Blisters on the Glans: Causes and Treatment Options - Urology

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Blisters on the glans penis?


Hello Dr.
Liu: I noticed while showering that after using Mentholatum from Japan, it actually broke! I felt embarrassed to see a doctor, so I continued applying the medication.
Now, some areas are slightly red, swollen, and peeling.
I have some pain due to the retraction of the foreskin, and it hurts more when touched.
I looked online, and a doctor suggested applying Vaseline?

A Long, 20~29 year old female. Ask Date: 2016/06/14

Dr. Liu Jiaju reply Urology


Vaseline only serves a lubricating purpose and cannot kill bacteria or reduce inflammation.
It is recommended to visit a urology clinic for a thorough physical examination by a physician to clarify the underlying cause and receive appropriate treatment.

Reply Date: 2016/06/14

More Info


Blisters on the glans can be concerning and uncomfortable, and understanding their causes and treatment options is essential for effective management. The glans, or the head of the penis, is sensitive and can be affected by various conditions that lead to blister formation.
Causes of Blisters on the Glans:
1. Infections: One of the most common causes of blisters in this area is infections, which can be viral, bacterial, or fungal. For instance, herpes simplex virus can cause painful blisters that may rupture and lead to sores. Other sexually transmitted infections (STIs) like syphilis or chancroid can also present with blister-like lesions.

2. Irritation or Allergic Reactions: Contact dermatitis due to irritants or allergens can lead to blister formation. This can occur from soaps, lotions, or even certain fabrics. In your case, using a product like Mentholatum could potentially cause irritation, especially if it contains ingredients that your skin may react to.

3. Friction: Activities that involve friction, such as vigorous sexual activity or even certain types of clothing, can lead to blisters. If the skin is already sensitive or compromised, this can exacerbate the issue.

4. Dermatological Conditions: Conditions like eczema or psoriasis can also affect the genital area, leading to blistering and skin changes.

5. Trauma: Any injury to the area, whether from scratching, rubbing, or other forms of trauma, can lead to blister formation.

Treatment Options:
1. Avoid Irritants: The first step in treatment is to identify and avoid any potential irritants. If you suspect that a product you are using is causing irritation, discontinue its use immediately.

2. Topical Treatments: Applying a soothing ointment like petroleum jelly (Vaseline) can help protect the area and keep it moisturized. However, if there is an open blister, it’s crucial to keep it clean to prevent infection. Over-the-counter hydrocortisone cream may help reduce inflammation if irritation is present.

3. Antiviral or Antibiotic Medications: If the blisters are due to a viral infection like herpes, antiviral medications may be necessary. For bacterial infections, antibiotics may be required. It’s essential to consult a healthcare provider for proper diagnosis and treatment.

4. Pain Management: If there is pain associated with the blisters, over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate discomfort.

5. Consult a Healthcare Provider: If the blisters persist, worsen, or are accompanied by other symptoms such as fever, discharge, or significant pain, it is crucial to seek medical attention. A healthcare provider can perform a physical examination, possibly conduct tests, and provide a definitive diagnosis and treatment plan.

6. Hygiene Practices: Maintaining good hygiene is essential. Gently wash the area with mild soap and water, and avoid using harsh chemicals or fragrances.

In conclusion, while blisters on the glans can arise from various causes, identifying the underlying issue is key to effective treatment. If you are experiencing persistent symptoms or discomfort, do not hesitate to consult a healthcare professional for a thorough evaluation and tailored treatment plan. Your health and comfort are paramount, and addressing these concerns early can prevent complications.

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