How to Effectively Clean Persistent Smegma from the Penis - Urology

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The formation of a white film of smegma in adults that cannot be washed away?


Previously, I had phimosis, but I could normally retract it to the coronal sulcus.
The white and yellow chunks of smegma were easy to clean.
When I asked the doctor, they just advised me to wash daily, but even with daily washing, it remains the same.
I have common knowledge that soaking in a bath does not soften the smegma, which can be easily removed.
However, the white membrane seems unchanged no matter how I wash it (I use body wash and gently rub with my hands).
The glans is not pink but rather pale white.
Today, I tried using a loofah, and after using the restroom, I noticed a few small red spots (which are not painful or itchy) when I retracted it.
Is there any way to remove that layer of white membrane? Or will it eventually shed on its own? No matter how I wash, it doesn't come clean.
Thank you.

YAO, 20~29 year old female. Ask Date: 2017/07/07

Dr. Du Shixi reply Urology


Hello: It is important not to use body wash or loofahs; keeping the area dry is crucial.
After urination, make sure to pat the skin dry.
After a period of dryness, the white discharge will decrease.
If engaging in sexual activity, be sure to use protection.
Wishing you good health.

Reply Date: 2017/07/07

More Info


When it comes to cleaning persistent smegma from the penis, it's essential to understand both the anatomy involved and the proper hygiene practices. Smegma is a natural substance that can accumulate under the foreskin in males, consisting of dead skin cells, oils, and moisture. While it is normal to have some smegma, excessive buildup can lead to hygiene issues and potential infections.


Understanding Smegma and Its Causes
Smegma is more common in uncircumcised males, as the foreskin can trap moisture and debris. If you have previously experienced phimosis (a condition where the foreskin cannot be easily retracted), it may have contributed to the accumulation of smegma. Even after surgery or treatment for phimosis, some men may continue to experience issues with smegma if proper hygiene is not maintained.


Effective Cleaning Techniques
1. Daily Hygiene: The most crucial step in managing smegma is to wash the genital area daily. Use warm water and a mild, unscented soap. Avoid harsh soaps or scrubs, as they can irritate the sensitive skin of the penis.

2. Gentle Rinsing: When washing, gently retract the foreskin (if possible) and rinse the area thoroughly. It’s important to ensure that all soap is washed away, as residue can lead to irritation.

3. Avoiding Irritation: If you notice redness or irritation after washing, it may be due to excessive scrubbing or using irritating products. Instead of using a loofah or scrub brush, which can be too abrasive, use your hands to gently clean the area.

4. Moisturizing: After cleaning, consider applying a gentle, fragrance-free moisturizer to the area if you experience dryness. This can help maintain skin health and prevent irritation.

5. Consulting a Healthcare Professional: If you continue to experience persistent smegma or notice changes in the appearance of your penis (such as the development of red spots or a persistent white film), it is advisable to consult a healthcare professional. They can assess for any underlying conditions, such as infections or skin disorders, and provide tailored advice.


Addressing Concerns About the White Film
The white film you are experiencing may be a combination of smegma and possibly keratin buildup, which can occur in some individuals. While it is normal for the glans (the head of the penis) to appear less pink in some men, significant changes in color or texture should be evaluated by a doctor.


The Role of Natural Processes
It’s important to note that while some smegma may naturally wash away with proper hygiene, the body does not "metabolize" smegma in the way it does food. Regular cleaning is necessary to prevent buildup. If you find that despite your best efforts, the smegma persists, or if you experience discomfort, it may indicate a need for further medical evaluation.


Conclusion
In summary, effective cleaning of smegma involves daily hygiene practices, gentle washing techniques, and avoiding irritants. If you have concerns about persistent smegma or changes in your genital area, do not hesitate to seek advice from a healthcare professional. They can provide you with the best guidance tailored to your situation, ensuring both your comfort and health.

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