Recurrent Red Spots on the Glans: Causes and Solutions

Q: Recurrent Red Spots on the Glans: Causes and Solutions

Hello： 1) Wear looser pants at work and comfortable, breathable clothing after work. <br>2) Soap and body wash are not necessary for now. <br>3) Rinse with clean water and dry thoroughly, once in the morning and once at night. <br>After urination, gently pat dry to avoid moisture

Inquiry about red spots on the glans?

Hello, doctor.
Since last year, I have been experiencing small red spots on my glans intermittently (about once a month last year, but recently they have been appearing every one to two weeks).
I have seen three urologists, and they all diagnosed me with balanitis and prescribed me a topical medication.
Due to my job in a factory, I need to lift heavy objects and do not have time for a circumcision (I have phimosis, but I can retract the foreskin for cleaning; it only exposes about one-third when not erect).
I also wear jeans for work, and I sometimes experience post-void dribbling, which causes urine to remain under the foreskin.
I would like to ask the doctor how I can improve my hygiene routine, as I shower daily and use clean water followed by a hairdryer to dry the area, but the red spots are becoming more frequent.
I am concerned about the long-term risks, as the doctors I consulted mentioned that recurrent inflammation may require circumcision, but they did not explain why this is necessary.
I am worried about the potential effects of these frequent red spots on my penis.

Ayou, 30~39 year old female. Ask Date: 2021/03/16

Dr. Du Shixi reply Urology

Hello: 1) Wear looser pants at work and comfortable, breathable clothing after work.
2) Soap and body wash are not necessary for now.
3) Rinse with clean water and dry thoroughly, once in the morning and once at night.
After urination, gently pat dry to avoid moisture.
4) Recurrent inflammation may be due to inability to dry properly, and it could also be caused by sexual activity; if engaging in sexual activity, practice safe sex.
5) If parents have diabetes, consider checking fasting blood glucose levels to see if they are elevated.
Wishing you good health.

Reply Date: 2021/03/16

More Info

Recurrent red spots on the glans can be concerning, and it's understandable that you're seeking clarity on this issue. Based on your description, it seems that you are experiencing recurrent episodes of inflammation, possibly balanitis, which is an inflammation of the glans (the head of the penis). This condition can be caused by various factors, including irritation, infection, or underlying skin conditions.

Causes of Recurrent Red Spots on the Glans
1. Balanitis: This is the most common cause of red spots on the glans. It can be due to poor hygiene, leading to the accumulation of smegma (a combination of dead skin cells and oils), which can irritate the skin. In your case, the presence of urine residue due to the anatomical structure (foreskin) may contribute to this irritation.

2. Infections: Fungal infections (like candidiasis) or bacterial infections can also lead to inflammation and redness. If you are frequently in a humid environment or wearing tight clothing, this could predispose you to such infections.

3. Irritation: Wearing tight clothing, such as jeans, can cause friction and irritation, especially if the area does not have adequate ventilation. This can lead to inflammation and the appearance of red spots.

4. Skin Conditions: Conditions such as psoriasis or eczema can also manifest as red spots on the glans. These are typically chronic conditions that require specific management.

5. Sexually Transmitted Infections (STIs): Although less likely given your description, STIs can also cause symptoms in this area. If you have any concerns about this, it would be prudent to get tested.

Recommendations for Management
1. Hygiene: Continue with good hygiene practices. Ensure that you wash the area gently with water daily, and consider using a mild soap if necessary. After washing, make sure to dry the area thoroughly, as moisture can promote fungal growth.

2. Clothing: Opt for loose-fitting underwear and pants to reduce friction and allow for better airflow. This can help minimize irritation.

3. Topical Treatments: If your doctor has prescribed a topical medication like Meikang ointment, continue using it as directed. This may help reduce inflammation and manage symptoms. If you notice no improvement, follow up with your healthcare provider.

4. Consider Circumcision: If you are experiencing recurrent balanitis and your doctors have recommended circumcision, it is often because removing the foreskin can help prevent the accumulation of smegma and reduce the risk of recurrent infections. This procedure can provide long-term relief for many men who suffer from chronic inflammation.

5. Follow-Up: Since you have seen multiple doctors, it might be beneficial to consult a dermatologist or a urologist specializing in penile health for a more comprehensive evaluation. They may perform tests to rule out infections or other skin conditions.

Potential Risks
If left untreated, recurrent inflammation can lead to complications such as scarring, phimosis (inability to retract the foreskin), or even more severe infections. Chronic irritation can also lead to changes in the skin that may require more extensive treatment.

In conclusion, while recurrent red spots on the glans can be concerning, they are often manageable with proper hygiene and medical care. If symptoms persist or worsen, seeking further evaluation is crucial to ensure that there are no underlying issues that need to be addressed.

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