Redness and Itching at the Penis: When to See a Doctor

Penile redness, swelling, and itching?

Itchy and swollen areas on both sides of the glans and the junction with the penis have improved slightly, but after scratching, the skin has become rough and dark, resembling a thick scab as if it were injured.
What should I do? Which specialist should I see?

Ghj, 30~39 year old female. Ask Date: 2019/04/19

Dr. Wu Yuxin reply Dermatology

Dermatology.

Reply Date: 2019/04/19

More Info

When experiencing redness, itching, and swelling at the junction of the glans (head of the penis) and the shaft, it is essential to understand the potential causes and when to seek medical attention. The symptoms you describe, including the thickened, darkened skin that resembles a scab, could be indicative of several conditions, ranging from benign to more serious issues.

Possible Causes
1. Infections:
- Bacterial or Fungal Infections: Conditions like balanitis (inflammation of the glans) can occur due to infections, often presenting with redness, itching, and sometimes discharge. Fungal infections, such as candidiasis, can also cause similar symptoms.

- Sexually Transmitted Infections (STIs): Certain STIs, including herpes or gonorrhea, can cause localized symptoms in the genital area.

2. Dermatological Conditions:
- Contact Dermatitis: This can occur due to irritation from soaps, lotions, or even latex from condoms. The skin may become red, itchy, and inflamed.

- Psoriasis or Eczema: These chronic skin conditions can also affect the genital area, leading to redness, itching, and thickened skin.

3. Trauma or Friction:
- If there has been any recent trauma or excessive friction (from sexual activity or vigorous cleaning), this could lead to irritation and subsequent changes in skin texture.

4. Allergic Reactions:
- Allergies to personal care products, laundry detergents, or even certain foods can manifest as localized skin reactions.

When to See a Doctor
It is advisable to see a healthcare provider if you experience any of the following:
- Persistent Symptoms: If the redness, itching, or swelling does not improve or worsens over a few days.

- Discharge: If there is any unusual discharge from the penis, especially if it is accompanied by a foul odor.

- Pain: If you experience significant pain or discomfort.

- Systemic Symptoms: If you develop fever, chills, or other systemic symptoms.

- Changes in Skin Texture: If the skin continues to thicken, darken, or develop scabs, as this could indicate a more serious condition.

Which Specialist to Consult
For issues related to the genital area, you should consider seeing a urologist. Urologists specialize in male reproductive health and urinary tract issues, making them well-equipped to diagnose and treat conditions affecting the penis and surrounding areas. If the symptoms are suspected to be dermatological in nature, a dermatologist may also be appropriate.

Conclusion
In summary, while some redness and itching can be benign and self-limiting, persistent or worsening symptoms warrant a medical evaluation. A healthcare provider can perform a thorough examination, possibly including swabs or cultures, to determine the underlying cause and recommend appropriate treatment. Early intervention can prevent complications and ensure effective management of the condition.

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