and Managing Balanitis: Causes, Symptoms, and Care Tips - Urology

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Balanitis issues?


Hello, doctor.
Recently, I noticed red spots on both sides of the glans, which are not very noticeable at first glance but can be seen better under flashlight.
I went to a urology clinic for an examination, and they said it was caused by excessive moisture leading to balanitis, and they prescribed a topical ointment for me.

1.
I would like to ask if the red spots become more prominent during an erection, is it still the same balanitis, just that the engorgement makes it more noticeable?
2.
I have previously undergone circumcision; why am I still experiencing balanitis?
3.
Could balanitis be caused by wearing tight pants or by frequently using body wash to clean the glans, which may be too irritating?
4.
How long does it typically take for balanitis to resolve?
5.
Is it normal for the glans to have uneven coloration, with some areas appearing red?
6.
What care does the doctor recommend for balanitis?
7.
Should I avoid using body wash to clean the genital area?

Niming, 20~29 year old female. Ask Date: 2019/07/18

Dr. Du Shixi reply Urology


Hello: 1.
I would like to ask if the red spots become more prominent when I have an erection, is that also a sign of balanitis, just that it becomes more noticeable due to engorgement? --> Yes.
2.
Why do I still have balanitis even though I have had a circumcision? --> It could be due to inadequate dryness and cleanliness.
3.
Can balanitis be caused by wearing tight pants or frequently using body wash to clean the glans, which may be irritating? --> Both are possible.
4.
How long does it usually take for balanitis to heal? If I keep it dry and not humid, about 1-2 weeks.
5.
Is it normal for the glans to have uneven coloration, with some areas appearing red? --> It may have some mottling, but it shouldn't be red.
6.
What care does the doctor recommend for balanitis? --> Keep it clean and dry, and wear looser pants.
7.
Is it not advisable to use body wash to clean the genital area? --> Personally, I do not recommend it; rinsing with plain water is sufficient.
Wishing you good health.

Reply Date: 2019/07/18

More Info


Balanitis, or inflammation of the glans penis, can be a common condition that affects many men, regardless of whether they are circumcised. Understanding its causes, symptoms, and care tips is essential for effective management. Based on your questions, let’s delve into the details.

1. Visibility of Red Spots During Erection: Yes, it is possible that the red spots you notice become more pronounced during an erection due to increased blood flow and engorgement of the tissues in the area. This is a common physiological response, and while the redness may appear more intense, it does not necessarily indicate a worsening of the condition. However, if you experience pain or discomfort, it is advisable to consult your healthcare provider.

2. Circumcision and Balanitis: Even if you have been circumcised, you can still develop balanitis. Circumcision reduces the risk of certain infections and conditions, but it does not eliminate the possibility of inflammation due to other factors such as irritation, allergies, or infections. Factors such as poor hygiene, skin conditions, or irritants can still lead to balanitis.

3. Causes of Balanitis: Yes, wearing tight clothing can contribute to the development of balanitis by creating a warm, moist environment that promotes irritation and infection. Additionally, using harsh soaps or body washes, such as certain shower gels or shampoos, can irritate the sensitive skin of the glans. It is advisable to use mild, unscented soaps and to rinse thoroughly to avoid residue that may cause irritation.

4. Duration of Balanitis: The duration of balanitis can vary depending on the underlying cause and the effectiveness of treatment. If the inflammation is due to irritants and you follow your doctor's recommendations, you may see improvement within a few days to a week. However, if the condition persists or worsens, further evaluation may be necessary.

5. Normal Color Variations: It is normal for the glans to have some color variations. The glans may appear redder in some areas due to increased blood flow or natural pigmentation differences. However, if you notice significant changes in color, texture, or if there are accompanying symptoms like pain or discharge, it is important to seek medical advice.

6. Care Recommendations: To care for your glans and manage balanitis, consider the following tips:
- Maintain good hygiene by gently washing the area with warm water and a mild soap.

- Avoid using scented products or harsh soaps that can irritate the skin.

- Wear loose-fitting underwear and clothing to reduce moisture and friction.

- If prescribed a topical medication, apply it as directed by your healthcare provider.

- Avoid sexual activity until the inflammation has resolved to prevent further irritation.

7. Use of Body Washes: It is generally recommended to avoid using body washes or soaps that contain fragrances or harsh chemicals on the genital area. Instead, opt for gentle, unscented cleansers specifically designed for sensitive skin. Rinse thoroughly to ensure no soap residue remains, as this can lead to irritation.

In summary, balanitis can be caused by various factors, including irritation from clothing or soaps, and it can occur even in circumcised men. Proper hygiene, avoiding irritants, and following your doctor's treatment plan are key to managing this condition effectively. If symptoms persist or worsen, it is crucial to seek further medical evaluation to rule out any underlying infections or conditions.

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