Skin Shedding and Smoothness in the Corona Gland

Q: Skin Shedding and Smoothness in the Corona Gland

Hello： 1) This is likely a type of balanitis. <br>2) Apply the ointment once or twice a day; if there are no wounds, it is sufficient to keep the area clean and dry. <br>3) If the peeling worsens, seek medical attention, as it indicates that self-care of the wound is not adequate

The glans penis is peeling and becoming smooth?

Two months ago, I had unprotected intercourse with my girlfriend, and afterward, I noticed peeling in the coronal sulcus.
The next day, I went to Renai Hospital in Taipei to see a urologist.
Blood and urine tests came back normal, and the doctor said it was just a minor abrasion.
He prescribed a three-day course of antibiotics and tetracycline eye ointment (I had a circumcision when I was young!).
After a week, I thought it had healed, but when I had intercourse again with my girlfriend, the previously injured area became red, swollen, and slightly painful.
During my follow-up visit, the doctor said the skin hadn't healed properly and advised me to avoid friction, telling me to apply the tetracycline ointment after my daily showers.
I used the tetracycline for a month (without intercourse and very little masturbation).
The originally small area of peeling has now expanded to about two-thirds of the coronal sulcus, which has become smooth and red (I only used water for cleaning).
After applying the ointment, the area peels again the next day, and after showering, it becomes smooth again.
Because I had a circumcision, the coronal sulcus has some uneven skin, and the healing area has made my penis feel tighter during erections than before! Currently, there is no discomfort or pain, but the appearance is smooth and red, and it continues to peel.
I am currently on a business trip in Hong Kong and am very worried! I’m unsure if I should see a dermatologist.
Here are my questions:
1.
Is this balanitis?
2.
Should I continue applying the tetracycline ointment after showering? If I don’t apply it, the peeling area becomes very dry.
3.
Has the area of peeling increased (I have been masturbating once a week for the past two months)?
4.
Should I see a dermatologist?
Thank you, doctor, for answering my questions and responding! I am indeed very concerned being in a foreign place!

Mr. Chen, 20~29 year old female. Ask Date: 2018/07/22

Dr. Du Shixi reply Urology

Hello: 1) This is likely a type of balanitis.
2) Apply the ointment once or twice a day; if there are no wounds, it is sufficient to keep the area clean and dry.
3) If the peeling worsens, seek medical attention, as it indicates that self-care of the wound is not adequate.
4) You can consult either a urologist or a dermatologist.
Wishing you good health.

Reply Date: 2018/07/22

More Info

It sounds like you are experiencing a concerning issue with your skin, particularly in the area of the corona gland, following an incident of unprotected intercourse. Based on the information you've provided, let's address your questions and provide some additional insights into your condition.

1. Is this balanitis?
From your description, it seems you may be experiencing a form of balanitis, which is inflammation of the glans (the head of the penis). This condition can be caused by various factors, including infections (bacterial or fungal), irritation from soaps or other products, or friction from sexual activity. The fact that you have experienced peeling skin and redness suggests that there may be an inflammatory process occurring. It's important to note that balanitis can sometimes be associated with underlying conditions such as diabetes or skin disorders, so a thorough evaluation by a healthcare provider is recommended.

2. Should I continue using the tetracycline ointment after bathing?
Tetracycline ointment is typically used to treat bacterial infections. If your doctor has prescribed it, it is likely intended to help with any bacterial component of your condition. If you notice that the area becomes dry after washing, it may be beneficial to apply the ointment as directed by your physician. However, it is crucial to follow your doctor's instructions regarding the duration and frequency of use. If you have concerns about the ongoing use of the ointment, it would be wise to consult your doctor for further guidance.

3. Why has the area of peeling increased?
The expansion of the peeling area could be due to several factors. It may indicate that the initial irritation or inflammation has spread, possibly due to friction or continued irritation from sexual activity or hygiene practices. It is also possible that the skin is reacting to the ointment or that there is an underlying infection that has not fully resolved. Monitoring the area for any signs of worsening, such as increased redness, swelling, or discharge, is essential.

4. Should I see a dermatologist?
Given your ongoing symptoms and concerns about the appearance and condition of your skin, it would be advisable to see a dermatologist. A specialist can provide a more accurate diagnosis and recommend appropriate treatment options. They may perform a physical examination and possibly conduct tests to rule out any underlying infections or skin conditions. Early intervention can help prevent complications and promote healing.

Additional Insights:
Skin shedding and smoothness in the corona gland can be influenced by several factors, including hygiene practices, skin type, and any underlying medical conditions. The skin in this area is sensitive and can react to various stimuli, including friction, moisture, and irritants. Maintaining proper hygiene is essential, but it's equally important to avoid over-washing or using harsh soaps that can strip the skin of its natural oils.

If you are experiencing persistent peeling, redness, or discomfort, it is crucial to avoid any activities that may exacerbate the condition, such as sexual intercourse or vigorous masturbation, until you have consulted with a healthcare provider. Additionally, consider using a gentle, fragrance-free moisturizer to help soothe the skin and prevent excessive dryness.

In summary, while it is understandable to feel anxious about your situation, seeking professional medical advice is the best course of action. A dermatologist can provide you with the necessary care and treatment to address your concerns effectively.

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