Common Urological Concerns: Foreskin and Testicular Issues

Prepuce and testicular issues?

1.
After exercising, the foreskin of the penis feels very tight and somewhat uncomfortable.

2.
Is it normal for the testicles to retract upwards? This happens quite frequently, but they descend after taking a shower.

3.
After masturbation, the right testicle feels slightly swollen the next day.
Is this related to yesterday's masturbation? Will it improve after some rest?
4.
The penis appears short and retracted when not erect, but its length is normal when erect.
What is the relationship between these conditions?

Mr. Wang, 10~19 year old female. Ask Date: 2016/02/29

Dr. Lin Wenxu reply Urology

1.
Please visit the urology outpatient clinic in person so that the physician can provide you with an accurate diagnosis.
2.
Expansion with heat and contraction with cold are normal physiological phenomena.
3.
It should be fine.

Reply Date: 2016/02/29

More Info

Understanding common urological concerns is essential for maintaining reproductive health and addressing any discomfort or anxiety that may arise. Let's break down the issues you've raised regarding the foreskin, testicular behavior, and related symptoms.

1. Tight Foreskin Post-Exercise: It's not uncommon for the foreskin to feel tight or uncomfortable after physical activity. This can be due to a variety of factors, including increased blood flow to the area during exercise, which can cause temporary swelling. If the tightness persists or is accompanied by pain, it may be indicative of a condition known as phimosis, where the foreskin cannot be easily retracted. If this is a recurring issue, consulting a urologist would be advisable.

2. Testicular Retraction: The phenomenon of the testicles retracting closer to the body during physical activity or cold temperatures is a normal physiological response. This is controlled by the cremaster muscle, which contracts to help regulate the temperature of the testes, ensuring optimal conditions for sperm production. After bathing or when the body warms up, the testicles typically descend back to their normal position. If you notice any unusual pain or swelling, it would be wise to seek medical advice.

3. Swelling After Masturbation: Experiencing slight swelling or discomfort in one testicle after masturbation can occur and is generally not a cause for concern. This can be due to increased blood flow and stimulation during the act, which may lead to temporary swelling. Resting and allowing time for recovery usually resolves this issue. However, if the swelling persists, is painful, or is accompanied by other symptoms such as redness or fever, it would be prudent to consult a healthcare professional to rule out conditions like epididymitis or testicular torsion.

4. Flaccid vs. Erect Size: It's completely normal for the penis to appear shorter when flaccid compared to when it is erect. This is due to the physiological differences in blood flow and tissue expansion. The size of the penis in its flaccid state does not reflect its size when erect, and variations in size are common among individuals. If you have concerns about erectile function or size, discussing these with a healthcare provider can provide reassurance and guidance.

In summary, the symptoms you are experiencing are generally within the realm of normal physiological responses. However, if any discomfort persists, or if you experience significant changes in your body, it is always best to consult a healthcare professional. They can provide a thorough examination and address any underlying issues that may need attention. Remember, maintaining open communication about urological health is vital for overall well-being.

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