Uneven Redness and Discomfort on the Glans: Is It Balanitis?

Redness and uneven coloration of the glans penis?

Hello doctor, I have not undergone circumcision, and recently I noticed some mild itching on the glans.
I pulled back the foreskin to check the condition of the glans and found that it was slightly red.
Near the coronal sulcus, the color was even a dark red with a hint of purple, but the red area was only in one spot.
The color became a lighter pink as it got closer to the glans.
I thoroughly cleaned and dried it yesterday, and the itching has subsided, but the color of the glans is still uneven.
I would like to ask if this could be balanitis?

Devid, 20~29 year old female. Ask Date: 2018/11/12

Dr. Du Mingyi reply Urology

Yes, maintaining dryness and cleanliness for a period of time should lead to self-recovery.

Reply Date: 2018/11/12

More Info

Balanitis, or inflammation of the glans penis, is a condition that can manifest as redness, discomfort, and sometimes itching of the glans. Your description of experiencing slight itching and noticing uneven redness, particularly with a darker red or purplish area near the glans, raises the possibility of balanitis. However, it is essential to consider several factors before arriving at a definitive diagnosis.

Balanitis can be caused by various factors, including poor hygiene, irritants (such as soaps or lotions), infections (bacterial or fungal), and skin conditions (like eczema or psoriasis). Since you mentioned that you have not been circumcised, the accumulation of smegma (a combination of dead skin cells and oils) under the foreskin can lead to irritation and inflammation of the glans. This is particularly common in individuals who may not practice regular hygiene.

The fact that you have already cleaned the area and the itching has subsided is a positive sign. However, the persistent uneven coloration of the glans could indicate ongoing irritation or inflammation. It is not uncommon for the skin to take some time to return to its normal color after an inflammatory episode, especially if there was a degree of irritation involved.

To further assess whether this is indeed balanitis, consider the following:
1. Symptoms: Besides redness and discomfort, are there any other symptoms such as swelling, discharge, or a foul odor? The presence of these symptoms could indicate an infection that may require medical attention.

2. Duration: If the redness and discomfort persist for more than a few days or worsen, it would be advisable to consult a healthcare professional. They may perform a physical examination and possibly recommend tests to rule out infections or other underlying conditions.

3. Hygiene Practices: Maintaining proper hygiene is crucial. Ensure that you clean the area gently but thoroughly, and dry it well after washing. Avoid using harsh soaps or irritants that could exacerbate the condition.

4. Irritants: Consider whether you have recently changed any products that come into contact with the area, such as soaps, lotions, or laundry detergents. Sometimes, allergic reactions to these products can cause localized irritation.

5. Underlying Conditions: If you have a history of skin conditions or other health issues, these could also contribute to the symptoms you are experiencing.

If you suspect that your symptoms may be due to an infection, it is essential to seek medical advice. A healthcare provider may prescribe topical antifungal or antibacterial medications if an infection is diagnosed. In cases where the inflammation is due to non-infectious causes, topical corticosteroids may be recommended to reduce inflammation and promote healing.

In conclusion, while your symptoms could suggest balanitis, it is essential to monitor the situation closely. If the redness and discomfort do not resolve or if new symptoms develop, please consult a healthcare professional for a thorough evaluation and appropriate treatment. Remember, early intervention can help prevent complications and ensure better outcomes.

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