Glandular Issues: Healing Time and Concerns - Urology

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There are some issues with the glans?


I apologize for your discomfort.
Recently, I have developed a small area of crusting on the glans due to a tear, but it has not healed for about two weeks.
This time, the crust is completely black, and upon peeling it off, I noticed there is bruising underneath.
What implications could this have? How long is it likely to take to heal?

Ben, 10~19 year old female. Ask Date: 2020/08/12

Dr. Du Shixi reply Urology


Hello: If it has been more than a week, it is advisable to seek medical attention.
Currently, if there is a wound, avoid getting it wet.
Wishing you good health.

Reply Date: 2020/08/12

More Info


When dealing with issues related to the glans penis, such as the one you've described, it's important to approach the situation with care and understanding. The symptoms you've mentioned, including a black scab that has not healed after two weeks and the presence of bruising underneath, could indicate a few different things.

Firstly, the glans penis is a sensitive area, and any injury or irritation can lead to prolonged healing times. Factors such as friction, infection, or underlying skin conditions can contribute to delayed healing. The fact that the scab is black and has bruising underneath may suggest that there is some degree of trauma or possibly a hematoma (a localized collection of blood outside of blood vessels) that has formed due to injury.

In general, the healing time for superficial skin injuries can vary widely depending on several factors, including the severity of the injury, the individual's overall health, and whether there are any complicating factors such as infection. Typically, minor skin injuries can take anywhere from a few days to a couple of weeks to heal. However, if the area is not healing properly, it may take longer.

Here are some considerations and recommendations:
1. Monitor for Infection: Keep an eye on the area for signs of infection, which can include increased redness, swelling, warmth, pus, or worsening pain. If you notice any of these symptoms, it is crucial to seek medical attention promptly.

2. Avoid Further Irritation: It's important to avoid any activities that may further irritate the area, such as vigorous sexual activity or tight clothing that may cause friction.

3. Keep the Area Clean: Maintain good hygiene by gently cleaning the area with mild soap and water. Avoid using harsh chemicals or irritants that could exacerbate the condition.

4. Consult a Healthcare Provider: Given that the scab has not healed in two weeks and there is bruising, it would be wise to consult a healthcare provider or a urologist. They can perform a thorough examination to determine the underlying cause of the delayed healing and provide appropriate treatment. This may include topical treatments, advice on care, or further investigation if there are concerns about more serious conditions.

5. Healing Time: While minor injuries may heal within a week or two, more serious injuries or those complicated by infection or other factors may take longer. A healthcare provider can give you a more accurate estimate based on their assessment.

In conclusion, while minor injuries to the glans penis can often heal on their own, the presence of a black scab and bruising warrants further evaluation. It's essential to monitor the area closely and seek medical advice to ensure proper healing and to rule out any potential complications. Taking these steps will help you address your concerns and promote healing effectively.

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