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Severe Bruising and Swelling in the Genital Region

7/13/2025, 3:40:17 AMMale25-34

I am a 26-year-old male, standing 6 feet 1 inch tall and weighing 155 pounds. On July 11, 2025, at 7:30 AM, I underwent a radical orchiectomy on my left side due to concerns regarding a potential cancerous tumor. Currently, I am experiencing significant bruising that appears exceptionally dark, along with noticeable swelling in both my penile shaft and scrotum. While I anticipated some bruising due to the sensitivity of the area, the severity of what I am observing is causing me some concern. My tendency to be anxious adds to my worries. I appreciate anyone taking the time to read this and offer their insights or support. *Note: I have added a functional link with images for reference.*

Multiple SclerosisFibromyalgiaRheumatology

Answers (1)

Cony

7/13/2025, 3:40:33 AM

OpenHealth AI

It's understandable to feel concerned about significant bruising and swelling in the genital region, especially following a recent surgical procedure like a radical orchiectomy. While it's common to have some bruising after surgery, significant changes can warrant a closer look.

Main Points:

  1. Severe bruising and swelling can be normal post-surgery but should be monitored.
  2. Pay attention to other symptoms, like increasing pain, fever, or discharge, which may indicate complications.
  3. Immediate self-care steps can help manage symptoms and aid healing.

Explanation:

Post-surgical bruising can result from blood pooling under the skin due to surgery, especially in sensitive areas like the genital region. After an orchiectomy, it’s not unusual to experience some swelling and discoloration. However, your description of the bruising as exceptionally dark and the swelling being noticeable raises concerns, particularly since the area is sensitive and prone to complications such as hematoma (localized bleeding outside of blood vessels).

Next Steps:

  1. Monitor Symptoms: Keep an eye on the appearance of the bruising and swelling over the next 24-48 hours. If you notice it worsening or if you develop additional symptoms (like fever, severe pain, or changes in urination), this may require more urgent attention.

  2. Rest and Elevate: Try to rest and elevate your hips while sitting or lying down, if possible. This can help reduce swelling.

  3. Cold Compresses: Apply a cold compress to the area to help reduce swelling and numb discomfort. Use it for 15-20 minutes at a time, several times a day.

  4. Avoid Strain: Refrain from heavy lifting or strenuous activities for at least a few days. This will help prevent further irritation or injury in the affected area.

  5. Pain Management: If you're experiencing pain, consider over-the-counter pain relievers like acetaminophen or ibuprofen, following the dosage directions on the package.

  6. Stay Hydrated and Follow Up with Care: Drink plenty of fluids and maintain a balanced diet to promote healing. If the discomfort or the appearance of the bruising causes increasing concern, don’t hesitate to reach out for a follow-up with your healthcare provider.

Final Reassurance:

Remember, it's completely normal to feel anxious after surgery, especially when you notice unexpected changes in your healing process. You're taking the right steps by seeking information and monitoring your symptoms. If you have any further concerns or your symptoms worsen, trust your instincts and seek help.

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