White Membrane Around Urethral Opening: Causes and Care

Q: White Membrane Around Urethral Opening: Causes and Care

Hello： 1) Use warm water to rinse while bathing, do not rub, pat dry, and if there are no symptoms, there is no need to apply ointment. <br>Wear loose-fitting underwear. <br>2) A cotton swab with a small amount of iodine can effectively clean? --> If there are no symptoms, it is

White membrane on both sides of the urethral opening on the glans?

Hello Doctor, I have noticed a white membrane on the glans, usually on both sides of the urethral opening.
Currently, only a small part in the middle remains a healthy pink color.
There is no pain, itching, or odor, and I do not experience any burning or stinging sensation while urinating.
I visited a urologist, who diagnosed it as a fungal infection and prescribed a topical antifungal ointment.
However, it seems to have had little effect, and the white area appears to have increased.
I have a habit of cleaning daily, and before my visit to the urologist, I used body wash to clean the area.
The doctor specifically advised me not to use any cleansing products in the future.
I continue to wash the area daily, but I use warm water and gently rub it instead of cold water.
I am wondering if it is possible that I am over-cleaning, causing the skin on the glans to regenerate and leading to a misdiagnosis by the doctor.
I am concerned that my gentle rubbing may be creating a vicious cycle.
Due to my job, it takes a long time to get time off to see a doctor again.
I hope you can advise me on the following: 1.
Should I change my cleaning method to using cold water and gently rubbing? 2.
Is there any medication that can soften the white membrane so I can remove it? (I have tried soaking in warm water with no effect.) 3.
Should I continue applying the ointment? 4.
Can a cotton swab with a small amount of iodine be effective in removing it?

Lin Xiansheng, 20~29 year old female. Ask Date: 2020/08/29

Dr. Du Shixi reply Urology

Hello: 1) Use warm water to rinse while bathing, do not rub, pat dry, and if there are no symptoms, there is no need to apply ointment.
Wear loose-fitting underwear.
2) A cotton swab with a small amount of iodine can effectively clean? --> If there are no symptoms, it is unnecessary.
Use condoms during sexual activity, and avoid public water places such as swimming pools and hot springs.
Wishing you good health.

Reply Date: 2020/08/29

More Info

The presence of a white membrane around the urethral opening, particularly on the glans penis, can be concerning and may indicate various underlying conditions. Based on your description, it seems you have already consulted a urologist who suggested a fungal infection and prescribed a topical antifungal cream. However, since you have not observed significant improvement, let's explore your questions in detail.

1. Cleaning Method: It is essential to maintain proper hygiene without overdoing it. Over-cleaning, especially with harsh soaps or scrubbing, can irritate the sensitive skin of the glans and potentially lead to a condition known as balanitis, which is inflammation of the glans. Instead of using soap, it is advisable to clean the area gently with warm water. Using ice-cold water may not be necessary and could cause discomfort. The key is to be gentle and avoid any products that could irritate the skin further. If you are currently using any soaps or cleansers, it would be best to stop and stick to plain water.

2. Softening the White Membrane: There are no specific over-the-counter treatments designed to soften a white membrane on the glans. However, soaking the area in warm water may help. If warm water has not been effective, you might consider trying a saline solution (a mixture of salt and water) as it can help cleanse the area and may promote healing. Avoid any aggressive scrubbing or use of cotton swabs that could cause further irritation.

3. Continued Use of Topical Cream: If the antifungal cream prescribed by your doctor has not shown any improvement after a reasonable period (usually a week or two), it is advisable to follow up with your healthcare provider. They may want to reassess the situation, as the white membrane could be due to other causes, such as a different type of infection, irritation, or even a skin condition like lichen sclerosus. Continuing to use the cream without improvement may not be beneficial.

4. Use of Cotton Swabs and Iodine: Using a cotton swab with iodine is not recommended for cleaning sensitive areas like the glans. Iodine can be irritating and may disrupt the natural flora of the skin, potentially worsening the condition. It is best to avoid any harsh chemicals or irritants in this area.

In summary, it is crucial to maintain gentle hygiene practices and avoid over-cleaning. If the white membrane persists or worsens, or if you develop any new symptoms (such as pain, itching, or discharge), it is essential to return to your healthcare provider for further evaluation. They may consider other diagnoses or treatments, including a possible referral to a dermatologist if the condition does not improve with standard treatments. Remember, self-diagnosing and treating can sometimes lead to complications, so professional guidance is always the best course of action.

Similar Q&A

Understanding Urethral Issues: Symptoms, Diagnosis, and Next Steps

Hello Dr. Du, I have noticed some small white spots near the urethral opening and on the inner surface of the foreskin. Some of these spots are slightly raised, while others feel like they are beneath the skin. They are mostly surrounding the urethral opening and are more noticea...

Dr. Du Shixi reply Urology
Hello: It is recommended that you perform another midstream urine test. Additionally, just keep the skin clean; do not open the urethral orifice, as it may cause unnecessary inflammation. Thank you for your inquiry.

Understanding White Discharge Around the Urethra: Causes and Concerns

Hello doctor, I recently noticed a white, creamy substance around the urethral opening that resembles tofu. I can remove it with a cotton swab, and the area underneath is the normal color of my genitalia. Besides the white covering, there is no pain or itching. Additionally, I ha...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your symptom description, it is recommended to keep the perineal area clean and dry, avoid tight-fitting clothing, and consider soaking in a bath to alleviate symptoms. If symptoms persist, please consult a physician for diagnosis and treatment. Thank you! Wishing...

Mild Pain at Urethral Opening During Urination: Possible Causes Explained

Hello, I initially sought medical attention due to painful urination (without burning sensation or discharge). After a urinalysis, all values were normal, and there were no common signs of inflammation. Later, upon examining the internal urethra, I discovered a white, skin-like s...

Dr. Li Xinyi reply Urology
It sounds like there may be urethral discharge; it is recommended to see a urologist for an examination and further discussion with the physician.

White Bump on Urethral Opening: Causes and Concerns

Today, while taking a shower, I noticed a small bump at the urethral opening that looks like a pimple, white in color. I'm not sure if it is infected or if it could be a sign of some other condition. What could it be?

Dr. Li Yilun reply Urology
Symptoms that are not obvious cannot be assessed solely based on your brief description; a thorough medical history and consultation are necessary. If you have any doubts, it is advisable to seek evaluation and examination from a qualified physician. Doctors often require a detai...