasons, and understanding the underlying causes is essential for proper management. In your case, since you mentioned that you pushed back the foreskin for the first time, it is possible that the swelling is a result of irritation or trauma to the delicate tissues. Here are some key points to consider regarding the swelling of the foreskin and its management:

Causes of Swelling
1. Irritation or Trauma: Pushing back the foreskin can cause irritation or minor trauma, leading to localized swelling. This is particularly common if the foreskin has not been retracted regularly.

2. Infection: Bacterial or fungal infections can cause inflammation and swelling. Symptoms may include redness, warmth, and discharge.

3. Allergic Reactions: Sometimes, contact with irritants such as soaps, lotions, or other products can lead to allergic reactions, resulting in swelling.

4. Phimosis: If the foreskin is too tight to retract fully, it can lead to swelling and discomfort. This condition may require medical evaluation.

5. Other Medical Conditions: Conditions such as balanitis (inflammation of the glans) or sexually transmitted infections can also cause swelling.


Management and Treatment
1. Observation: If the swelling is mild and not accompanied by severe pain, fever, or discharge, it may resolve on its own. Monitoring the situation for a few days is often advisable.

2. Hygiene: Maintaining good hygiene is crucial. Gently clean the area with mild soap and water, avoiding harsh chemicals or fragrances.

3. Cold Compress: Applying a cold compress can help reduce swelling and alleviate discomfort. Make sure to wrap ice in a cloth to avoid direct contact with the skin.

4. Avoid Irritants: Refrain from using any products that may irritate the area until the swelling subsides.

5. Over-the-Counter Pain Relief: If you experience discomfort, over-the-counter pain relievers such as ibuprofen or acetaminophen can help.

6. Medical Evaluation: If the swelling persists for more than a few days, worsens, or is accompanied by other symptoms such as pain, fever, or discharge, it is essential to seek medical attention. A healthcare provider can evaluate for possible infections or other underlying conditions.


When to Seek Emergency Care
If you experience severe pain, difficulty urinating, or if the swelling is accompanied by fever or significant redness, you should seek emergency medical care. These could be signs of a more serious condition that requires immediate attention.


Conclusion
In summary, while mild swelling of the foreskin may resolve on its own, it is important to monitor your symptoms closely. Good hygiene practices and avoiding irritants can help manage the situation. However, if the swelling persists or worsens, consulting a healthcare professional is crucial to rule out any underlying issues and to receive appropriate treatment. Always prioritize your health and well-being, and do not hesitate to seek medical advice when in doubt.

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