Redness and Swelling of the Glans: When to Seek Help - Urology

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Glans swelling and redness?


Initially, I had a small tear on the glans and thought it was nothing serious.
However, it later progressed to the entire glans ring being affected.
I consulted a doctor who prescribed an ointment to apply.
However, after 3-4 days of application, the wound on the glans ring has become increasingly red and swollen, and there is also a bit of bleeding.
Is this normal?

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

Dr. Du Shixi reply Urology


Hello: The wound on the glans is difficult to care for; it needs to be kept dry and clean.
Apply ointment twice a day and rinse with saline solution.
If it does not improve and becomes more red, please consult a doctor.
Wishing you good health.

Reply Date: 2020/08/19

More Info


When dealing with redness and swelling of the glans (the head of the penis), it is crucial to understand that these symptoms can indicate a variety of underlying conditions, some of which may require medical attention. Based on your description, it sounds like you initially had a minor issue that has escalated into a more serious condition, especially since you are experiencing increasing redness, swelling, and bleeding.

First, it’s important to recognize that the glans can become irritated or inflamed due to several reasons, including infections (such as yeast infections or sexually transmitted infections), allergic reactions to soaps or lotions, friction from sexual activity, or skin conditions like balanitis. Balanitis is an inflammation of the glans that can cause redness, swelling, and sometimes discharge. If the condition is worsening despite treatment, it may suggest that the initial diagnosis was not entirely accurate or that the treatment is not effective.

The fact that you have been applying a topical ointment for several days without improvement is concerning. Redness and swelling that increase over time, especially with the presence of bleeding, may indicate an infection or a more severe inflammatory response. It is not typical for a simple irritation to worsen to the point of bleeding, and this could suggest that the skin barrier has been compromised, allowing for secondary infections to occur.

In terms of treatment, while topical medications can be effective for certain conditions, they may not be sufficient if there is an underlying infection or if the skin is too damaged. In such cases, oral medications, such as antibiotics or antifungals, may be necessary depending on the cause of the inflammation. Additionally, if there is any discharge or odor, this could further indicate an infection that needs to be addressed.

Given the symptoms you are experiencing, it is advisable to seek medical attention promptly. A healthcare provider can perform a thorough examination, possibly including swabs or cultures to identify any infectious agents. They can also assess the extent of the injury and determine if further treatment, such as a different type of medication or even a referral to a specialist, is necessary.

In summary, while some redness and swelling can be normal after an injury, the progression of your symptoms—especially the increasing redness, swelling, and bleeding—suggests that you should seek medical help as soon as possible. Early intervention can prevent complications and lead to a more effective resolution of your symptoms. Always prioritize your health and do not hesitate to reach out to a healthcare professional when you notice changes that concern you.

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