Glans Ulceration: Treatment and Circumcision Insights - Urology

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Understanding glans ulceration and the associated treatment options, including circumcision, is crucial for managing this condition effectively. Glans ulceration, often resulting from inflammation or infection, can lead to symptoms such as redness, swelling, and ulceration of the glans penis. In your case, it seems that you have been experiencing persistent symptoms despite treatment, which has led your doctor to recommend circumcision as a potential solution.

Circumcision is a surgical procedure that involves the removal of the foreskin (the skin covering the glans) and can be beneficial in cases where recurrent infections or inflammation occur. This procedure can help prevent future episodes by eliminating the area where bacteria can thrive and cause irritation.

Treatment Insights
1. Diagnosis and Treatment: It is essential to have a proper diagnosis before proceeding with any treatment. Conditions such as balanitis (inflammation of the glans), candidiasis (yeast infection), or sexually transmitted infections can cause similar symptoms. Your doctor may have performed tests to rule out these conditions.

2. Topical Treatments: You mentioned using a topical medication (美康, which may refer to a corticosteroid or antifungal cream). While these can provide temporary relief, they may not address the underlying issue if there is a persistent infection or anatomical problem.

3. Circumcision: If your doctor has recommended circumcision, it is likely because they believe it is the best option for long-term relief. The procedure is generally safe, but like any surgery, it carries risks such as bleeding, infection, and complications related to anesthesia.


Considerations for Laser Circumcision
1. Laser vs. Traditional Circumcision: Laser circumcision is a technique that uses laser technology to remove the foreskin. It may offer benefits such as reduced bleeding and a quicker recovery time. However, the choice between laser and traditional methods should be discussed with your surgeon, as both have their pros and cons.

2. Preoperative Care: Regarding your question about shaving pubic hair, it is common practice to trim or shave the area before surgery to reduce the risk of infection. Your surgeon will provide specific instructions on how to prepare for the procedure.

3. Timing of Surgery: If the ulceration on your glans has not healed by the time of your scheduled surgery, it is crucial to inform your surgeon. They may decide to postpone the procedure until the area is healed to minimize the risk of complications during surgery.

4. Postoperative Care: After circumcision, proper care is essential for healing. This includes keeping the area clean, avoiding sexual activity until cleared by your doctor, and monitoring for any signs of infection (increased redness, swelling, or discharge).


Conclusion
In summary, glans ulceration can be a challenging condition to manage, especially when it becomes chronic. Circumcision may provide a definitive solution, but it is essential to follow your doctor's advice regarding preoperative care and to communicate any concerns about your current symptoms. Ensure you have a thorough discussion with your healthcare provider about the procedure, recovery, and any other treatment options that may be available to you. Taking these steps will help ensure a smoother surgical experience and better long-term outcomes.