What is the reason for the inflammation and swelling of the foreskin at the front of the penis?

Patient's question:

As the title suggests, a few days ago during sexual intercourse, I noticed that the foreskin at the base of my penis was red, swollen, and inflamed, and it was very painful. I don't know if it was caused by excessive force. Now, the inflamed area often sticks to my underwear, which is very frustrating, and there are white fluff-like substances on my underwear. What is going on? Why is the foreskin at the front of the penis inflamed and swollen?

Doctor's answer:

From your description, it is possible to rule out the possibility of balanoposthitis. The causes are often due to phimosis, paraphimosis, sexual intercourse, trauma, and infection, leading to the shedding of keratinized epithelium and glandular secretion, creating a favorable environment for other bacteria to thrive, thereby causing inflammation. The clinical manifestations are commonly seen as local itching, redness, swelling, erosion, and even ulcers, accompanied by abnormal discharge and a foul odor. In severe cases, symptoms may include fever, chills, systemic symptoms, or even penile swelling and pain. It is recommended to seek medical attention and undergo examination and treatment. Pay attention to the hygiene of the external genitalia. If phimosis or paraphimosis is present, surgical treatment should be considered early to prevent unsafe sexual practices. Wear loose clothing, and avoid spicy and irritating foods. Wishing you good health! In addition to timely treatment for male reproductive health issues, patients should maintain a positive attitude when facing the illness.

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