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Penis-Scrotum Symptoms-Child

Definition

  • Symptoms of the male genitals (penis or scrotum)
  • Not caused by an injury

Symptoms

  • Penis symptoms include rash, pain, itching, and swelling. Discharge from the end of the penis can also occur.
  • Scrotum symptoms include pain and swelling of the testicle, itching and rash.
  • Any genital pain that is not due to an injury is covered.

Causes of Rashes on Penis or Scrotum

  • Most rashes on the penis or scrotum are caused by skin irritants.
  • Hand-to-penis contact is normal when passing urine. Therefore, the rash is most likely from an irritant that was on the hands.
  • Examples are plants (such as weeds) or chemicals (such as bug spray). Fiberglass, pet saliva or even food can also be irritants.
  • Rashes are more common in the summer. Reason: children are outdoors and have more contact with plants and pollens. Insect bites, such as from mosquitoes or chiggers, can also be the cause.

Types of Foreskin Retraction Problems

  • Paraphimosis. Forceful retraction can cause the foreskin to get stuck behind the glans. The glans is the head of the penis. This can cause severe pain and swelling. It's a medical emergency.
  • Bleeding. If retraction is forceful, it can cause a small cut. This cut may cause a small amount of bleeding and pain.
  • Foreskin Infection. This means an infection under the foreskin. The infection can start in a cut caused by forceful retraction. The main symptom is a red and tender foreskin. Pus may also ooze out to the foreskin opening. Passing urine is painful.
  • Urine Retention (Serious). Can't pass urine or just dribbles urine, despite wanting to go.

Causes of Swollen Scrotum

  • Torsion of the Testis (Serious). The testicle twists and cuts off its blood supply. It is always painful. Needs to be repaired within 6 to 12 hours to save the testicle. This is why seeing all males with a swollen scrotum is an emergency.
  • Hydrocele. Present at birth and both sides usually involved. A hydrocele is a painless sac of fluid sitting on top of the testicle. Present at birth and harmless. It goes away by a year of age.
  • Inguinal Hernia. A hernia is a loop of intestine that slides into the scrotum. Any new bulge that comes and goes is a hernia. All hernias need surgery to fix. Most of the time, the repair can be scheduled. If the hernia can't slide back into the abdomen, emergency surgery is needed.
  • Orchitis. This is an infection of the testicle. It is always painful. It's mainly caused by viruses, such as mumps.

Barton Schmitt MD, FAAP
Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.
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