Managing Recurrent Red Spots on the Glans: Urology Insights and Care Tips

Recurrent red spots?

Hello, doctor.
I have noticed red spots on my glans since last year.
The doctor diagnosed it as balanitis and I have visited the clinic several times.
Recently, it has been occurring every week or two, so I have been applying Meikang ointment (which was prescribed by the doctor) twice a day, and it usually improves in about 3-4 days.

1.
I have been washing with water daily and using a hairdryer to dry it (at a temperature that is bearable for my body).
Do I need to use cold water?
2.
I understand that circumcision might be better, but my job involves heavy lifting and overtime, leaving me little time.
If I don't get circumcised, what additional steps should I take? I wear jeans to work and try to use the restroom frequently to allow for ventilation, but I still occasionally get red spots.

3.
Will applying Meikang ointment have any adverse effects on my penis?
4.
I do not have diabetes, but I have ankylosing spondylitis, an autoimmune disease, and I take immunomodulatory medication daily.
Could not taking this medication also have an impact?

You, 30~39 year old female. Ask Date: 2021/03/12

Dr. Jian Weihong reply Urology

Hello,
1) Try to dry it off, do not use a hairdryer.

2) Underwear must be loose; if it gets wet from sweating or urination, it should be dried immediately.
If possible, check blood sugar before meals, especially if there is a family history of diabetes.
Prolonged moisture can increase the risk of infection even after circumcision.

3) Long-term application of medication is not ideal, as it can cause changes in the skin for some individuals.

4) It is important to discuss with an immunologist, as we cannot rule out possibilities.
However, the local environment is still a significant factor.

Wishing you good health.

Reply Date: 2021/03/12

More Info

Managing recurrent red spots on the glans can be a frustrating experience, especially when it seems to persist despite treatment. Based on your description, it appears that you have been dealing with recurrent balanitis (inflammation of the glans) and have been using a topical ointment (Mei Kang) as prescribed by your doctor. Here are some insights and care tips that may help you manage this condition more effectively.

1. Hygiene Practices: It's great that you are maintaining good hygiene by washing daily and ensuring the area is dry. Using a hairdryer on a low setting is a good practice, but it’s important to avoid excessive heat. Ice water is not necessary; room temperature water is sufficient for washing. After washing, ensure that the area is completely dry before putting on any clothing, as moisture can exacerbate irritation.

2. Considerations for Circumcision: While circumcision can be a definitive solution for recurrent balanitis, it’s understandable that your work schedule may not allow for this procedure at the moment. If you choose to postpone circumcision, consider the following steps to minimize irritation:
- Wear Loose-Fitting Clothing: Tight clothing, such as jeans, can trap moisture and heat, leading to irritation. Opt for breathable fabrics like cotton.

- Avoid Irritants: Be cautious with soaps, lotions, or other products that may irritate the sensitive skin of the glans. Stick to mild, unscented products.

- Regular Application of Ointment: Continue using the Mei Kang ointment as directed, but monitor for any signs of adverse reactions. If irritation persists, consult your doctor for alternative treatments.

3. Impact of Topical Ointments: Generally, using a topical ointment like Mei Kang should not have negative effects if used as directed. However, if you notice increased irritation or any unusual symptoms, it’s important to stop using it and consult your healthcare provider. They may recommend a different treatment or further evaluation.

4. Underlying Health Conditions: Having ankylosing spondylitis and being on immunosuppressive medications can impact your immune response, potentially making you more susceptible to infections or skin irritations. It’s crucial to communicate with your healthcare provider about your immune status and any medications you are taking, as they may need to adjust your treatment plan or monitor you more closely for infections.

5. When to Seek Further Help: If the red spots continue to recur despite your best efforts, or if you experience additional symptoms such as pain, swelling, or discharge, it’s important to seek further medical evaluation. A urologist may perform additional tests to rule out other underlying conditions, such as sexually transmitted infections or skin disorders.

In summary, managing recurrent red spots on the glans involves maintaining good hygiene, being mindful of irritants, and possibly considering circumcision in the future. If symptoms persist or worsen, don’t hesitate to reach out to your healthcare provider for further evaluation and management. Your health and comfort are paramount, and there are options available to help you find relief.

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