Glans Color and Smegma Concerns: What You Need to Know - Urology

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Issues with glans color and smegma?


Hello, doctor.
Recently, I read on a website that I should retract the foreskin to clean the smegma.
At first, it was a bit difficult to rinse, but after gradually cleaning it, I managed to get it mostly clean today.
However, I'm unsure if the glans is supposed to be a bit pink because it feels like there is a layer, like a membrane, over it.
When I pulled it back a bit further, I noticed a small area that was slightly pink, which I believe is usually near the urethral opening.
After showering, I'm worried that my frequent use of the handheld showerhead might have caused some irritation.
I used a sterile cotton swab with some iodine and applied an ointment containing tetracycline hydrochloride, and it feels flat, but for some reason, it looks lighter than when I was in the shower, almost like it’s more noticeable when wet.
Later, I felt a bit of itching at the tip of the foreskin, which is strange, and I’m not sure if it’s because I applied too much ointment.

I would like to ask the doctor if the glans is normally a bit pink.
The small area near the urethral opening looks similar in color and seems to have less of that membrane.
I searched online about red spots on the glans, and the more I read, the more worried I became about possibly having balanitis or genital warts, but it doesn’t seem to match.
I just asked my brother, and he said that even in the early stages of genital warts, there would at least be a small bump, but he’s not sure about balanitis.
From what I saw online, it seems like the spots are very red and not just one small one.
It feels like the white membrane in that area is gone.
I hope the doctor can clarify my concerns.
My brother advised me to keep the area dry and said I’m overthinking it.
Would the doctor recommend that if I observe any symptoms over the next few days, I should see a urologist? Thank you.

Huang, 10~19 year old female. Ask Date: 2020/05/25

Dr. Du Shixi reply Urology


Hello: At the beginning of the cleaning process, do not overdo it; keep the area clean and dry.
Excessive cleaning may cause irritation or skin breakdown.
Rinse with lukewarm water daily and pat dry.
It should return to normal in about one to ten days.
If there are areas that appear red or have a mottled appearance, that is also normal.
If there is pain, seek medical attention.
Wishing you good health.

Reply Date: 2020/05/25

More Info


Understanding the color of the glans penis and concerns regarding smegma is important for maintaining genital health. The glans, or the head of the penis, typically has a pinkish hue, which can vary slightly from person to person. This color is influenced by the underlying blood vessels and the thickness of the skin.
When it comes to smegma, it is a natural substance composed of dead skin cells, oils, and moisture that can accumulate under the foreskin in uncircumcised males. Regular cleaning is essential to prevent the buildup of smegma, which can lead to irritation, inflammation, or infections such as balanitis (inflammation of the glans). It’s good to hear that you have started to clean the area more thoroughly, as this can help maintain hygiene and prevent potential issues.

Regarding your observations about the glans and the slight pink coloration near the urethral opening, it is not uncommon for the skin in that area to appear slightly different in color due to increased blood flow or sensitivity. The "membrane" you mentioned could be the mucosal layer that covers the glans, which can sometimes appear shiny or moist. If you have recently increased the frequency of washing, it is possible that the skin may be slightly irritated, leading to a temporary change in color or sensation.

Using a sterile cotton swab with iodine or applying a topical antibiotic ointment like tetracycline hydrochloride can be helpful if you suspect minor irritation or a superficial infection. However, be cautious not to overuse these products, as excessive application can lead to further irritation or allergic reactions. If you notice any persistent redness, swelling, or discharge, it would be wise to consult a healthcare professional.

As for your concerns about conditions such as balanitis or sexually transmitted infections (STIs) like genital warts (caused by the human papillomavirus), it’s important to note that these conditions typically present with more pronounced symptoms, such as significant redness, swelling, pain, or the presence of raised lesions. If the area remains flat and the color changes are subtle, it is less likely to be a serious condition.
Your brother's advice to keep the area dry is sound, as moisture can contribute to irritation and infection. Observing the area for a few days is reasonable, but if you experience any worsening symptoms—such as increased itching, pain, or unusual discharge—it would be prudent to seek evaluation from a urologist. They can provide a thorough examination and appropriate testing to rule out any underlying conditions.

In summary, the glans can naturally have a pinkish hue, and slight variations in color can occur due to factors like hygiene practices and skin sensitivity. Regular cleaning is essential to prevent smegma buildup, and while minor irritation can occur, significant symptoms warrant a professional evaluation. Maintaining good hygiene and monitoring any changes will help ensure your genital health remains optimal.

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