Glans Inflammation: Treatment Options and Next Steps - Urology

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Inflammation of the glans?


My glans has been very dry recently, and despite treatment from a urologist, there has been no improvement.
He said it was inflammation and prescribed me Persin ointment, which I have used for a month.
The glans has become shiny, almost as if there is a hard shell on it, and I am unsure what to do.
My questions are as follows: 1.
What type of ointment is Persin ointment? What are its ingredients? Can I continue using it? 2.
Should I see a urologist or a dermatologist? 3.
Is it possible that my condition could be due to other issues?

Xiao Zhang, 60~69 year old female. Ask Date: 2002/11/15

Dr. Chen Xiuyi reply Urology


Hello! Spersin ointment contains antibiotics such as neomycin, polymyxin B sulfate, and bacitracin, and is generally used for bacterial infections or dermatitis with secondary infections.
Based on your complaint, it is best to consult a urologist or dermatologist for an accurate diagnosis and treatment by a specialist.
Wishing you good health, Dr.
Chen Hsiu-Yi, Director of Urology, Taoyuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2002/11/15

More Info


Understanding glans inflammation, also known as balanitis, can be quite complex, as it may stem from various causes, including infections, irritations, or underlying skin conditions. Your experience with dryness and the use of Spersin ointment raises several important points that we can address.

1. Spersin Ointment: Spersin ointment is typically used for its anti-inflammatory and soothing properties. It often contains ingredients such as corticosteroids, which help reduce inflammation, or other compounds that promote healing. The specific formulation can vary, so it's essential to check the product label or consult your healthcare provider for the exact ingredients. If the ointment has improved the appearance of your glans but has also created a hard layer, it may indicate that the skin is healing but could also suggest a potential reaction to the ointment. It’s crucial to monitor your symptoms. If you notice any adverse effects, such as increased irritation or discomfort, you should discontinue use and consult your doctor.

2. Choosing the Right Specialist: Given your symptoms, it would be advisable to consult a dermatologist rather than a urologist. While urologists specialize in urinary tract and male reproductive health, dermatologists are experts in skin conditions, including those affecting the genital area. A dermatologist can provide a more thorough evaluation of your skin and recommend appropriate treatments based on their findings.

3. Potential Underlying Issues: Your symptoms could be indicative of several conditions beyond simple inflammation. For instance, conditions such as lichen sclerosus, psoriasis, or even fungal infections could present with similar symptoms. Additionally, irritant contact dermatitis from soaps, detergents, or even certain fabrics can lead to dryness and inflammation. It’s essential to consider these possibilities, especially if the ointment does not lead to complete resolution of your symptoms.


Next Steps and Recommendations
- Follow-Up Consultation: Schedule an appointment with a dermatologist to get a comprehensive evaluation of your condition. Bring along any previous medical records or treatments you've undergone, including the use of Spersin ointment.

- Skin Care Routine: In the meantime, maintain good hygiene by gently cleaning the area with mild soap and water. Avoid using harsh soaps or products that may irritate the skin further.
- Monitor Symptoms: Keep track of any changes in your symptoms, including any new sensations, changes in color, or discharge. This information will be valuable for your healthcare provider.

- Avoid Self-Medication: While it may be tempting to try over-the-counter treatments, it’s best to avoid self-medicating without professional guidance, as this could exacerbate the issue.

- Hydration and Moisturization: Ensure that you are well-hydrated and consider using a gentle, fragrance-free moisturizer to help alleviate dryness, but only after consulting with your dermatologist.

In conclusion, while Spersin ointment may have provided some relief, it’s essential to approach your condition holistically and seek specialized care to address the underlying causes effectively. Proper diagnosis and treatment can lead to better outcomes and improved comfort.

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