Penile Health: Common Concerns and Solutions

Q: Penile Health: Common Concerns and Solutions

Hello： 1) If this has not occurred in the past and is only now being discovered, it is possible that excessive DIY activities have caused it. <br>Worm-like structures are often vascular in nature, and it is recommended to stop using them, as they may diminish or disappear over ti

Penile issues

Hello, doctor.
I have two questions that have been troubling me for a long time, and I would like to consult with you in your professional field regarding my masturbation habits, which occur about every 3-4 days.

1.
Recently, I used a DIY masturbation sleeve without lubricant, and after two hours, I noticed that my penis was engorged.
Although the engorgement subsided, I discovered a prominent ring of swelling at the base of the glans that resembled a worm.
It felt soft and did not hurt when pressed.
At that time, urination was normal, but I was very anxious since it was the first time I experienced such a condition.
I went to the emergency room, where they prescribed an anti-inflammatory and antibacterial ointment.
The worm-like swelling decreased the next day, and after a few days, it returned to normal.
However, recently, while watching videos, I noticed that my penis became erect again, and the ring-like swelling reappeared beneath the glans.
This made me very anxious and fearful that my libido would be affected.
After the erection subsided, the worm-like swelling gradually disappeared.
I want to know what condition I might have.
Could it be caused by frequent masturbation? Will this condition improve? I am only 30 years old and not married.
Will I experience this frightening condition every time my penis becomes engorged in the future?
2.
Since the year before last, I have noticed grayish and some black spots on the skin near the corona of the glans.
Initially, I didn't pay much attention to it, just monitoring for any changes.
However, I have observed that with each use of the DIY masturbation sleeve, the grayish area has expanded along the corona of the glans.
Is this discoloration due to friction from the masturbation sleeve, or could it be a sign of cancer? This has caused me a lot of distress and concern.
I have consulted a urologist at a major hospital, and the doctor mentioned that if I am worried, I could undergo a biopsy.
I would like to know what is happening to me.
Will the biopsy be very painful? The thought of it makes me anxious, but I am also worried about not getting checked.
Should I consider seeing a dermatologist instead? I apologize for the lengthy description of my issues, but I hope to receive your professional judgment and advice.

Dan dan de you shang, 30~39 year old female. Ask Date: 2018/06/21

Dr. Du Shixi reply Urology

Hello: 1) If this has not occurred in the past and is only now being discovered, it is possible that excessive DIY activities have caused it.
Worm-like structures are often vascular in nature, and it is recommended to stop using them, as they may diminish or disappear over time.
2) The grayish and somewhat black areas on the glans corona are mostly caused by friction.
If not addressed, they may expand, so it is advisable to undergo a biopsy.
A biopsy will involve some discomfort and pain, but it should be within an acceptable range.
You may also consider consulting a dermatologist for further advice.
Wishing you good health.

Reply Date: 2018/06/21

More Info

Understanding penile health is crucial for maintaining overall well-being, especially when faced with concerns related to sexual health and hygiene. Your questions touch on two significant issues: the swelling and discoloration of the penis after using a sex toy, and the changes in skin color near the glans. Let’s break these down and provide some insights.

1. Swelling and Discoloration
The swelling you experienced after using a DIY sex toy without lubrication is likely a result of friction. When the skin is subjected to excessive friction, it can become irritated and swollen, leading to what you described as a "worm-like" ring. This condition is often temporary and should resolve itself, as you noted it did after a few days. However, if you notice recurrent swelling or if it persists, it may indicate that the skin is not healing properly or that there is ongoing irritation.

Frequent masturbation, especially without proper lubrication, can lead to skin irritation and inflammation. It is essential to use a suitable lubricant to reduce friction and protect the skin. If you find that the swelling returns every time you engage in this activity, it may be worth considering reducing the frequency or changing your technique to minimize irritation.

2. Changes in Skin Color
The grayish or darkened areas near the coronal ridge of the glans could be due to several factors, including friction from the use of the sex toy, skin irritation, or even a benign condition such as hyperpigmentation. It is not uncommon for the skin to change color in response to repeated trauma or irritation. However, it is essential to monitor these changes closely.

If the discoloration is expanding, as you mentioned, it is wise to consult a healthcare professional. A urologist or dermatologist can provide a thorough examination and determine whether a biopsy is necessary. While the thought of a biopsy may be intimidating, it is a common procedure and is typically well-tolerated. It can provide valuable information about the nature of the skin changes and rule out any serious conditions, including skin cancers.

Recommendations
1. Use Lubrication: Always use a water-based or silicone-based lubricant when engaging in sexual activities, especially with toys. This will help reduce friction and prevent irritation.

2. Monitor Symptoms: Keep an eye on any changes in swelling or discoloration. If symptoms persist or worsen, seek medical advice promptly.

3. Consult a Specialist: Since you have already seen a urologist, consider following up with them or a dermatologist if you have concerns about the skin changes. They can provide a more detailed examination and discuss the necessity of a biopsy.

4. Practice Good Hygiene: Ensure that any toys used are clean and sanitized to prevent infections. This is crucial for maintaining penile health.

5. Educate Yourself: Understanding your body and its responses is vital. If you have concerns about your sexual health or practices, consider speaking with a healthcare provider who specializes in sexual health.

Conclusion
Your concerns about penile health are valid, and it’s essential to address them with appropriate care and attention. While many issues can be resolved with simple changes in habits, persistent symptoms warrant professional evaluation. Remember, maintaining open communication with healthcare providers about sexual health is crucial for overall well-being. Don't hesitate to seek help when needed, as early intervention can often lead to better outcomes.

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