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Urology (Expert Forum)
Penis AND Scrotal Swelling, sometimes with fever
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
Penis AND Scrotal Swelling, sometimes with fever
by swellingproblem, Dec 29, 2004 12:00AM
About every two months for the past 3 years my penis and scrotum swell to almost double in size. Penis hurts while swollen, scrotum is very tender/large. I also get fever, shivering and it is so bad I have to lay in bed for the first day when it “hits.” Penis turn very red, but no lesion or skin breaks. Second day I can get out of bed, feel normal, but swelling is very bad. 3rd day swelling subsides, and 4th day is starts to go down. Then both penis and scrotum itch a little, and top layer of skin sheds/peels (due to the excessive stretching?). been to doctor, urologist several times. Not STD, not angio edema. I caught herpes 25 years ago, but have not had that out break for 15 years. (doc said this couldn’t be related, as I get NO herpes pimples) The worst swelling “episode” also turned my butt bright red, seemed to connect via the medial line from my puffed up scrotum, and my head hurt so bad I was crying,. It feels like the worst flu you have ever had at onset. The “seam” up my scrotum always swells, feel tender. It always hits VERY fast, sometimes feeling like pliers pulling on the bottom of my scrotum, then bad fever and chills with-in 1 hour, very frustrating. I have to get to bed immediately! after a week, back to normal. Doc did CAT scan too – nothing wrong. You can’t imagine how frustrating this is.
Does seem to come on the day after sex/masterbation, but I have lot’s of this and nothing happens too.
Please help
Does seem to come on the day after sex/masterbation, but I have lot’s of this and nothing happens too.
Please help
Doctor's Answer
by Kevin Pho, MD, Dec 29, 2004 12:00AM
, Dec 29, 2004 12:00AM
I would certainly rule out infection - such as epididymitis. This can be done via a urine sample and should have been considered by the urologist. A scrotal ultrasound is also advisible. It can evaluate for this infection - as well as other possible causes of your symptoms. This can include a varicocele or cyst.
I would also be tested for STDs, such as gonorrhea and chlamydia. These options can be discussed with your personal physician - I would also consider a second urological opinion.
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.
Medical Weblog:
kevinmd_b
I would also be tested for STDs, such as gonorrhea and chlamydia. These options can be discussed with your personal physician - I would also consider a second urological opinion.
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.
Medical Weblog:
kevinmd_b
Member Comments
by swellingproblem, Jan 03, 2005 12:00AM
To: Urology - General
0
by horseface, Jan 31, 2005 12:00AM
To: Urology - General
0
by John64, Jul 25, 2008 08:42PM
A related discussion, Swelling Problem was started.
