Penile issues
Hello doctor, I have phimosis and usually have an opening of about one centimeter in diameter at the tip of the penis, with the rest covered.
I haven't cleaned the inside of the foreskin much, and recently I discovered a red area near the sulcus (not on the glans) that feels smooth and slightly shiny, but it doesn't hurt when touched.
I would like to know if this could be due to friction from masturbation (once a day).
Should I apply iodine ointment or use a topical ointment like Mupirocin?
JJ, 20~29 year old female. Ask Date: 2019/07/04
Dr. Du Shixi reply Urology
Hello: Most wounds are formed due to poor skin care.
However, if there has been unsafe sexual behavior, it is advisable to undergo a sexually transmitted infection (STI) screening at a urology department.
If there has been no sexual activity, there is likely no need for concern.
Keep the area clean and dry, use povidone-iodine instead of soap, and ensure it is dried if it gets wet.
Monitor the wound for a few days; if there is no improvement or if the wound enlarges, seek medical attention.
Wishing you good health.
Reply Date: 2019/07/04
More Info
When it comes to understanding penile issues, particularly in the context of phimosis and associated symptoms like redness, it’s essential to approach the situation with care and a focus on hygiene and health.
Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). This can lead to various complications, including difficulty in cleaning the area, which may result in irritation, inflammation, or infections. The redness you are observing near the groove of the foreskin could be due to several factors, including irritation from friction, a lack of proper hygiene, or even a mild infection.
In your case, the fact that the area is smooth and shiny without pain is a positive sign, suggesting that it may not be an acute infection. However, it is crucial to maintain proper hygiene, especially if the foreskin is not retracted regularly. This can help prevent the buildup of smegma, a substance that can cause irritation and inflammation.
Regarding your question about whether this redness could be due to masturbation, it is possible. Frequent friction from sexual activity can lead to minor abrasions or irritation, especially if the foreskin is tight. However, it is also important to consider that if there is any underlying infection or condition, it could exacerbate the symptoms.
As for treatment, applying iodine or antiseptic ointments like Betadine may not be necessary unless there is an open wound or clear signs of infection. Instead, a gentle approach is recommended. Here are some steps you can take:
1. Hygiene: Ensure that you clean the area gently but thoroughly. Use warm water and mild soap to wash the penis, including the foreskin, if you can retract it comfortably. Avoid harsh soaps or chemicals that can irritate the skin.
2. Moisturizing: If the area feels dry or irritated, consider using a gentle, fragrance-free moisturizer. This can help soothe the skin and prevent further irritation.
3. Avoid Irritants: Refrain from using any harsh topical treatments unless prescribed by a healthcare professional. Over-the-counter creams or ointments should be used cautiously, as they can sometimes worsen irritation.
4. Consult a Healthcare Provider: If the redness persists, worsens, or if you develop additional symptoms such as pain, swelling, or discharge, it is crucial to seek medical advice. A healthcare provider can assess the situation more thoroughly and may recommend treatments such as topical steroids or antifungal medications if necessary.
5. Consider Phimosis Treatment: If phimosis is causing recurrent issues, you may want to discuss treatment options with a urologist. These can range from topical steroid treatments to help loosen the foreskin to surgical options like circumcision in more severe cases.
In summary, while the redness you are experiencing may not be alarming, it is essential to maintain good hygiene and monitor the situation closely. If you have any concerns or if the symptoms do not improve, consulting a healthcare professional is the best course of action. They can provide personalized advice and treatment options tailored to your specific condition.
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