Common Urological Concerns: A Guide to Genital Health

Q: Common Urological Concerns: A Guide to Genital Health

Hello： 1) The glans often exhibits some uneven coloration. <br>It is important to rinse and dry it regularly without intentionally scrubbing. <br>The so-called membrane may be secretions. <br>Keeping the area dry is key. <br>If there is inflammation, it may become red, develop so

Inquiry about genital issues?

Hello doctor, I recently visited a urologist to see if I needed a circumcision because when I am erect, I can only see about half of the glans.
The doctor said it was not necessary and that since I can retract it, it is not a major issue; he only suggested that I keep the area clean.
I have three questions for you:
First, after washing away the smegma, I noticed that the color of the glans is mostly a light pink, with a slightly mottled appearance and a faint grayish-white film.
However, near the urethral opening, there is no such film, and it looks pinkish-red, similar to the color of lips, but not overly red.
Is this a normal color for the glans? I haven't paid much attention to it before, and I'm not sure if everyone's glans looks different.
I also forgot to ask the doctor if this is normal and if I should be concerned about inflammation.
I've been washing more frequently lately, but I haven't experienced any pain.
Should I see a urologist again?
Second, sometimes when I am with my girlfriend, I accidentally get an erection without ejaculation.
Could this cause any issues? Is there a risk of semen remaining inside and leading to an infection, or would it just result in a nocturnal emission?
Lastly, I notice that the veins on my penis appear engorged and red when I am erect, but when I am not, I can still see some greenish veins.
Is this normal?
Thank you for your responses to these three questions.

Xing, 10~19 year old female. Ask Date: 2020/05/27

Dr. Du Shixi reply Urology

Hello: 1) The glans often exhibits some uneven coloration.
It is important to rinse and dry it regularly without intentionally scrubbing.
The so-called membrane may be secretions.
Keeping the area dry is key.
If there is inflammation, it may become red, develop sores, and gradually expand with some swelling; at this point, medical attention should be sought.
2) There should be no issues.
3) It is not a concern; many people experience this condition.
Wishing you good health.

Reply Date: 2020/05/27

More Info

Understanding common urological concerns is essential for maintaining genital health and addressing any potential issues that may arise. Based on your questions, let's break down each concern and provide clarity on what is considered normal and when to seek further medical advice.

1. Color and Appearance of the Glans Penis
The glans penis, or the head of the penis, can vary in color from person to person. A pinkish hue is generally considered normal, and the presence of a slightly grayish-white film, often referred to as smegma, is common, especially in uncircumcised men. Smegma is a combination of dead skin cells, oils, and moisture that can accumulate under the foreskin. Regular cleaning is important to prevent buildup, which can lead to irritation or infection.

The fact that you have noticed a change in color and texture is not uncommon, especially if you are now washing more frequently. If the glans is not painful, swollen, or exhibiting signs of infection (such as discharge, odor, or significant redness), it is likely within the normal range. However, if you have concerns about inflammation or if symptoms develop, it would be prudent to consult a urologist for a thorough examination.

2. Erection Without Ejaculation
Experiencing an erection without ejaculation is a normal physiological response and is common during intimate moments. This situation does not typically pose any health risks. The body is designed to handle such occurrences, and any semen that is not ejaculated will generally be reabsorbed by the body over time.
The concern about potential infection from retained semen is largely unfounded. The male reproductive system is equipped to manage these situations without leading to infections. However, if you experience pain, discomfort, or any unusual symptoms following such experiences, it would be wise to seek medical advice.

3. Visibility of Blood Vessels
The appearance of blood vessels on the penis can vary based on several factors, including temperature, arousal, and overall vascular health. During an erection, blood vessels become engorged with blood, making them more prominent and giving them a reddish hue. When not erect, the vessels may appear less pronounced, and it is not unusual for them to take on a greenish tint due to the underlying tissue and blood flow.

If the visibility of these vessels is accompanied by pain, swelling, or any other concerning symptoms, it would be advisable to consult a healthcare professional. However, in the absence of such symptoms, variations in the appearance of blood vessels are generally considered normal.

Conclusion
In summary, the observations you have made regarding the color of the glans, the experience of erections without ejaculation, and the visibility of blood vessels are largely within the realm of normal anatomical and physiological variations. Maintaining good hygiene and being aware of any changes in your body is important for genital health. If you have any persistent concerns or if new symptoms arise, do not hesitate to reach out to a urologist for further evaluation. Regular check-ups can help ensure that any potential issues are addressed early, promoting overall health and well-being.

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