Common Urological Skin Issues: Symptoms and Solutions

Q: Common Urological Skin Issues: Symptoms and Solutions

Hello： Many of these situations are caused by fungi and are prone to recurrence. <br>If there is redness, medical treatment is necessary. <br>Even after recovery, careful maintenance may still lead to recurrence due to heat and moisture. <br>Masturbation does not have an impact,

Genital skin-related issues?

Hello Doctor: Previously, I experienced recurrent inflammation of the glans, but after undergoing a circumcision, I recovered.
However, I've been having some issues lately, so I would like to ask you about the following:
1.
There is a small red spot appearing beneath the glans, and sometimes it feels itchy.

2.
The frenulum and surrounding area are red and itchy, sometimes mildly, and at other times, in addition to the itchiness, there is a slight stinging sensation.

3.
The scrotum often feels itchy, and sometimes I scratch it to the point of breaking the skin and forming scabs.
Is there any effective way to improve this condition?
I usually rinse the genital area with warm water and, after using the restroom, I dry myself with toilet paper to avoid urine residue.
I thought maintaining cleanliness and dryness was important, but several days have passed without improvement.
Sometimes the itchiness is worse, and at other times it feels manageable.
By the way, would masturbation worsen this situation? I would appreciate your guidance on this matter.
Thank you!

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

Dr. Du Shixi reply Urology

Hello: Many of these situations are caused by fungi and are prone to recurrence.
If there is redness, medical treatment is necessary.
Even after recovery, careful maintenance may still lead to recurrence due to heat and moisture.
Masturbation does not have an impact, but wearing tight underwear and sitting for several hours is not advisable.
Being overweight can also have some effect.
Wishing you good health.

Reply Date: 2019/10/20

More Info

When it comes to common urological skin issues, particularly those affecting the genital area, it's essential to understand the symptoms and potential solutions. Based on your description, it seems you are experiencing a combination of symptoms including redness, itching, and discomfort in the genital region, specifically around the glans (head of the penis), the frenulum, and the scrotum.

Understanding Your Symptoms
1. Red Spot on the Glans: The appearance of a small red spot on the glans can be indicative of several conditions, including irritation, infection, or even a benign condition such as a pearly penile papule. If the spot is itchy, it could suggest a fungal infection, such as candidiasis, or a sexually transmitted infection (STI) if there has been exposure.

2. Redness and Itching Around the Frenulum: The frenulum is a sensitive area, and irritation here can be caused by friction, poor hygiene, or infections. Conditions like balanitis (inflammation of the glans) can also lead to these symptoms.
3. Itching of the Scrotum: Scrotal itching is a common issue and can be caused by various factors, including fungal infections (like jock itch), eczema, or contact dermatitis. Scratching can lead to skin breaks, which may become crusty and infected.

Potential Causes
- Fungal Infections: These thrive in warm, moist environments, making the genital area a common site for such infections. Symptoms often include itching, redness, and sometimes a rash.

- Bacterial Infections: Conditions like balanitis can be caused by bacteria, especially if hygiene is not maintained properly.

- Irritation: This can stem from soaps, detergents, or even friction from clothing.
- Sexually Transmitted Infections (STIs): If there has been any unprotected sexual contact, STIs should be ruled out.

Recommendations for Management
1. Maintain Hygiene: Continue to wash the area with warm water. Avoid using harsh soaps or products that can irritate the skin. After washing, ensure the area is thoroughly dried, as moisture can exacerbate fungal infections.

2. Avoid Irritants: If you suspect that certain soaps, lotions, or even laundry detergents are causing irritation, consider switching to hypoallergenic products.

3. Topical Treatments: Over-the-counter antifungal creams can be beneficial if a fungal infection is suspected. If the itching persists, a mild hydrocortisone cream may help reduce inflammation, but it should not be used for extended periods without medical advice.

4. Avoid Scratching: While it may be tempting, scratching can lead to further irritation and potential infection. Keeping nails trimmed can help minimize damage if scratching occurs.

5. Consult a Healthcare Provider: Given the persistence of your symptoms, it is advisable to see a urologist or dermatologist. They can provide a proper diagnosis and may perform tests to rule out infections or other conditions.
6. Impact of Masturbation: Generally, masturbation should not worsen skin conditions unless it leads to irritation from friction. However, if you notice that it exacerbates your symptoms, it may be worth abstaining until the area heals.

Conclusion
In summary, your symptoms could arise from various causes, including infections or irritations. Maintaining good hygiene, avoiding irritants, and consulting a healthcare provider for a thorough examination are crucial steps in addressing your concerns. It's essential to get a proper diagnosis to ensure effective treatment and to rule out any serious conditions. Remember, your health and comfort are paramount, so seeking professional advice is always a wise choice.

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