Penile Issues: When to Seek Medical Attention

Q: Penile Issues: When to Seek Medical Attention

Hello： If there are cracks, it's important to take good care of the wound to prevent infection. <br>White spots may indicate insufficient cleaning leading to a minor infection. <br>If you cannot manage it yourself, or if the surrounding skin becomes red, seek medical attention pr

Penile issues

01 I was using an R20 (masturbation sleeve) and initially applied lubricant, but it seemed insufficient.
During use, I felt discomfort in my penis, and after finishing, I noticed a small amount of blood.
It has stopped bleeding now, but there are a few small cracks beneath the glans, which made me a bit anxious.

02 Recently, I've also noticed some small white spots under the glans, which are itchy when touched.
I haven't had sexual intercourse with a woman, so it shouldn't be a sexually transmitted infection.
I would like to know if I need to see a doctor or if it can heal on its own.
What should I pay attention to?

Cheng En, 10~19 year old female. Ask Date: 2018/09/17

Dr. Du Shixi reply Urology

Hello: If there are cracks, it's important to take good care of the wound to prevent infection.
White spots may indicate insufficient cleaning leading to a minor infection.
If you cannot manage it yourself, or if the surrounding skin becomes red, seek medical attention promptly to avoid worsening the condition.
Wishing you good health.

Reply Date: 2018/09/17

More Info

When it comes to penile issues, it's essential to approach the situation with caution and awareness. Based on your description, it seems you are experiencing two distinct concerns: minor trauma to the penis and a potential dermatological issue.

1. Minor Trauma and Bleeding
From your first concern, it appears that while using a masturbation sleeve (R20), you experienced discomfort due to insufficient lubrication, which led to some minor injuries resulting in bleeding. The presence of small cracks or fissures on the underside of the glans (the head of the penis) can be concerning, especially if they are accompanied by bleeding. Here are some points to consider:
- Healing Process: Minor cuts or abrasions on the penis often heal quickly, especially if they are not deep. Keeping the area clean and dry is crucial. You can gently wash the area with mild soap and water, avoiding any harsh chemicals or fragrances that could irritate the skin further.

- Avoiding Further Irritation: It’s advisable to refrain from any sexual activity, including masturbation, until the area has healed completely. This will help prevent further irritation or injury.

- Signs of Infection: Monitor the area for signs of infection, such as increased redness, swelling, warmth, or discharge that is not clear. If you notice any of these symptoms, it would be prudent to seek medical attention.

2. White Spots and Itching
Your second concern involves the appearance of white spots under the glans, which are itchy. While you mentioned that you have not engaged in sexual intercourse, it’s still important to consider various possibilities:
- Common Conditions: The white spots could be due to several benign conditions, such as pearly penile papules, which are normal anatomical variations, or they could be a sign of a skin condition like balanitis, which is inflammation of the glans. Itching can also be a symptom of a fungal infection or irritation.

- Self-Care: If the itching is mild and there are no other concerning symptoms (like significant pain, swelling, or discharge), you might try some self-care measures. This includes maintaining good hygiene, using a gentle, unscented soap, and avoiding irritants such as scented lotions or soaps.

- When to Seek Medical Attention: If the itching persists, worsens, or if you notice any additional symptoms such as discharge, persistent redness, or if the white spots change in appearance, it is advisable to consult a healthcare professional. A dermatologist or urologist can provide a thorough examination and appropriate diagnosis.

Conclusion
In summary, while minor injuries to the penis often heal on their own with proper care, it’s essential to monitor the situation closely. If you experience any worsening symptoms or if the white spots and itching do not resolve, seeking medical attention is the best course of action. It’s always better to err on the side of caution when it comes to your health. Remember, open communication with a healthcare provider can help alleviate concerns and provide you with the necessary guidance for recovery.

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