Painful Urination: Causes and Care for Glans Sensitivity - Urology

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It sounds like you are experiencing some discomfort in the glans area, which may be related to over-cleaning or irritation. Based on your description, it seems that your doctor has diagnosed you with a mild case of inflammation, possibly related to what is commonly referred to as balanitis, which is inflammation of the glans penis. This condition can occur when the area is cleaned too aggressively, leading to irritation and sensitivity.


Understanding Balanitis
Balanitis can manifest with symptoms such as redness, swelling, and tenderness in the glans area. While some cases may present with red spots or lesions, not all cases will show these symptoms, especially in mild instances. Your doctor’s observation that the area looks "too clean" suggests that the natural oils and bacteria that help maintain skin health may have been stripped away, leading to increased sensitivity and discomfort.


Treatment and Care
The treatment prescribed by your doctor, which includes the use of tetracycline hydrochloride ointment, is aimed at reducing inflammation and preventing any potential infection. It is important to follow the instructions given by your healthcare provider regarding the application of this ointment. Generally, you should apply it as directed, and it may take a few days to notice improvement.

In terms of care, here are some recommendations:
1. Gentle Cleaning: Continue to maintain hygiene, but do so gently. Avoid using soaps or cleansers that can irritate the sensitive skin. Instead, use warm water to rinse the area.

2. Avoid Irritants: As your doctor advised, refrain from using any harsh soaps or products on the glans. This includes avoiding excessive scrubbing or cleaning of the area.

3. Monitor Symptoms: Keep an eye on your symptoms. If you notice any worsening of the redness, swelling, or if you develop additional symptoms such as discharge or fever, it’s important to follow up with your doctor.

4. Medication: Regarding your current medication, amoxiclav (a combination of amoxicillin and clavulanate) is an antibiotic that can help treat bacterial infections. If you were prescribed this for a separate infection, it is generally safe to continue taking it unless your doctor advises otherwise. However, always inform your healthcare provider about all medications you are taking to avoid potential interactions.


Duration of Symptoms
The duration for symptoms to resolve can vary based on the severity of the inflammation and how well you adhere to the treatment plan. Mild cases of balanitis often improve within a few days to a week with appropriate care. If symptoms persist beyond this timeframe, or if you have concerns about the effectiveness of the treatment, it would be advisable to return to your healthcare provider for further evaluation.


Conclusion
In summary, it seems that your symptoms are likely related to irritation rather than a severe infection, especially since you do not have the typical signs of balanitis such as red spots. Following your doctor’s advice on gentle cleaning and using the prescribed ointment should help alleviate your discomfort. If you have any further concerns or if your condition does not improve, do not hesitate to seek further medical advice. Your health and comfort are important, and it’s always best to err on the side of caution when it comes to your well-being.