Issues at the Base of the Glans: Causes and Solutions - Urology

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There is an issue at the base of the glans?


Hello Doctor: A week ago, while engaging in DIY activities, I exerted too much force.
I already had a tight foreskin (I can normally perform DIY, but the foreskin does not retract fully when erect).
At one point, it was pulled back enough to see the tip of the glans, which caused some pain, and the base appeared slightly dark red and purple.
Afterward, I washed away the smegma with warm water.
The next day, I experienced slight itching near the urethral opening once or twice, but after five days, there has been no pain or itching.
However, the base of the glans is still purple.
Is this inflammation, bruising, or another issue? How can I improve this condition? Thank you for your clarification!

A, 10~19 year old female. Ask Date: 2020/12/05

Dr. Li Xinyi reply Urology


If it is a bruise from an injury, it generally heals on its own over time.
However, based on your description, I don't fully understand your situation.
If you have concerns, it is advisable to see a urologist for an examination and discuss it further with the physician.

Reply Date: 2020/12/05

More Info


It sounds like you are experiencing some discomfort and discoloration at the base of the glans after a recent incident involving excessive force during a DIY activity. Based on your description, it is possible that you have sustained a minor injury or bruising in that area. The dark red or purple color you are observing could indicate bruising, which is a common response to trauma where blood vessels break and blood leaks into the surrounding tissue.
In terms of symptoms, the fact that you experienced some itching initially but have not had ongoing pain or itching is a positive sign. It suggests that there may not be a significant infection or inflammation present. However, the discoloration may take some time to resolve as the body heals.
Here are some recommendations for managing your symptoms and promoting healing:
1. Rest and Avoid Irritation: Give your body time to heal by avoiding any activities that may further irritate the area, including vigorous sexual activity or any actions that could cause additional friction.

2. Hygiene: Continue to maintain good hygiene by gently washing the area with warm water. Avoid using harsh soaps or chemicals that could irritate the sensitive skin.

3. Cold Compress: If you experience swelling or discomfort, applying a cold compress to the area for short periods can help reduce inflammation and provide relief.

4. Monitor Symptoms: Keep an eye on the discoloration and any changes in symptoms. If the bruising does not improve over the next week or if you start to experience increased pain, swelling, or discharge, it would be wise to consult a healthcare professional.

5. Avoid Self-Diagnosis: While it is tempting to self-diagnose based on symptoms, it is crucial to seek medical advice if you have any concerns. A healthcare provider can perform a physical examination and may recommend further tests if necessary.

6. Consider Underlying Conditions: If you have a history of phimosis (tight foreskin) or other conditions affecting the foreskin, it may be beneficial to discuss these with a urologist. They can provide guidance on whether any surgical options, such as circumcision, might be appropriate for you in the long term.

7. Pain Management: If you experience any discomfort, over-the-counter pain relief medications like ibuprofen or acetaminophen can be used, but ensure you follow the recommended dosages.

8. Follow-Up: If the discoloration persists beyond a couple of weeks or if you develop new symptoms, such as fever, increased pain, or discharge, it is essential to seek medical attention. These could be signs of an infection or other complications that may require treatment.

In summary, while it is likely that you are dealing with a minor injury or bruising, it is essential to monitor your symptoms and practice good hygiene. If you have any concerns or if your symptoms worsen, do not hesitate to reach out to a healthcare professional for further evaluation and guidance. Your health and comfort are paramount, and a medical expert can provide the most accurate advice tailored to your situation.

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