Persistent Red Spot on Glans: Causes and Treatment Options - Urology

More Info

---

Persistent red spots on the glans can be concerning, especially following a history of balanitis (inflammation of the glans). Given your description, it sounds like you may be experiencing a few potential issues that could explain the persistent red spot.
1. Post-Inflammatory Hyperpigmentation: After an episode of inflammation, such as balanitis, the skin can undergo changes. This may include post-inflammatory hyperpigmentation, where the affected area becomes darker or redder due to the healing process. This condition is usually benign and may resolve over time, but it can take weeks to months for the skin to return to its normal color.

2. Dermatitis or Allergic Reaction: If you have been using topical medications or ointments, there is a possibility of developing contact dermatitis. This can manifest as redness or irritation in the area, especially if the skin has become sensitive to a particular ingredient in the medication.
3. Fungal or Yeast Infection: Given the history of balanitis, a fungal or yeast infection could also be a possibility. These infections can cause persistent redness and may require antifungal treatment. If the area appears shiny and smooth when erect, it could suggest a fungal infection, as these infections often thrive in moist environments.

4. Lichen Sclerosus: This is a chronic skin condition that can affect the genital area, leading to white patches or red spots. It is often asymptomatic but can cause changes in the skin texture and color. If the red spot persists, it may be worth consulting a dermatologist or urologist to rule out this condition.

5. Other Dermatological Conditions: Conditions such as psoriasis or eczema can also affect the glans and lead to persistent redness. These conditions may require specific treatments, including topical steroids or other dermatological therapies.

As for whether this will resolve on its own, it largely depends on the underlying cause. If it is indeed post-inflammatory hyperpigmentation, it may fade with time. However, if it is due to an ongoing infection or dermatitis, it may require treatment to resolve.

Recommendations:
- Consult a Healthcare Provider: It is crucial to consult a healthcare provider, preferably a dermatologist or urologist, for a thorough examination. They may perform a physical examination and possibly recommend a biopsy if there are concerns about the nature of the lesion.


- Avoid Irritants: In the meantime, avoid any potential irritants, including harsh soaps or topical medications that may exacerbate the condition.

- Maintain Hygiene: Keep the area clean and dry, as moisture can worsen certain conditions.

- Monitor Symptoms: Keep an eye on any changes in the red spot, such as increased size, pain, or discharge, and report these to your healthcare provider.

In summary, while some conditions may resolve on their own, others may require medical intervention. It is essential to get a professional evaluation to determine the exact cause and appropriate treatment.