and Addressing Symptoms of Balanitis: When to Seek Help - Urology

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Balanitis issues?


Recently, I've started experiencing itching at the lower edge of the glans.
A couple of days later, I noticed slight peeling, and today I discovered that the skin under the glans has developed a darker pigmentation.
I'm unsure of the cause.
I had a visit for balanitis last July and used a topical cream called IN-quadeicren cream, and I have a new tube of it.
I started using it on the first day I noticed the itching.
Should I consult a urologist?

John Hung, 20~29 year old female. Ask Date: 2020/04/02

Dr. Cai Zhuorong reply Urology


If the condition is different from before and there are concerns about the medication, it is recommended to consult a physician before starting treatment.

Reply Date: 2020/04/02

More Info


Balanitis is an inflammation of the glans (the head of the penis) and can be caused by a variety of factors, including infections, irritants, and underlying skin conditions. Your symptoms of itching, mild peeling, and discoloration of the skin under the foreskin are concerning and warrant further evaluation.

The fact that you have experienced similar symptoms in the past, specifically balanitis, suggests that you may be prone to this condition. The use of topical treatments, such as the IN-quadeicren cream you mentioned, is often a first-line approach for managing mild cases of balanitis. However, if your symptoms persist or worsen, it is crucial to seek medical attention.

Here are some key points to consider regarding your symptoms and when to seek help:
1. Persistent Symptoms: If the itching and peeling do not improve after a few days of using the topical cream, or if they worsen, it is advisable to consult a healthcare professional. Persistent symptoms may indicate a more severe infection or an allergic reaction that requires a different treatment approach.

2. Discoloration: The deepening of color or pigmentation changes in the skin can be a sign of inflammation or irritation. It could also suggest a fungal infection, which is common in cases of balanitis. A healthcare provider can perform a physical examination and may take a sample for laboratory analysis to determine the cause.

3. Associated Symptoms: If you experience additional symptoms such as pain, swelling, discharge, or fever, these could indicate a more serious infection that requires immediate medical attention.

4. Underlying Conditions: If you have any underlying health conditions, such as diabetes, which can predispose you to infections, it is essential to discuss this with your healthcare provider. Managing these conditions can help prevent recurrent episodes of balanitis.

5. Hygiene Practices: Maintaining proper hygiene is crucial in managing and preventing balanitis. Ensure that the area is kept clean and dry, and avoid irritants such as harsh soaps or scented products.

6. Consulting a Specialist: Given your history of balanitis and the current symptoms, it would be prudent to schedule an appointment with a urologist. They can provide a thorough evaluation, possibly including a physical examination and any necessary tests, to determine the underlying cause of your symptoms and recommend appropriate treatment.

In summary, while topical treatments can be effective for mild cases of balanitis, your current symptoms suggest that a more thorough evaluation by a urologist is warranted. Early intervention can help prevent complications and ensure that you receive the most effective treatment for your condition. Don't hesitate to seek help if your symptoms persist or worsen, as timely medical attention is key to managing balanitis effectively.

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