Redness and Bumps on the Glans: A Urology Perspective

Q: Redness and Bumps on the Glans: A Urology Perspective

Hello： The presence of a rash on the skin is likely indicative of inflammation, but it is not necessarily sexually transmitted. <br>Your urine test also showed no significant findings. <br>If there is slight redness around the urethral opening and two very small raised red bumps,

There is a slight redness at the glans urethral opening, along with two very small raised red bumps?

Three weeks ago, I had sexual intercourse.
I have a condition of phimosis, and ten days ago, I developed a small red rash in the coronal sulcus that was neither painful nor itchy.
The doctor mentioned that there could be many possible causes, and it currently does not appear to be a sexually transmitted infection (STI).
I was prescribed Meikang cream and took some anti-inflammatory medication, and after 4.5 days, the rash completely disappeared.
Recently, I have been feeling a frequent urge to urinate and an indescribable sensation in my bladder (again, not painful or itchy).

Yesterday, I went for a urinalysis.
Before the test, I had been taking the subway and walking a lot, which may have elevated my metabolism.
Today, I received the report in my email, but I am unclear about its implications.
The results showed urine protein: *Trace, hematuria: *Trace, and urine bilirubin: H 2.0 mg/dL, with everything else normal.

Afterward, I examined my glans and noticed some redness near the urethral opening, along with two very tiny raised red bumps, but they are not painful or itchy.
I am uncertain if these could be signs of urethritis or something similar, but my urinalysis report indicated normal white blood cell counts.
Since I had sexual intercourse 21 days ago, and although I used protection, my hands may have come into contact with vaginal secretions before touching my glans.
I am unsure if there is a possibility of an STI.
On the 20th day, I was tested for syphilis, and the result was negative.

Regarding genital warts, I do not see any obvious lesions; the raised areas do not appear to be light red.
I would like to ask if the area around a normal male glans and urethral opening is typically smooth, or if it can have slight folds and minor elevations.
What could this urinalysis report indicate?

Niming, 20~29 year old female. Ask Date: 2017/08/19

Dr. Du Shixi reply Urology

Hello: The presence of a rash on the skin is likely indicative of inflammation, but it is not necessarily sexually transmitted.
Your urine test also showed no significant findings.
If there is slight redness around the urethral opening and two very small raised red bumps, it is still advisable for you to seek medical attention.
If you have engaged in unsafe sexual practices, it is recommended that you get tested again due to the window period issue.
As for the glans and urethral opening in males, there can be significant individual variation, and sometimes changes can occur due to hot weather.
Wishing you good health.

Reply Date: 2017/08/19

More Info

When it comes to the symptoms you are experiencing, including redness and small bumps on the glans, it is essential to approach the situation with a comprehensive understanding of urological health. The presence of a small red rash that is painless and itchless, as you described, could be attributed to several benign conditions, especially considering your recent sexual activity and the fact that you have a history of phimosis (a condition where the foreskin cannot be easily retracted).
The fact that your doctor suggested that the rash is likely not a sexually transmitted infection (STI) is reassuring. Common causes of such symptoms can include irritation from friction, allergic reactions to soaps or lubricants, or even a mild fungal infection. The use of a topical cream, such as Meikang cream, and anti-inflammatory medication seems to have helped resolve the issue, which further supports the idea that it may not be a serious condition.

Regarding your urinary symptoms, such as increased frequency and a vague sensation in the bladder, these can sometimes be attributed to anxiety or psychological factors, especially if they arose after the initial rash. However, it is also important to consider the possibility of a urinary tract infection (UTI) or other urological conditions. The fact that your urinalysis showed trace protein and trace hematuria (blood in urine) could indicate mild irritation or inflammation, but these findings are not definitive for any specific diagnosis.
Normal urinalysis results typically indicate no significant infection or kidney issues, especially if your white blood cell count is normal. The presence of trace protein and hematuria can sometimes be seen in benign conditions, such as dehydration or minor trauma. However, if these symptoms persist or worsen, further evaluation may be warranted.

As for the appearance of the glans and urethral opening, it is normal for the skin in that area to have some texture, including minor folds or bumps. The skin can vary significantly from person to person, and slight variations in appearance are generally not a cause for concern. However, if you notice any significant changes, such as increased redness, swelling, or the development of new lesions, it would be wise to consult a urologist for a thorough examination.

In summary, while your symptoms may be concerning, they do not necessarily indicate a severe underlying condition, especially given the resolution of the rash and the normal urinalysis results. However, if you continue to experience urinary symptoms or if the appearance of your glans changes, it is advisable to seek further medical evaluation. Regular check-ups with a urologist can help monitor your condition and provide peace of mind. Always remember that open communication with your healthcare provider is key to addressing any concerns you may have regarding your sexual and urological health.

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