Prolonged Healing of Glans Injury and Scabbing Issues - Urology

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Some issues related to glans abrasion and scabbing?


Hello, Doctor Du.
I would like to ask you about an injury I sustained to my glans about a month ago.
It seems that a dark red scab has formed on my glans, and after I shower and dry off, the area around the scab appears white and resembles peeling skin.
Doctor, this scab has been present for almost a month and a half now, and it still hasn't healed.
How long do you think it will take to heal?

Xiao Zhuo, 30~39 year old female. Ask Date: 2018/05/28

Dr. Du Shixi reply Urology


Hello: Generally, abrasions can heal within a week.
However, in your case, it may be necessary to seek medical evaluation to check for any other conditions.
In the meantime, keep the area clean and dry, and if it gets wet, make sure to dry it.
Wishing you good health.

Reply Date: 2018/05/28

More Info


Hello! Thank you for your question regarding the prolonged healing of a glans injury and the scabbing issues you are experiencing.
Firstly, it’s important to understand that the glans, or the head of the penis, is a sensitive area that can be prone to injuries, irritation, and infections. When you sustain an injury, such as a scrape or abrasion, the body initiates a healing process that typically involves inflammation, tissue repair, and eventually the formation of a scab. A scab is a natural part of the healing process, as it protects the underlying tissue from further injury and infection.

In your case, the dark red scab you are observing could be a sign of normal healing, but the fact that it has persisted for over a month and is accompanied by white, peeling skin around it raises some concerns. Here are a few potential factors that could contribute to prolonged healing:
1. Infection: If the injury site becomes infected, it can lead to delayed healing. Signs of infection may include increased redness, swelling, warmth, pus, or a foul odor. If you notice any of these symptoms, it is crucial to seek medical attention.

2. Underlying Conditions: Certain medical conditions, such as diabetes or vascular issues, can impair the body’s ability to heal. If you have any underlying health issues, they could be affecting your recovery.

3. Irritation or Allergic Reaction: The use of soaps, lotions, or other products on the genital area can sometimes cause irritation or allergic reactions, which may hinder healing. It’s advisable to use mild, unscented products and avoid any potential irritants.

4. Improper Care: Ensuring that the area is kept clean and dry is essential for healing. If the scab is frequently disturbed or if moisture is trapped, it can prolong the healing process.

5. Scarring or Keloid Formation: In some cases, the body may form excessive scar tissue, which can appear as a thickened area around the injury. This can sometimes be mistaken for a scab.

Given that your injury has not healed after a month and a half, it would be wise to consult a healthcare professional for a thorough examination. They can assess the injury, determine if there is an underlying issue, and recommend appropriate treatment. Treatment options may include topical antibiotics if an infection is present, or other interventions to promote healing.

In general, minor injuries to the glans can take anywhere from a few days to a few weeks to heal, depending on the severity of the injury and individual healing factors. However, if healing is prolonged beyond this timeframe, it is essential to seek medical advice to rule out any complications.

In summary, while scabbing is a normal part of the healing process, prolonged healing of a glans injury can be indicative of underlying issues that require attention. Please take care of your health, and don't hesitate to reach out to a healthcare provider for further evaluation and guidance.

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