Mild Redness and Swelling on the Glans: A Guide - Urology

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Slight redness and swelling on the glans?


This year, I am 15 years old, and I can fully retract my foreskin.
Recently, the area near the glans, close to the urethral opening, has become red and swollen.
What should I do? I have been cleaning it regularly and have never had sexual intercourse.

Evan, 10~19 year old female. Ask Date: 2018/08/19

Dr. Du Shixi reply Urology


Hello: It is important to rinse with clean water every day and to dry thoroughly.
Wear loose-fitting underwear and outer clothing.
Drink plenty of water, and if you sit for a long time, make sure to get up and move around for a few minutes.
If you experience swelling or painful urination, seek medical attention.
Wishing you good health.

Reply Date: 2018/08/19

More Info


Mild redness and swelling on the glans, particularly near the urethral opening, can be concerning, especially for a young individual. Given your age and the fact that you have not engaged in sexual activity, there are several potential explanations for these symptoms.
Firstly, it’s important to consider that the glans (the head of the penis) can become irritated for a variety of reasons. Common causes include:
1. Irritation or Allergic Reaction: This can occur due to soaps, lotions, or other personal care products that may come into contact with the genital area. Even laundry detergents or fabric softeners can sometimes cause irritation. If you have recently changed any products, consider reverting to your previous ones to see if symptoms improve.

2. Infections: Although you mentioned that you have not had sexual intercourse, infections can still occur. Balanitis, an inflammation of the glans, is common and can be caused by yeast infections, bacterial infections, or sexually transmitted infections (STIs). Symptoms may include redness, swelling, and sometimes discharge. Even in the absence of sexual activity, yeast infections can occur, particularly if there is a history of diabetes or if you are taking antibiotics.

3. Poor Hygiene: While you mentioned that you clean regularly, it’s important to ensure that the area is properly cleaned and dried. Accumulation of smegma (a combination of dead skin cells and oils) can lead to irritation and inflammation.
4. Phimosis: If the foreskin is tight and difficult to retract, it can lead to irritation of the glans. This condition can cause discomfort and redness, particularly if there is difficulty in cleaning the area properly.

5. Dermatological Conditions: Conditions such as eczema or psoriasis can also affect the genital area, leading to redness and swelling.

Recommendations:
1. Maintain Good Hygiene: Continue to wash the area gently with mild soap and water. Ensure that you rinse thoroughly and dry the area completely.

2. Avoid Irritants: Stop using any new products that may have caused irritation. Stick to unscented and hypoallergenic products.

3. Monitor Symptoms: Keep an eye on the redness and swelling. If it worsens, or if you develop additional symptoms such as pain, discharge, or fever, it’s important to seek medical attention.

4. Consult a Healthcare Provider: Given that you are experiencing these symptoms, it would be wise to consult a healthcare professional. They can perform a physical examination and may recommend tests to determine the underlying cause of the redness and swelling.

5. Avoid Self-Diagnosis: While it’s helpful to gather information, self-diagnosing can lead to unnecessary anxiety or inappropriate treatment. A healthcare provider can give you a proper diagnosis and treatment plan.

In summary, while mild redness and swelling on the glans can be caused by various factors, it is essential to approach the situation with care. Maintaining good hygiene, avoiding irritants, and consulting a healthcare professional if symptoms persist or worsen are key steps to take. Your health and comfort are paramount, and a medical professional can provide the best guidance tailored to your specific situation.

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