Prepuce issues, penile issues?
Today, when I was taking a shower and rinsing off smegma, I felt pain when the water touched the coronal sulcus of the glans.
After retracting the foreskin, I noticed that the foreskin was red, and it still hurts when I rinse it.
It doesn't hurt if I avoid water.
What could be the reason for this?
Niming, 10~19 year old female. Ask Date: 2020/11/11
Dr. Du Shixi reply Urology
Hello: There may be inflammation and redness; please consult a urologist at the hospital.
Wishing you good health.
Reply Date: 2020/11/11
More Info
Experiencing pain and redness in the penis, particularly in the area of the glans (the head of the penis) and the foreskin, can be concerning and uncomfortable. Based on your description, it seems that you may be dealing with a condition known as balanitis, which is inflammation of the glans, often caused by irritation, infection, or poor hygiene. Here’s a comprehensive guide to understanding your symptoms and potential treatments.
Understanding the Symptoms
1. Pain and Redness: The pain you feel when water touches the glans, especially in the coronal sulcus (the groove where the glans meets the shaft), along with redness, suggests inflammation. This could be due to several factors:
- Irritation: This can occur from soap, shampoo, or even the friction of the foreskin against the glans.
- Infection: Bacterial or fungal infections can lead to balanitis, causing redness, swelling, and pain.
- Poor Hygiene: Accumulation of smegma (a combination of dead skin cells, oils, and moisture) can irritate the area, leading to inflammation.
2. Pain with Water Exposure: The fact that you experience pain specifically when water touches the area indicates that the inflammation is sensitive to external stimuli. If the area is inflamed, even gentle contact can cause discomfort.
Recommended Actions
1. Maintain Hygiene: Ensure that you clean the area gently but thoroughly. Use mild, unscented soap and warm water. Avoid using harsh soaps or products that can irritate the skin further.
2. Avoid Irritants: If you suspect that soap or other products are causing irritation, try to avoid them. You may also want to refrain from using any lotions or creams in the area until the irritation subsides.
3. Topical Treatments: Over-the-counter hydrocortisone cream may help reduce inflammation and discomfort. However, it’s essential to use it sparingly and not for prolonged periods without consulting a healthcare provider.
4. Cold Compress: Applying a cold compress to the area can help alleviate pain and reduce swelling. Ensure that the compress is clean and not too cold to avoid further irritation.
5. Consult a Healthcare Provider: If symptoms persist for more than a few days, worsen, or if you notice any discharge, it’s crucial to seek medical advice. A healthcare provider can perform a physical examination and may recommend:
- Antifungal or Antibiotic Creams: If an infection is suspected, appropriate topical medications can be prescribed.
- Further Testing: In some cases, a swab of the area may be taken to identify any underlying infections.
When to Seek Immediate Help
- If you experience severe pain, swelling, or fever.
- If there is any unusual discharge from the penis.
- If you notice any lesions or sores that do not heal.
Conclusion
Pain and redness in the penis, particularly around the foreskin and glans, can often be managed with proper hygiene and care. However, if symptoms persist or worsen, it’s essential to consult a healthcare provider for a thorough evaluation and appropriate treatment. Remember, maintaining good hygiene and avoiding irritants are key steps in preventing further issues. Your health and comfort are paramount, so don’t hesitate to seek help if needed.
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