Question

The baby’s genitals swell during urination, and the baby strains to pass urine. What could be the cause, and how should it be handled?

Answer

It is initially suspected to be a case of penile swelling. Penile swelling is a common physiological condition in children under 3 years old, which usually resolves with growth. Severe penile swelling may cover the urethral opening, causing difficulty in urination and the appearance of a swelling during urination. Recommendations include:

  1. Rule out developmental abnormalities and treat the penile swelling, such as through circumcision surgery.
  2. Gently pull back the foreskin during urination, which may gradually improve over time.