Glans Color Changes and Penile Lymphangitis Concerns

Q: Glans Color Changes and Penile Lymphangitis Concerns

Hello： 1. Variations in the color of the glans are quite common. If there is ischemia, it would cause pain, so it is not severe ischemia. 2. There is no need for warm compresses, as their effectiveness is not guaranteed. If you are very concerned, please consu

Issues with glans color and penile lymphangitis?

Hello, doctor.
Thank you for helping me with my concerns last month.
I apologize for bothering you again today with more questions.

1.
What is the normal color of the glans in males? Since I noticed a ring-like swelling resembling a worm after masturbating last month, I have been paying close attention to the condition of my glans.
Recently, while cleaning, I noticed that the front appears red, but the sides of the urethral opening are a different color, looking darker with a somewhat greenish-purple-gray hue.
This description may sound odd, but the main concern is that the color on the sides is different from the front, which has caused me some anxiety.
Could this be due to vascular blockage leading to poor blood circulation, causing ischemia and discoloration of the glans, potentially resulting in the need for surgical intervention? I never paid much attention to the color of my glans before, as there was no itching or pain.
2.
Last month, I experienced noticeable swelling in a ring-like pattern on my penis.
I have been abstaining for three weeks now, and every few days, I use a warm towel to apply heat to the area to promote blood circulation.
How long does it typically take for the lymphatic or vascular system (since I'm not sure which one it is) to return to normal? I have read online that it usually resolves in a few weeks, but I still worry that it might not heal and could flare up again.
I am avoiding any external factors that could cause engorgement, as I am afraid it might swell again.
However, what should I do if I experience a normal nocturnal emission during this period of abstinence? Since nocturnal emissions are uncontrollable, could this lead to an erection that might cause the swelling to reappear? I feel like my worries are just increasing.

Dan dan de you shang, 30~39 year old female. Ask Date: 2018/07/15

Dr. Du Shixi reply Urology

Hello: 1.
Variations in the color of the glans are quite common.
If there is ischemia, it would cause pain, so it is not severe ischemia.
2.
There is no need for warm compresses, as their effectiveness is not guaranteed.
If you are very concerned, please consult a urologist at a hospital.
The recovery time can vary and is difficult to determine.
Be cautious about information found online; it is advisable to refer to medical articles for more reliable information.
Wishing you good health.

Reply Date: 2018/07/15

More Info

Understanding changes in the color of the glans (the head of the penis) and concerns regarding penile lymphangitis can be quite distressing, especially when accompanied by unusual symptoms. Let's address your concerns systematically.

1. Normal Color of the Glans: The normal color of the glans can vary among individuals but is typically a shade of pink to light red. It may appear darker in some men due to natural pigmentation or blood flow. Changes in color can occur due to various factors, including irritation, friction, or underlying medical conditions.

2. Color Changes and Symptoms: You mentioned that after masturbation, you observed a ring-like pattern resembling a worm and that the glans appeared red while the sides of the urethra were darker. This could be a sign of irritation or inflammation, possibly due to friction or a mild infection. The color differences you are observing could be due to localized swelling or changes in blood flow. If there is no pain, itching, or discharge, it may not be a cause for immediate concern, but it is essential to monitor the situation.

3. Concerns About Blood Circulation: Your worry about blood vessel blockage or poor circulation is understandable, especially when observing color changes. However, unless you are experiencing significant pain, numbness, or other alarming symptoms, it is unlikely that you are facing a severe circulatory issue. The penis has a rich blood supply, and temporary changes in color can occur due to various benign reasons, including sexual arousal, temperature changes, or minor trauma.

4. Recovery Time: Regarding the recovery of the lymphatic or vascular system in the penis, it generally takes a few weeks for any mild irritation or inflammation to resolve. The application of warm compresses can help improve blood circulation and promote healing. If you have been avoiding activities that may exacerbate the condition, such as masturbation, you are likely aiding in your recovery.

5. Concerns About Lymphangitis: Penile lymphangitis is characterized by inflammation of the lymphatic vessels in the penis, often presenting with swelling and tenderness. If you notice persistent swelling, pain, or any discharge, it would be prudent to consult a healthcare professional for a thorough examination. They may perform tests to rule out infections or other underlying conditions.

6. Nighttime Erections and Dreams: It is normal for men to experience erections during sleep, often referred to as nocturnal penile tumescence. This is a natural physiological response and does not necessarily indicate a problem. If you are concerned about the potential for swelling to return during these times, it is important to remember that the body is generally capable of regulating itself. However, if you notice that the swelling recurs or worsens, it would be wise to seek medical advice.

7. When to Seek Help: If the color changes persist, if you develop pain, or if you notice any unusual discharge or other symptoms, it is essential to consult a healthcare provider. They can perform a physical examination and may conduct tests to determine if there is an underlying condition that requires treatment.

In conclusion, while it is normal to be concerned about changes in your body, many variations in color and swelling can be benign and self-limiting. Keeping an eye on your symptoms and maintaining good hygiene is crucial. If you have any doubts or if symptoms persist, do not hesitate to reach out to a healthcare professional for personalized advice and reassurance.

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