Pearly penile papules
Hello doctor, last week I developed a large pimple on my foreskin, which burst and formed a large wound about 1 cm in size.
I thought it would scab over like a regular pimple, but after scabbing, it fell off the next day and continued to bleed repeatedly for 3-5 times.
In between, I sprayed some antiseptic powder, but it remains the same.
While at work, I cover it with a bandage to avoid friction, but it still hasn't healed properly.
What medications can I apply? (I haven't come into contact with water.) Additionally, the glans has a similar area that looks like a bruise, red but not bleeding (no sexual activity).
There is also a small area of peeling about 1 mm on the glans.
Could this be due to friction from my pants? What treatment can I apply? Thank you.
Niming, 20~29 year old female. Ask Date: 2018/05/22
Dr. Cai Zhuorong reply Urology
Please visit the outpatient clinic of our hospital for consultation.
Reply Date: 2018/05/22
More Info
Managing persistent skin issues, especially in sensitive areas like the penis, requires careful attention and appropriate treatment to promote healing and prevent further complications. Based on your description, it seems you are dealing with a few different issues: a large pimple that has burst and formed a wound, ongoing bleeding, and irritation in the glans (the head of the penis) with some peeling skin. Here’s a comprehensive approach to managing these symptoms effectively.
Understanding Your Symptoms
1. Wound from a Burst Pimple: When a pimple bursts, it can lead to an open wound that may take time to heal. If the wound is not healing properly and continues to bleed, it could be due to several factors, including friction from clothing, moisture, or infection.
2. Redness and Irritation: The redness you’re experiencing, especially around the glans, could be a result of friction, irritation from clothing, or even a mild infection. The peeling skin may indicate dryness or irritation as well.
Recommended Treatments
1. Keep the Area Clean and Dry: It’s crucial to maintain hygiene in the area. Gently clean the affected area with mild soap and water, and pat it dry. Avoid using harsh soaps or scrubbing the area, as this can exacerbate irritation.
2. Topical Treatments:
- Antibiotic Ointment: If the wound is open and bleeding, applying a topical antibiotic ointment (like Neosporin) can help prevent infection and promote healing. Apply a thin layer to the wound after cleaning it.
- Hydrocortisone Cream: For redness and irritation, a low-potency hydrocortisone cream may help reduce inflammation. However, use it sparingly and avoid prolonged use, especially in sensitive areas.
- Moisturizing Ointment: To combat dryness and peeling, consider using a gentle, fragrance-free moisturizer or a barrier cream. This can help keep the skin hydrated and protect it from further irritation.
3. Avoid Friction: Since you mentioned that you are using a bandage to avoid friction, continue to do so. Opt for loose-fitting underwear and clothing to minimize irritation. Avoid activities that may cause friction in the area until it has healed.
4. Avoid Irritants: Be cautious with any products you apply to the area, including lotions or powders. Stick to gentle, hypoallergenic products to avoid further irritation.
5. Monitor for Infection: Keep an eye on the wound for signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, it’s essential to seek medical attention promptly.
When to Seek Medical Attention
If the wound does not show signs of improvement within a few days, or if you experience increased pain, swelling, or discharge, it’s important to consult a healthcare professional. They may need to evaluate the wound for possible infection or other underlying conditions.
Preventive Measures
To prevent similar issues in the future:
- Maintain good hygiene and keep the area dry.
- Avoid tight clothing that may cause friction.
- Consider using a protective barrier cream if you are prone to irritation in the area.
Conclusion
Managing skin issues in sensitive areas requires a careful approach to treatment and prevention. By keeping the area clean, using appropriate topical treatments, and avoiding friction, you can promote healing and reduce discomfort. If symptoms persist or worsen, do not hesitate to seek medical advice for further evaluation and treatment.
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