Redness and Swelling Under the Penis Glans: Causes and Care - Dermatology

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Redness and swelling under the glans of the penis can be concerning and may arise from various causes. Given your history of circumcision and regular hygiene practices, it is essential to consider both mechanical and dermatological factors that could contribute to your symptoms.

One common cause of redness and swelling in this area is irritation or inflammation, which can occur due to over-cleaning or using harsh soaps. The skin on the glans is sensitive, and excessive scrubbing or the use of irritating substances can lead to damage to the outer layer of skin, resulting in redness, swelling, and discomfort. This seems to align with your suspicion that over-cleaning may have caused damage to the keratin layer.

Another potential cause could be a fungal or bacterial infection. The moist environment under the foreskin (if present) or around the glans can promote the growth of pathogens, leading to conditions such as balanitis, which is inflammation of the glans. Symptoms of balanitis include redness, swelling, and sometimes discharge. If you notice any unusual discharge or persistent symptoms, it would be prudent to seek medical evaluation.

Your use of Triamcinolone, a topical corticosteroid, may help reduce inflammation and alleviate symptoms. However, it is crucial to use such medications judiciously, as prolonged use can lead to skin thinning and other side effects. If you notice improvement, it is a positive sign, but if symptoms persist or worsen, it is advisable to consult a healthcare professional for a thorough examination.

In terms of care, here are some recommendations:
1. Gentle Cleaning: Continue to maintain good hygiene, but avoid harsh soaps and excessive scrubbing. Use mild, unscented soap and warm water to clean the area gently.

2. Moisturization: If dryness is an issue, consider using a gentle, fragrance-free moisturizer after cleaning. This can help maintain the skin barrier and prevent further irritation.

3. Avoid Irritants: Be cautious with any topical products you apply. If you suspect a product may be causing irritation, discontinue use.

4. Monitor Symptoms: Keep an eye on your symptoms. If you notice any worsening of redness, swelling, or the development of discharge, seek medical attention.

5. Consult a Specialist: If symptoms do not improve with conservative measures, or if you have concerns about potential infections or other underlying conditions, it is essential to consult a urologist or dermatologist. They can provide a more accurate diagnosis and appropriate treatment options.

In conclusion, while your symptoms may be related to irritation from over-cleaning, it is essential to monitor the situation closely. If you do not see improvement or if symptoms worsen, do not hesitate to seek professional medical advice. Early intervention can prevent complications and ensure proper care for your condition.