Glans and Foreskin Issues: A Urology Perspective - Urology

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It sounds like you're experiencing a complex set of symptoms that could be related to several underlying issues, including irritation, possible infection, or a dermatological condition. Given your history and the symptoms you've described, let's break down the potential causes and management strategies from a urology perspective.


Understanding Your Symptoms
1. Irritation and Inflammation: The symptoms of a sticky, warm sensation in the scrotum, along with redness and swelling of the glans (the head of the penis), suggest that there may be an inflammatory process at play. This could be due to several factors, including:
- Contact Dermatitis: This is an allergic reaction or irritation caused by substances that come into contact with the skin, such as creams, soaps, or even the latex in condoms.

- Infection: While your urine tests did not show signs of infection, it is still possible to have localized infections that might not be detected through standard urine analysis. Conditions like balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin) could be contributing to your symptoms.

2. Fungal Infections: Given that you were treated for tinea (ringworm) with a topical antifungal, it’s possible that the treatment may have altered the normal flora of the area, leading to a secondary infection or irritation. Fungal infections can thrive in warm, moist environments, which could explain the sticky sensation.

3. Sexually Transmitted Infections (STIs): Although you mentioned that STI tests were negative, it’s important to consider that some infections may not be easily detected or may require specific tests. If you have not been tested for all STIs, including herpes or HPV, it may be worth discussing with your healthcare provider.


Recommended Steps
1. Follow-Up with a Urologist: Since your symptoms have persisted despite previous evaluations, it would be prudent to see a urologist. They can perform a thorough examination and may recommend additional tests, such as swabs of the affected areas to check for fungal or bacterial infections that may not have been previously identified.

2. Avoid Irritants: In the meantime, avoid any potential irritants. This includes scented soaps, lotions, or any topical medications that have not been prescribed specifically for your condition. Stick to gentle, unscented cleansers and ensure the area is kept clean and dry.

3. Topical Treatments: Depending on the diagnosis, your urologist may recommend topical treatments such as antifungal creams, corticosteroids for inflammation, or other medications to help alleviate your symptoms.

4. Hygiene Practices: Maintain good hygiene by washing the area gently with mild soap and water, and ensure it is thoroughly dried after bathing. Wearing loose-fitting underwear can also help reduce moisture and irritation.

5. Monitor Symptoms: Keep track of any changes in your symptoms, including the frequency of itching, redness, or any discharge. This information will be helpful for your healthcare provider in determining the best course of action.

6. Consider STI Re-testing: If you have had unprotected sexual encounters, it may be wise to discuss with your healthcare provider the possibility of re-testing for STIs, especially if your symptoms do not improve.


Conclusion
Your symptoms warrant further investigation, and a urologist will be best equipped to provide a comprehensive evaluation and treatment plan. It’s important to address these issues promptly to prevent any potential complications and to ensure your comfort and health. Don’t hesitate to seek help, as many men experience similar issues, and effective treatments are available.