Man with a ‘double scrotum’ has an emergency circumcision to remove his swollen foreskin

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Man with a ‘double scrotum’ has the saggy tissue removed from the end of his penis after it prevented him having sex

  • Doctors in India solved the condition which had been escalating for four months 
  • They said the man’s foreskin had become ‘lax, saggy and painless’
  • But it had a 7cm x 6cm swelling which could not be drained with a needle
  • The condition can cut off the blood to the head of the penis and cause gangrene 

A man whose foreskin swelled up so much doctors claim it looked like a second scrotum needed an emergency circumcision.

The unidentified 29-year-old had suffered with a swollen penis for four months before finally seeking medical help.

His foreskin had become ‘lax, saggy and painless’, doctors revealed in a medical case report. He was still able to get erections.

It was only when the swelling became so large that he was unable to fit his penis inside a vagina that he decided to visit hospital.

Doctors at the Global Rainbow Hospitals in Agra, India, said the patient's foreskin had become so swollen it 'looked like a second scrotum' (stock image)

Doctors at the Global Rainbow Hospitals in Agra, India, said the patient’s foreskin had become so swollen it ‘looked like a second scrotum’ (stock image)

Medics revealed the man needed emergency treatment because it could have restricted blood supply to his penis.

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The doctors first tried to drain the fluid from the swelling with a needle but that didn’t work so they opted for a circumcision. 

The unfortunate man was treated by doctors at Global Rainbow Hospitals in Agra, India – about 125miles (200km) south of New Delhi.


Paraphimosis is a condition in which a man’s foreskin becomes so swollen and tight it gets stuck in the retracted position.

The condition affects around one per cent of men over the age of 16 around the world, according to research by the Mayo Clinic.

It can be triggered by sexually transmitted infections, skin conditions like eczema or psoriasis, or by poor hygiene which can cause infection or inflammation.

Paraphimosis causes the head of the penis to become painful and swollen as the blood supply is restricted by the tight foreskin. If left untreated, this constriction can starve the flesh of oxygen and even lead to gangrene.

The condition is a medical emergency and requires immediate treatment, the type of which depends on how serious the symptoms are.

In some cases the foreskin may be able to pushed back into place when the patient is on painkillers, in others a small slit may have to be made in the skin to relieve pressure, or in severe cases circumcision or even removal of the penis may be necessary. 

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The NHS recommends gently washing underneath the foreskin every day with warm water and mild soap.

Source: NHS and Statpearls 

His problem had reportedly begun after masturbating and his foreskin had become gradually more swollen over the 16-week period.

Doctors diagnosed him with paraphimosis – an ‘acute painful condition’ in which the foreskin was stuck in a pulled-back position.

The team warned the condition had the potential to cut off circulation and lead to ‘dreaded complications’, including gangrene or the penis falling off. 

In their report the team, led by Dr Dilip Kumar Mishra, wrote: ‘[The swelling] was tight and painful initially and became lax, saggy and painless over a period of time.

‘Examination revealed a 7cmx6cm swelling arising from [the foreskin] involving the whole [foreskin] and giving an appearance of a secondary scrotum.

‘The patient was unable to have sexual intercourse as the swelling interferes with [insertion].’

His condition, paraphimosis, happens when the foreskin becomes so tight it pulls itself back and cannot be returned to cover the head of the penis.

This can be painful and restrict the blood supply to the tip of the penis, potentially starving the flesh of oxygen and causing tissue to die.

Paraphimosis can be caused by sexually transmitted infections, eczema or psoriasis, or by infections from not cleaning the penis properly.

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Scientific research has estimated the condition affects around one in 100 men over the age of 16, although cases are rarely this severe.

Dr Mishra’s team added: ‘Most often in conservative nations like India patients ignore and postpone medical attention… for the fear of social stigma attached to it.

‘Here we present a case of chronic paraphimosis who similarly postponed the medical attention until he found it to hinder his [sexual] activity.’ 

Writing in the journal Urology Case Reports, doctors said the man recovered well and had a ‘good cosmetic appearance of penis and normal [sexual] activity.’ 

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