and Managing White Membrane Issues Under the Foreskin - Urology

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Issue with the white membrane under the foreskin?


Hello, Doctor.
I have phimosis, but it does not affect my ejaculation or urination.
My family holds conservative views, so I only recently discovered an odor coming from my penis.
After researching online, I learned that I need to retract the foreskin daily for cleaning.
However, when I retract it, I notice a white film on the glans.
I have tried gently cleaning it with a cotton swab while showering, but it does not come off.
I would like to ask you, Doctor:
1.
Is the white film something that should be cleaned off? Should it be removed to reveal the skin underneath?
2.
Is the smegma the source of the odor? (I have not engaged in any unsafe sexual practices; it is simply that I have not maintained proper hygiene for the past thirty years.)
3.
What products can I buy to assist in cleaning the white film or to help with hygiene?
Thank you, Doctor.

Chang, 30~39 year old female. Ask Date: 2019/03/16

Dr. Du Shixi reply Urology


Hello: If there is a membrane, it should be removed, and you can soak it in warm water.
However, if it cannot be removed as you mentioned, it may not be a membrane.
I recommend consulting a urologist at a hospital for further examination.
Wishing you good health.

Reply Date: 2019/03/16

More Info


Understanding and managing issues related to white membranes under the foreskin is an important aspect of male genital health, particularly for individuals who may have phimosis, a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). This condition can lead to hygiene challenges and potential complications if not addressed properly.

1. What is the White Membrane?
The white membrane you are observing under the foreskin is likely smegma, a combination of dead skin cells, oils, and moisture that can accumulate if proper hygiene is not maintained. Smegma is a normal bodily secretion, but when it builds up, it can lead to unpleasant odors and may contribute to infections or inflammation, such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin).

2. Should the White Membrane Be Cleaned Off?
Yes, it is important to maintain proper hygiene by cleaning the area under the foreskin regularly. When you retract the foreskin, you should gently wash the glans and the inner foreskin with warm water. It is not necessary to use force or aggressive scrubbing, as this can cause irritation. The goal is to remove smegma and any other debris without causing harm to the sensitive skin. If the white membrane is persistent and does not wash away easily, it may indicate a need for more thorough cleaning or a potential underlying condition that should be evaluated by a healthcare professional.

3. What Products Can Help with Cleaning?
For cleaning, it is best to use mild, unscented soap and warm water. Avoid using harsh soaps, alcohol-based products, or any irritants that could cause inflammation. If you are looking for additional products, consider using a gentle, pH-balanced cleanser specifically designed for sensitive skin. There are also specialized cleansing wipes available that can be used for genital hygiene. However, it is essential to ensure that any product used is safe for the genital area and does not contain fragrances or irritants.

4. When to Seek Medical Advice?
If you notice persistent odor, discomfort, or any unusual changes in the appearance of the glans or foreskin, it is advisable to consult a healthcare professional. They can provide a thorough examination and determine if there is an underlying condition that requires treatment. In some cases, if phimosis is significant and hygiene is difficult to maintain, a healthcare provider may discuss options such as circumcision or other surgical interventions.

5. Conclusion
Maintaining proper hygiene is crucial for preventing complications associated with smegma and phimosis. Regular cleaning can help eliminate odors and reduce the risk of infections. If you have concerns about the appearance of the white membrane or if you experience any discomfort, do not hesitate to reach out to a healthcare provider for personalized advice and treatment options. Remember, prioritizing genital health is an important aspect of overall well-being.

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