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Forum Name: Other infections

Question: Swollen shaft on underside of penis

Monfroot - Sun Jan 07, 2007 2:27 pm

Hi, I'm 24 & a bit worried... I recently went to the docs regarding my forskin becoming tight over the penis head, he reassured me that the skin will remember & if I gently tease the foreskin back over time it will eventually remember that it can go all the way back over the head...which did happen. But, I was masturbating yesterday (the 1st time since pulling the foreskin back) & when ejaculating I had a massive pain & there was blood as well as semen. My whole penis has been very sensitive since then & the foreskin no longer goes back over the head. I have also noticed a swelling on the underside of the shaft close to the head. Can anyone advise what has happend & what I should do? Any advice is appreciated I am planning on going to my docs asap to get this checked as the tenderness is uncomfortable.

Dr. Tamer Fouad - Mon Jan 08, 2007 10:18 am

Hello, Balanitis is inflammation of the glans penis commonly seen in uncircumscribed men. It usually causes redness and/or a blotchy rash on the glans, sometimes with a discharge. Balanitis involving the foreskin or prepuce is termed balanoposthitis. The most common complication of balanitis is phimosis, or inability to retract the foreskin from the glans penis. Balanoposthitis may have any of multiple bacterial and fungal origins. Complex infections also have been well documented. These often are due to a poorly retractile foreskin and poor hygiene that leads to colonization and overgrowth. Anaerobic organisms have been associated with the diagnosis, although in most cases, the patient is treated empirically and a specific organismal etiology is not obtained. Candidal infection appears to be the most common cause of disease. The condition in older adult men often has other etiologies, including intertrigo; irritant dermatitides; and candidal, viral, or fungal infections. Treatment centers on Antibiotics / antifungal treatment, improved hygiene and treatment of Eczema if present. Circumcision may be needed in some cases. Blood in semen may be the result of inflammation, infection, blockage, or injury anywhere along the male reproductive tract. It may indicate disease or a problem within the urethra, testicles, epididymis, or prostate. Given the limitations of the internet as a diagnostic tool, you are advised to seek a direct clinical examination to reach the proper diagnosis.

Monfroot - Mon Jan 08, 2007 5:13 pm

Thanks for your advice doctor. The pain got too much today at work so I went to the hospital to get checked out. The doctor said that the foreskin had got caught behind the head & was cutting the blood supply off to the rest of the penis. He applyed a local anestetic & jimmyd the foreskin back over the head, he has then booked me in to get a circumcision to avoid any problems in the future. Many Thanks again.

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