and Treating Skin Cracks on the Glans Penis: Expert Insights

Glans skin

Dear Dr.
Li Hsin-Yi,
I would like to ask you some questions regarding an issue I have been experiencing.
I have noticed a line of cracks in the skin around the urethral opening of my glans, measuring approximately 0.3 to 0.5 centimeters.
Initially, there was only one crack, but over time (ranging from 5 to 8 years), several more have appeared.
There is no bleeding, redness, or pain associated with these cracks; they resemble healed acne scars, with a cracked or indented appearance.
Additionally, the skin around the urethral opening is quite wrinkled.
I engage in sexual activity infrequently, but I do practice masturbation about every 2 to 3 days.
I kindly request your professional insight on this matter.
Thank you.

Xiao Luo, 30~39 year old female. Ask Date: 2021/01/27

Dr. Li Xinyi reply Urology

It seems to be a contact-related chronic allergic skin reaction.
If you have concerns, it's advisable to consult a urologist or dermatologist for an examination and further discussion with the physician.

Reply Date: 2021/01/27

More Info

Understanding and treating skin cracks on the glans penis can be a sensitive topic, but it is essential to address these concerns with proper medical insights. The symptoms you describe, including linear cracks on the glans penis that have developed over several years, are not uncommon and can be attributed to various factors.

Firstly, the skin on the glans penis is delicate and can be affected by several conditions. The cracks you observe may be a result of a condition known as "balanitis," which is inflammation of the glans. This can occur due to irritants, infections, or even friction from sexual activity or masturbation. However, since you mentioned that there is no bleeding, redness, or pain associated with these cracks, it may suggest that the condition is not acute or inflammatory.

Another possibility is that the cracks are a result of dryness or a lack of moisture in the area. The skin on the glans can become dry due to environmental factors, such as low humidity, or due to personal hygiene products that may be too harsh. Additionally, certain skin conditions, such as eczema or psoriasis, can also lead to dryness and cracking of the skin.

Given that you have noted the appearance of multiple cracks over time, it is essential to consider the role of friction and irritation. Even infrequent sexual activity can lead to irritation if there is not enough lubrication. Self-stimulation, as you mentioned occurs every few days, can also contribute to this issue if adequate lubrication is not used.

In terms of treatment, it is crucial to maintain proper hygiene while avoiding irritants. Gentle cleansing with mild soap and water is recommended, and it is advisable to avoid using scented or harsh soaps that can exacerbate dryness. After cleansing, applying a fragrance-free moisturizer or emollient can help keep the skin hydrated and promote healing. Products containing ingredients like hyaluronic acid or glycerin can be beneficial in retaining moisture.

If the condition persists or worsens, it is advisable to consult a dermatologist or urologist. They can perform a thorough examination and may recommend topical treatments, such as corticosteroids, to reduce any inflammation or irritation. In some cases, if a fungal or bacterial infection is suspected, appropriate antifungal or antibiotic treatments may be necessary.

It is also important to rule out any sexually transmitted infections (STIs) if there are changes in the skin or if you experience any new symptoms. Regular check-ups and open communication with your healthcare provider can help ensure that any underlying issues are addressed promptly.

In summary, the cracks on the glans penis may be due to dryness, irritation, or a chronic skin condition. Maintaining proper hygiene, using gentle moisturizers, and consulting with a healthcare professional for persistent symptoms are essential steps in managing this condition. Remember, it is always best to seek personalized medical advice tailored to your specific situation.

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