Pain and Red Spots on the Penis: Causes and Treatments - Urology

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The symptoms you describe, including small red spots on the glans (the head of the penis), pain upon touch, and peeling skin, could be indicative of several conditions. It's essential to approach this situation with care, as the penis is a sensitive area, and self-diagnosis can lead to complications.


Possible Causes
1. Irritation or Allergic Reaction: This could be due to soaps, lotions, or other products that come into contact with the area. If you've recently changed any personal care products, this could be a potential cause.

2. Infection: Conditions such as balanitis (inflammation of the glans) can cause redness, pain, and peeling skin. This can be due to a yeast infection, bacterial infection, or sexually transmitted infections (STIs) like herpes or gonorrhea.

3. Dermatitis: Contact dermatitis or eczema can lead to red, itchy, and peeling skin. This is often triggered by irritants or allergens.

4. Pearly Penile Papules: These are small, harmless bumps that can appear on the glans and are often mistaken for something more serious. They are not painful and do not require treatment.

5. Other Skin Conditions: Conditions such as psoriasis or lichen planus can also affect the genital area and cause similar symptoms.


Recommended Treatments
1. Avoid Irritants: If you suspect that a product may be causing irritation, stop using it immediately. Use mild, unscented soap and avoid any harsh chemicals.

2. Topical Treatments:
- Hydrocortisone Cream: A mild over-the-counter hydrocortisone cream can help reduce inflammation and itching. However, it should be used sparingly and not for extended periods without consulting a healthcare provider.

- Moisturizers: A gentle, fragrance-free moisturizer can help soothe the skin. However, avoid applying anything that may further irritate the area.

3. Antifungal or Antibacterial Creams: If a fungal or bacterial infection is suspected, over-the-counter antifungal creams (like clotrimazole) or antibacterial ointments may be beneficial. However, it’s best to consult a healthcare provider for an accurate diagnosis before starting any treatment.

4. Consult a Healthcare Provider: Given the symptoms you describe, especially the pain and peeling, it is crucial to see a healthcare professional. They can perform a physical examination, possibly run tests, and provide a definitive diagnosis and appropriate treatment plan.


When to Seek Immediate Help
- If you experience severe pain, swelling, or discharge.

- If the symptoms persist or worsen despite home treatment.

- If you have any concerns about STIs or other infections.


Conclusion
While topical treatments like small nurse ointments or moisturizers may provide some relief, it is essential to identify the underlying cause of your symptoms. Consulting a healthcare provider is the best course of action to ensure proper diagnosis and treatment. Avoid self-diagnosing or treating without professional guidance, as this can lead to complications or worsening of the condition.