38-Year-Old Male with Swelling on Foreskin - Fluid-Like Then Firm with Red Area
I'm a 38-year-old male and I'm reaching out to see if anyone else has had a similar experience. I've noticed swelling on the left side of my foreskin that's initially fluidy but then becomes firmer, accompanied by a red patch in the same area. I underwent an ultrasound, but the results were not conclusive. The report indicated: "No abnormalities were found in the testicles or epididymis. There is a generalized thickening of the scrotal wall and subcutaneous thickening of the foreskin and ventral penile area, without specific focal lesions or fluid accumulation. The cause remains uncertain." I've consulted with both a dermatologist and a urologist, but neither has been able to determine the issue. They’ve only prescribed creams, which have not brought any relief. My treatment history includes: Doxylin 100, Alphaclav duo 500/125, Staphylex 500, Zyrtec 10mg, Cordic ds 1% cream, Novasone 1mg cream, and a tapering course of Prednisolone 50mg, along with steroid injections into the swelling. I have also tested negative for STIs. Currently, the raphe extending from the base of the shaft to the scrotum has become raised and feels thicker. I'm curious if anyone has faced something similar. Any insights or shared experiences would be greatly valued. Thank you!
Answers (1)
8/8/2025, 3:02:01 PM
OpenHealth AI
It sounds like you're experiencing a challenging and distressing situation with persistent swelling and discomfort. The symptoms you've described, including the fluid-like swelling that changes to firmness and the accompanying redness, can be complex and may arise from various factors, including inflammation, infection, or other dermatological issues.
Key Points:
- Chronic swelling and redness in the foreskin aren’t uncommon, but they can indicate underlying issues that need further investigation.
- It’s vital to consider both self-care measures and potential lifestyle adjustments while seeking additional medical consultation if symptoms persist.
Explanation:
The thickening and swelling you are experiencing could be due to a few factors, such as:
- Inflammation: Conditions like balanitis (inflammation of the foreskin) or posthitis (inflammation of the prepuce) could cause localized swelling and redness.
- Lichen sclerosus: A chronic skin condition resulting in white patches on the skin, which could cause thickening and discomfort.
- Dermatitis: Allergic or irritant contact dermatitis from various sources could also lead to these symptoms.
Your treatment history shows that you've tried various medications and treatments, but the lack of improvement indicates the need for alternative approaches or a reassessment of your condition.
Next Steps:
-
Self-Care Measures:
- Gentle Hygiene: Clean the area daily with mild, non-irritating soap and water. Avoid harsh products that could worsen irritation.
- Moisturization: Consider applying a hypoallergenic, fragrance-free moisturizer after bathing to keep the skin hydrated.
- Avoid Irritants: Pay attention to soaps, toiletries, or clothing that might irritate the area and eliminate any potential allergens.
-
Monitor Symptoms:
- Keep a detailed symptom diary, noting changes in size, firmness, color, or any associated discomfort. This information can be useful for future consultations.
-
Seek Specialized Care:
- If symptoms persist or worsen, consider seeking a second opinion from a specialist in urology or dermatology, particularly one with expertise in inflammatory skin conditions or penile disorders. They may suggest a biopsy or other specific tests to rule out conditions like lichen sclerosus or other dermatoses.
-
Discuss Treatment Options:
- Ask about alternative treatments or diagnostic tests during your next consultation. Treatments such as topical corticosteroids or immunomodulators may be options if inflammation is confirmed.
I hope these suggestions provide you with some relief and clarity. Don't hesitate to reach out for further support or clarification regarding your symptoms.
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