Fungal Infections in Urology: Treatment and Recovery Insights - Urology

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Fungal infection


Hello Doctor: A month ago, I visited a doctor due to peeling of the glans, and I was diagnosed with a fungal infection.
I was prescribed an ointment, but after using it for three weeks, the peeling still occurred every 3 to 5 days.
I then switched clinics, and the new doctor prescribed a different ointment along with oral medication.
After applying the medication twice daily and taking the oral medication for a week, the peeling has stopped.
Does this mean I am cured? Additionally, I have a condition of phimosis, but I can fully retract the foreskin to expose the glans.
Due to the infection and inflammation a few weeks ago, I have been paying close attention to the glans.
I noticed that when the foreskin is retracted, the glans feels somewhat sticky, but after a while, it no longer feels sticky.
After cleaning, when I retract the foreskin again, I experience the same stickiness.
Is this normal, or does it indicate that the inflammation has not fully resolved?

Niming, 20~29 year old female. Ask Date: 2021/06/23

Dr. Du Shixi reply Urology


Hello, is this considered cured? --> Fungal infections are prone to recurrence, so it's important to maintain cleanliness and dryness.
After the foreskin retracts, it may feel a bit sticky on the glans, but after some time, it won't feel sticky again.
After cleaning, if the foreskin retracts again after a while, the same situation may occur.
Is this normal? --> This is common.
If it feels wet after urination, should I dry it, or does that indicate that the inflammation hasn't resolved? --> If there is redness, it may indicate an infection.
Wishing you good health.

Reply Date: 2021/06/23

More Info


Understanding fungal infections in urology, particularly those affecting the genital area, is crucial for effective treatment and recovery. Based on your description, it seems you have been dealing with a fungal infection that has caused peeling of the glans (the head of the penis). The fact that you initially received topical treatment and later switched to a combination of topical and oral medications indicates that your healthcare providers are taking a comprehensive approach to your condition.

Fungal infections in the genital area, often caused by Candida species, can lead to symptoms such as itching, redness, and peeling of the skin. These infections can be persistent and may require prolonged treatment, especially if they are recurrent. The fact that you have not experienced peeling after a week of the new treatment is a positive sign, suggesting that the infection may be resolving. However, it is essential to continue monitoring your symptoms and follow your doctor's advice regarding the duration of treatment.

Regarding your concern about the sticky sensation on the glans after retracting the foreskin, this can be a common occurrence. The glans is typically covered by a mucous membrane that can produce secretions, which may feel sticky or moist. This is usually normal, especially if you have had an infection or inflammation in the area. However, if the stickiness is accompanied by other symptoms such as persistent redness, swelling, or discomfort, it may indicate that the inflammation has not fully resolved.

It is also important to consider the role of hygiene in recovery. Keeping the area clean and dry can help prevent the recurrence of fungal infections. After washing, ensure that the area is thoroughly dried, as moisture can promote fungal growth. If you have a history of recurrent infections, it may be beneficial to discuss preventive measures with your healthcare provider, which could include lifestyle changes, dietary adjustments, or even antifungal prophylaxis in certain cases.

In terms of your phimosis (the condition of having a tight foreskin that cannot be easily retracted), it is advisable to consult with a urologist. While you can retract the foreskin to expose the glans, if you experience pain or difficulty, it may be worth exploring treatment options. In some cases, phimosis can contribute to recurrent infections, and addressing it may help reduce the likelihood of future issues.

In summary, while your current treatment appears to be effective, ongoing monitoring of your symptoms is essential. If you notice any return of symptoms or new concerns, do not hesitate to reach out to your healthcare provider. They can offer further evaluation and adjust your treatment plan as necessary. Maintaining good hygiene and discussing any anatomical concerns with a specialist will also contribute to your overall recovery and health.

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