Glans Injuries: Causes and Care Tips - Urology

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Glans penis wound


Hello Doctor, I am #150651 (experiencing glans skin tearing/bleeding after sexual intercourse).
1) You mentioned that if it comes into contact with water, it should be disinfected.
What can I buy or what methods can I use for disinfection? 2) Additionally, could you please explain the causes of the skin tearing? Is it due to excessive force? Thank you.

Niming, 20~29 year old female. Ask Date: 2019/10/15

Dr. Du Shixi reply Urology


Hello: 1) Povidone-iodine, non-alcoholic 2) It's possible, and I can't think of any other reasons.
Wishing you good health.

Reply Date: 2019/10/15

More Info


Understanding glans injuries, particularly those resulting from sexual activity, is crucial for proper care and prevention of further complications. Here’s a comprehensive overview of the causes, care tips, and answers to your specific questions.


Causes of Glans Injuries
1. Friction and Pressure: One of the most common causes of glans injuries is excessive friction during sexual activity. This can occur due to vigorous movements or insufficient lubrication. If the skin on the glans is not adequately lubricated, it can lead to abrasions or tears.

2. Inadequate Preparation: Engaging in sexual activity without sufficient foreplay can lead to a lack of natural lubrication, increasing the risk of injury.
3. Use of Contraceptives: Certain condoms or lubricants may cause irritation or allergic reactions, leading to skin damage.

4. Infections or Skin Conditions: Pre-existing conditions such as balanitis (inflammation of the glans) or other dermatological issues can make the skin more susceptible to injury.

5. Physical Trauma: Accidental trauma, such as hitting the glans against a hard surface, can also result in cuts or abrasions.


Care Tips for Glans Injuries
1. Cleaning: After an injury, it’s essential to keep the area clean to prevent infection. Use mild soap and warm water to gently cleanse the area. Avoid harsh soaps or scrubbing, as this can exacerbate the injury.

2. Disinfection: If the injury is exposed to water or other potential contaminants, it’s crucial to disinfect the area. You can use antiseptic solutions like hydrogen peroxide or iodine-based solutions. However, avoid using alcohol-based products directly on the sensitive skin of the glans, as they can cause irritation.
3. Moisturizing: Applying a thin layer of a water-based lubricant or a healing ointment can help keep the area moist and promote healing. Products containing aloe vera or vitamin E can be beneficial.

4. Avoiding Irritants: Refrain from using scented soaps, lotions, or other products that may irritate the area.
5. Rest: Allow the area to heal by avoiding sexual activity until the injury has fully recovered. Engaging in sexual activity too soon can reopen the wound and lead to further complications.

6. Monitoring for Infection: Keep an eye on the injury for signs of infection, such as increased redness, swelling, warmth, or discharge. If any of these symptoms occur, seek medical attention promptly.


Answers to Your Specific Questions
1. Disinfection Options: For disinfecting the area, you can purchase antiseptic solutions like hydrogen peroxide or iodine-based antiseptics from a pharmacy. When using these, apply a small amount to a cotton ball or pad and gently dab the area. Ensure that you do not use excessive amounts, as this can irritate the skin.

2. Causes of Skin Abrasion: The skin on the glans is sensitive, and injuries can occur due to excessive force during sexual activity, lack of lubrication, or even the use of certain contraceptives. It’s essential to communicate with your partner about comfort levels and to ensure adequate lubrication to minimize the risk of injury.


Conclusion
Injuries to the glans can be uncomfortable and concerning, but with proper care and attention, they can heal effectively. It’s important to maintain good hygiene, monitor for signs of infection, and allow adequate time for healing before resuming sexual activity. If you have any further concerns or if the injury does not improve, it is advisable to consult a healthcare professional for a thorough evaluation and tailored advice.

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