and Managing Persistent Glans Skin Lesions

Q: and Managing Persistent Glans Skin Lesions

Hello： If the examination results are fine, the focus now is on wound care. <br>The wound should be kept clean; clean and apply medication using the method instructed by your physician twice a day. <br>Avoid soaking in baths. <br>Maintain a light diet (avoid alcohol and spicy foo

Bleeding from a torn glans?

The skin lesion has persisted for about two months, with periods of improvement, but it has recently recurred, accompanied by the discharge of serous fluid and mucus.
It is painful when rinsed, so I usually clean it with saline solution.
I have also applied topical medications such as Tipranavir and Meconazole.
Tests for syphilis and herpes have returned negative, and microbial cultures and fungal tests were also normal.
Therefore, the cause remains unclear.
I have visited a major hospital for evaluation, but the treatment has been ineffective, so I am seeking further advice.

Xiang, 10~19 year old female. Ask Date: 2016/12/02

Dr. Du Shixi reply Urology

Hello: If the examination results are fine, the focus now is on wound care.
The wound should be kept clean; clean and apply medication using the method instructed by your physician twice a day.
Avoid soaking in baths.
Maintain a light diet (avoid alcohol and spicy foods).
Wear loose-fitting pants to ensure ventilation and dryness.
Be careful not to let urine come into contact with the wound.
If there is no improvement in two weeks, further examination will be necessary (if you are overweight, it may be advisable to check your blood sugar).
Thank you for your inquiry.

Reply Date: 2016/12/02

More Info

Understanding and managing persistent skin lesions, particularly on sensitive areas such as the glans, can be quite challenging. Based on your description, it seems you have been dealing with these lesions for about two months, experiencing intermittent improvement followed by recurrence, along with symptoms such as exudation of tissue fluid and pain during cleansing. Given that you have already undergone testing for sexually transmitted infections (STIs) like syphilis and herpes, as well as microbial and fungal cultures, and found no abnormalities, it is crucial to explore other potential causes and management strategies.

Persistent lesions on the glans can arise from various factors, including irritant dermatitis, allergic reactions, infections, or even inflammatory skin conditions such as lichen sclerosus or balanitis. Since you mentioned that the lesions have been painful and have exuded fluid, this could suggest an inflammatory process. Irritant dermatitis may occur due to friction, moisture, or exposure to irritants, while allergic reactions could stem from contact with certain soaps, lotions, or even latex products.

Given your situation, here are some recommendations:
1. Gentle Cleansing: Continue to use saline solution for cleansing, as it is gentle and helps maintain moisture without causing irritation. Avoid using harsh soaps or products that may exacerbate the condition.

2. Moisturization: Applying a fragrance-free, hypoallergenic moisturizer can help maintain skin hydration and protect the skin barrier. Look for products specifically designed for sensitive skin.

3. Topical Treatments: If inflammation is significant, a topical corticosteroid may help reduce inflammation and discomfort. However, this should be done under the guidance of a healthcare provider, as long-term use of steroids in sensitive areas can lead to skin thinning.

4. Avoid Irritants: Identify and avoid any potential irritants or allergens that may be contributing to your symptoms. This includes certain soaps, lotions, or even fabrics that may cause friction.

5. Consult a Dermatologist: Since you have already seen a doctor without resolution, consider seeking a referral to a dermatologist who specializes in genital skin conditions. They may perform a biopsy or other diagnostic tests to determine the underlying cause of your lesions.

6. Monitor Symptoms: Keep a diary of your symptoms, noting any changes in appearance, pain levels, and any potential triggers (diet, activities, products used). This information can be invaluable for your healthcare provider.

7. Consider Underlying Conditions: Sometimes, persistent skin lesions can be a sign of underlying systemic conditions. Discuss with your doctor the possibility of further investigations if symptoms persist despite topical treatments.

8. Lifestyle Modifications: Ensure that you maintain good hygiene, wear breathable cotton underwear, and avoid tight-fitting clothing that may cause friction.

In conclusion, while it can be frustrating to deal with persistent skin lesions, a systematic approach to management, including gentle cleansing, moisturization, and consultation with specialists, can lead to improvement. It is essential to remain patient and proactive in seeking the appropriate care. If symptoms worsen or new symptoms arise, do not hesitate to seek immediate medical attention.

Similar Q&A

Persistent Glans Inflammation: Seeking Answers and Effective Treatment

Hello, Dr. Hsu. About a month ago, after having unprotected intercourse with a woman, I started experiencing a sharp pain in my penis, followed by peeling skin. I visited Dr. A, who said it was nothing serious, just minor skin abrasion, and prescribed me with Nystatin to apply. H...

Dr. Xu Weikai reply Urology
24-year-old male: For the care of the glans, the following recommendations are suggested: 1. Local cleaning: Use cold water only. Do not use any body wash, soap, or medicated soap. 2. After cleaning, apply petroleum jelly for maintenance. Theoretically, improvement should be seen...

Persistent Glans Skin Issues: Causes, Treatments, and Solutions

Hello Doctor, I often have issues with skin breakdown on my glans, and it sometimes bleeds. I previously visited a urologist and used a medication called Meikang ointment, which improved my condition, but it hasn't completely resolved the issue. I ensure proper hygiene by dr...

Dr. Chen Jiansheng reply Urology
Please seek medical attention.

Managing Recurring Glans Eczema: Effective Solutions for Relief

Hello doctor, I have a question. My glans eczema has improved, but it has recurred due to friction. How can I effectively treat this condition? I can't possibly avoid sexual activity and masturbation for a lifetime, right? I previously had eczema on my palms, but it was not ...

Dr. Du Shixi reply Urology
Hello: The foreskin is like that; once an issue occurs, it tends to recur. Basic protective measures must be taken, as there are no other solutions. Wishing you good health.

Managing Persistent Discomfort in the Glans: Effective Solutions

Hello, Doctor: I previously inquired about the itching and stabbing pain in my glans, which sometimes even becomes red, swollen, and ulcerated. You mentioned it might be due to excessive cleaning and provided me with cleaning and care advice. However, before I could implement you...

Dr. Xu Weikai reply Urology
A-Zhi: Hello, at this stage, localized treatment is still necessary. Once the wound has healed, you can follow my previous recommendations for glans care. If there are frequent recurrences, you may need to pay attention to any poor hygiene habits. For example, it is advisable to ...