Glans Skin Changes After Phimosis Surgery: Causes and Treatments

Q: Glans Skin Changes After Phimosis Surgery: Causes and Treatments

Hello： 1) Your condition is quite common and will improve in a few months; the discoloration will not be significant. <br>It is not recommended to apply any products, as they may not be very helpful. <br>Just keep the area clean and dry. <br>2) There is no specific name for it, a

Glans epithelium

Hello Doctor: I have had a problem with phimosis since childhood.
I can normally retract my foreskin for cleaning, whether erect or not.
However, during a DIY attempt, I accidentally injured the frenulum and the skin at the opening of the foreskin.
I was very nervous and in pain at that moment, so I quickly pushed the foreskin back.
Later, in middle school, not knowing better, I thought it would heal on its own after a few days.
After the wound healed, I developed true phimosis, and regardless of whether I was erect or not, I could not retract the foreskin no matter how hard I tried.
Due to embarrassment, I did not tell my parents about this issue until recently when I went to the hospital for a circumcision.
Now, I notice that part of the surface of my glans is white, and I am certain it is not smegma (it cannot be washed away).
On the day of the circumcision, I asked the doctor, and he said it was due to severe inflammation.
The sensitivity of the white area feels different from the pink areas, as if there is a layer of white skin.
I would like to ask: (1) Is there a possibility for the glans to return to normal? Are there any treatment options or medications? (2) Does this issue have a specific name? I couldn't find much information online; I only found references to balanitis caused by excessive washing, but it doesn't seem to match my symptoms.
Thank you for taking the time to respond!

Xiao Hua, 10~19 year old female. Ask Date: 2021/03/31

Dr. Du Shixi reply Urology

Hello: 1) Your condition is quite common and will improve in a few months; the discoloration will not be significant.
It is not recommended to apply any products, as they may not be very helpful.
Just keep the area clean and dry.
2) There is no specific name for it, at least I am not using anything.
Wishing you good health.

Reply Date: 2021/03/31

More Info

After undergoing phimosis surgery, it is not uncommon for patients to experience changes in the skin of the glans (the head of the penis). These changes can be concerning, especially if they involve discoloration or sensitivity differences. Based on your description, it seems that you are experiencing a white area on the glans that is associated with inflammation and altered sensitivity.
1. Possibility of Reversal: The potential for the glans skin to return to its normal appearance largely depends on the underlying cause of the discoloration and sensitivity. If the white area is due to post-surgical inflammation, it may improve over time as the tissue heals. In some cases, topical treatments such as corticosteroids may be prescribed to reduce inflammation and promote healing. However, it is crucial to consult with your healthcare provider before starting any treatment, as they can assess the condition accurately and recommend the best course of action. If the white area is due to a condition such as leukoplakia or lichen sclerosus, further evaluation and specific treatments may be necessary.

2. Possible Diagnosis: The condition you are describing could be related to several factors. The white discoloration might be a result of post-inflammatory changes, which can occur after surgery or injury. It could also be indicative of a condition known as balanitis, which is inflammation of the glans, often caused by irritation, infection, or allergic reactions. Another possibility is that it could be a form of keratosis, where the skin thickens and becomes discolored.
It is essential to differentiate between these conditions, as the treatment will vary accordingly. For example, if it is a simple case of post-surgical inflammation, conservative management may suffice. However, if there is an underlying infection or a chronic skin condition, more targeted therapies may be required.

In terms of management, here are some general recommendations:
- Avoid Irritants: Ensure that you are not using any harsh soaps or products that could further irritate the area. Gentle cleansing with mild soap and water is usually sufficient.

- Moisturization: Keeping the area moisturized can help with healing. Consider using a fragrance-free moisturizer or a barrier cream to protect the skin.

- Follow-Up Care: It is crucial to have regular follow-ups with your urologist or dermatologist. They can monitor the healing process and intervene if necessary.

- Avoid Self-Diagnosis: While it is tempting to search for answers online, it is essential to rely on professional medical advice. Your healthcare provider can perform a physical examination and may recommend tests if needed to reach a definitive diagnosis.

In summary, while there is a possibility that the glans skin may return to normal, it is essential to seek professional medical advice for an accurate diagnosis and appropriate treatment. Your healthcare provider will be able to guide you through the healing process and address any concerns you may have regarding the changes in your skin.

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