Pearly penile papules
Hello doctor, how can I improve the condition of chronic folliculitis on my penis? Yesterday, the area behind my penis was red, swollen, and painful.
I squeezed out a white discharge with my fingernail, but today the area has swollen into a cyst.
Is this folliculitis?
Niming, 20~29 year old female. Ask Date: 2019/09/10
Dr. Du Shixi reply Urology
Hello: If cleanliness is not maintained and combined with heat and humidity, some people's skin may become inflamed.
It may be necessary to disinfect the wound first, and if there is redness, medical attention should be sought.
Wishing you good health.
Reply Date: 2019/09/10
More Info
Penile folliculitis is a condition characterized by the inflammation of hair follicles in the genital area, which can lead to discomfort, redness, and the formation of pustules or cysts. Understanding the causes and effective treatment options is crucial for managing this condition.
Causes of Penile Folliculitis
1. Bacterial Infection: The most common cause of folliculitis is a bacterial infection, often due to Staphylococcus aureus. This can occur when hair follicles become blocked or damaged, allowing bacteria to enter.
2. Fungal Infection: Fungal infections, particularly from yeast like Candida, can also lead to folliculitis, especially in warm, moist environments.
3. Irritation: Friction from clothing, shaving, or other forms of irritation can damage hair follicles, making them more susceptible to infection.
4. Poor Hygiene: Inadequate cleaning of the genital area can lead to the accumulation of sweat, dead skin cells, and bacteria, increasing the risk of folliculitis.
5. Underlying Conditions: Conditions such as diabetes or immunosuppression can predispose individuals to infections, including folliculitis.
Symptoms
Symptoms of penile folliculitis may include:
- Red, inflamed bumps or pustules on the penis or surrounding areas.
- Pain or tenderness in the affected area.
- Itching or discomfort.
- The presence of pus or white discharge when the pustules are squeezed.
Treatment Options
1. Topical Antibiotics: If the folliculitis is bacterial, topical antibiotics like mupirocin or clindamycin may be prescribed to help clear the infection.
2. Oral Antibiotics: In more severe cases or when topical treatments are ineffective, oral antibiotics such as cephalexin or doxycycline may be necessary.
3. Antifungal Treatments: If a fungal infection is suspected, antifungal creams or oral medications may be prescribed.
4. Warm Compresses: Applying warm compresses to the affected area can help reduce inflammation and promote drainage of any pus-filled lesions.
5. Avoiding Irritation: It is essential to avoid tight clothing and any activities that may irritate the area. Keeping the area clean and dry can also help prevent further irritation.
6. Good Hygiene Practices: Regular washing of the genital area with mild soap and water can help prevent the buildup of bacteria and debris.
7. Avoiding Shaving: If shaving is a contributing factor, consider stopping or using an electric razor to minimize irritation.
When to Seek Medical Attention
If symptoms persist despite treatment, or if you experience severe pain, fever, or spreading redness, it is crucial to seek medical attention. A healthcare provider may need to perform a culture to identify the specific bacteria or fungus causing the infection and adjust treatment accordingly.
Conclusion
Penile folliculitis can be uncomfortable and distressing, but with proper understanding and treatment, it can be effectively managed. Maintaining good hygiene, avoiding irritants, and following prescribed treatments are key steps in alleviating symptoms and preventing recurrence. If you are experiencing persistent symptoms or complications, do not hesitate to consult a healthcare professional for further evaluation and management.
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