Penile Hygiene and Urinary Concerns: Expert Insights - Urology

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Please consult regarding issues related to the glans penis?


Hello, Doctor.
Today while I was washing my glans, I rinsed away some substance that looked like smegma with the showerhead.
I saw online that it seems to be smegma, but after rinsing, I noticed a small flat pink spot.
I would like to ask if this is a concern or if the water pressure was too strong and caused a minor abrasion that needs ointment.
Currently, I have only dried it off, and after drying, the color seems less noticeable.

Additionally, I would like to ask about something else.
I’ve noticed that after I masturbate at night, I often feel the urge to urinate shortly afterward.
Is this related? Also, in the morning when I wake up, there is a slight delay of about 3-4 seconds before I can urinate, which feels like I don’t have a strong urge to go right away.
However, when I drink more water in the morning and have a fuller bladder, this delay doesn’t happen.

h, 20~29 year old female. Ask Date: 2020/07/01

Dr. Du Shixi reply Urology


Hello: If there are no wounds, there is no need for special application; just be gentle if the same situation occurs in the future.
Additionally, I would like to ask the doctor a question.
I have noticed that after I masturbate at night, I often feel the urge to urinate shortly afterward.
Is this related? --> If you need to clean, then it’s not an issue.
Also, in the morning, when I wake up, there is a slight delay of about 3-4 seconds before I can urinate, which feels like I don't have an urgent need to go right away.
However, when I drink more water in the morning and have a fuller bladder, this does not happen.
--> This is normal, but it is recommended to drink water regularly after getting up to urinate.
Wishing you good health.

Reply Date: 2020/07/01

More Info


When it comes to penile hygiene and urinary concerns, it's essential to understand the normal physiological processes and the potential implications of any changes you may notice. Based on your description, it seems you encountered a common issue related to smegma, which is a natural buildup of dead skin cells, oils, and other bodily secretions that can accumulate under the foreskin. This is particularly common in uncircumcised males.


Penile Hygiene and Smegma
1. Smegma Removal: It's good practice to maintain proper hygiene by regularly cleaning the area under the foreskin. Using a gentle stream of water, as you did, is typically sufficient to remove smegma. However, be cautious with the water pressure; excessive force can irritate the sensitive skin and potentially cause minor abrasions.

2. Pink Spot: The small pink spot you noticed after rinsing could be a result of irritation or a minor abrasion from the water pressure. If it appears flat and does not have any associated symptoms like pain, swelling, or discharge, it is likely not a cause for concern. Keeping the area clean and dry is essential. If the spot does not improve or if you notice any changes, such as increased redness, swelling, or discharge, it would be wise to consult a healthcare professional.

3. Moisturizing: If you feel that the area is dry or irritated, applying a gentle, fragrance-free moisturizer can help soothe the skin. However, avoid using any products that may contain irritants or fragrances, as these can exacerbate irritation.


Urinary Concerns
1. Increased Urination After Masturbation: It is not uncommon to feel the urge to urinate shortly after ejaculation. This can be attributed to the physiological responses of the body during sexual arousal and orgasm, which can stimulate the bladder. The pelvic floor muscles and the urethra are closely linked, and the contractions during ejaculation can sometimes trigger the sensation of needing to urinate.

2. Delayed Urination in the Morning: The slight delay you experience when trying to urinate in the morning could be related to several factors. Upon waking, your body may still be transitioning from a state of rest, and the bladder may not be fully ready to contract immediately. Additionally, if you have not consumed much fluid overnight, the bladder may not be full enough to trigger an immediate urge. However, if this sensation persists or worsens, it could be beneficial to discuss it with a healthcare provider to rule out any underlying issues.


Recommendations
- Regular Hygiene: Continue to practice good hygiene by cleaning the area gently but thoroughly. This will help prevent the buildup of smegma and reduce the risk of infections.


- Monitor Symptoms: Keep an eye on the pink spot and any urinary changes. If you notice any concerning symptoms, such as pain, persistent irritation, or changes in urination patterns, seek medical advice.

- Hydration: Ensure you are adequately hydrated, especially in the morning, as this can help with urinary urgency and overall bladder health.

- Consult a Professional: If you have ongoing concerns about your urinary habits or any changes in your genital area, it is always best to consult a healthcare professional. They can provide a thorough examination and offer personalized advice based on your specific situation.

In summary, while your experiences may be common and often benign, staying attentive to your body and maintaining good hygiene practices are key to ensuring your health and comfort. If anything feels off or if you have persistent concerns, don't hesitate to reach out to a healthcare provider for further evaluation.

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