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Urology (Expert Forum)
hopefully this is just a cosmetic question
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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hopefully this is just a cosmetic question
by makingmyselfcrazy, Jun 08, 2006 12:00AM
Hi Dr.-
first a quick background: about two months ago I was diagnosed with and treated for non specific urethritis.
The irritation to the penis led to my "taking off" from sexual activity (obv. with a partner, but also masturbation as well) for the longest period since before I entered puberty.
I gave masturbation a go a couple times a couple weeks ago, but noticed that I was ever so slightly reiritating the skin that was healing from the urethritis, so I went back to waiting.
on to my issue/questions: earlier this week I masturbated again, and I didn't really think much of the fact that I had taken a pretty substantial lay off from activity with my penis. I went about things a little too vigorously and when i was done I noticed that I was a little red tender around the head (is glans the right term here?), but i didn't worry much, just called myself an idiot and made a mental note to ease back into things. the next day, I noticed that the skin on top of the shaft (is this foreskin even if I'm cirumcised?) right below the head was a little swollen. the best word I can use to describe it would be "puffy". there wasn't any pain, it just didn't look swell.
continue on a couple days, and now there is still a little bit of that puffiness, but what's concerning me is that, while flaccid, the foreskin (shaft skin? I'm sorry i don't know the right words to make it easier)is kind of rolling over the head of the penis. this is predominantly happening on the top of the penis, but minimally on the sides and bottom as well. If anything, it looks kind of like a circumcision that wasn't finished. To give an idea, at times you can see only half of the head of the penis, and at times more like 3/4's. For the sake of information, the head of my penis normally sits pretty flush with the skin behind it, if not just slightly raised. I don't have the distinct "ridge" created by the head of the penis that most men have.
I guess, if anything, i want to know if there is anything to be concerned about with this. is this abnormal? I will say that there is no real pain associated with it, just the slight discomfort of walking around and feeling that my penis is kind of swallowing itself. I apologize for the length of the posting, and if it seems a little silly compared to what a lot of people are asking about, but I'm out of the country for the next couple weeks, and would just like to get some thoughts on what may be happening and what I may need to do.
thank you for your time and in advance for any help.
first a quick background: about two months ago I was diagnosed with and treated for non specific urethritis.
The irritation to the penis led to my "taking off" from sexual activity (obv. with a partner, but also masturbation as well) for the longest period since before I entered puberty.
I gave masturbation a go a couple times a couple weeks ago, but noticed that I was ever so slightly reiritating the skin that was healing from the urethritis, so I went back to waiting.
on to my issue/questions: earlier this week I masturbated again, and I didn't really think much of the fact that I had taken a pretty substantial lay off from activity with my penis. I went about things a little too vigorously and when i was done I noticed that I was a little red tender around the head (is glans the right term here?), but i didn't worry much, just called myself an idiot and made a mental note to ease back into things. the next day, I noticed that the skin on top of the shaft (is this foreskin even if I'm cirumcised?) right below the head was a little swollen. the best word I can use to describe it would be "puffy". there wasn't any pain, it just didn't look swell.
continue on a couple days, and now there is still a little bit of that puffiness, but what's concerning me is that, while flaccid, the foreskin (shaft skin? I'm sorry i don't know the right words to make it easier)is kind of rolling over the head of the penis. this is predominantly happening on the top of the penis, but minimally on the sides and bottom as well. If anything, it looks kind of like a circumcision that wasn't finished. To give an idea, at times you can see only half of the head of the penis, and at times more like 3/4's. For the sake of information, the head of my penis normally sits pretty flush with the skin behind it, if not just slightly raised. I don't have the distinct "ridge" created by the head of the penis that most men have.
I guess, if anything, i want to know if there is anything to be concerned about with this. is this abnormal? I will say that there is no real pain associated with it, just the slight discomfort of walking around and feeling that my penis is kind of swallowing itself. I apologize for the length of the posting, and if it seems a little silly compared to what a lot of people are asking about, but I'm out of the country for the next couple weeks, and would just like to get some thoughts on what may be happening and what I may need to do.
thank you for your time and in advance for any help.
Doctor's Answer
by Kevin Pho, MD, Jun 09, 2006 12:00AM
, Jun 09, 2006 12:00AM
It is difficult to say without examination.
Infection continues to be a possibility, and a urethral swab or urine tests can be considered to evaluate for UTIs and STDs like gonorrhea and chlamydia.
Dermatological conditions like fungal infections and dermatitis can be considered. These can be treated with antifungal and steroid creams respectively.
If these considerations are non-revealing, there can be variation in the appearance of the penis and foreskin.
This can be evaluated by a urologist and dermatologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Infection continues to be a possibility, and a urethral swab or urine tests can be considered to evaluate for UTIs and STDs like gonorrhea and chlamydia.
Dermatological conditions like fungal infections and dermatitis can be considered. These can be treated with antifungal and steroid creams respectively.
If these considerations are non-revealing, there can be variation in the appearance of the penis and foreskin.
This can be evaluated by a urologist and dermatologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
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