Various urinary issues?
Hello Doctor: I am a 29-year-old male, non-smoker, non-drinker, with a regular lifestyle and a girlfriend (steady sexual partner).
1.
About six months ago, I noticed that my foreskin started to have an unpleasant odor every day (without consuming strong-flavored foods).
Even after drying with toilet paper after urination, the odor persists.
I also observed that the glans sometimes secretes a clear, sticky fluid.
2.
I have also noticed that sometimes after drinking milk or after masturbation, my urine has a strong odor and feels cloudy with sediment.
Regarding these issues, I have undergone a full health check-up and visited a nearby urology clinic, where they said there were no problems with my health.
However, the odor from my foreskin has been affecting my daily life.
What should I do, Doctor (considering that I may not want to undergo circumcision during the pandemic)?
Lin, 20~29 year old female. Ask Date: 2022/04/27
Dr. Du Shixi reply Urology
Hello: The foreskin should be kept clean and dry.
After urination, consider drying it to avoid moisture.
Underwear should be loose-fitting.
Limit spicy foods in your diet, and prioritize plain water for hydration, ensuring adequate fluid intake.
Minimize the consumption of sugary beverages.
If parents have diabetes, blood sugar should be monitored before meals.
Wishing you good health.
Reply Date: 2022/04/27
More Info
Hello! Thank you for reaching out with your concerns regarding urological issues. It's understandable that experiencing unusual odors and discharge can be distressing, especially when it affects your daily life. Let's break down your symptoms and explore some potential causes and solutions.
Firstly, the odor you're noticing from the foreskin can often be attributed to a buildup of smegma, which is a combination of dead skin cells, oils, and moisture. This is particularly common in individuals who are uncircumcised. Regular hygiene practices are crucial in managing this issue. It's recommended to gently retract the foreskin during bathing and clean the area with mild soap and water. This can help reduce the accumulation of smegma and, consequently, the odor.
Regarding the clear, sticky discharge from the glans (the head of the penis), this can be normal in some cases, especially if it occurs after sexual arousal or masturbation. However, if the discharge is accompanied by discomfort, pain, or changes in color or consistency, it may warrant further investigation.
The strong odor after consuming certain foods or after ejaculation can also be influenced by dietary factors. Foods rich in sulfur (like garlic and onions) or certain dairy products can sometimes alter the smell of urine. Additionally, dehydration can concentrate urine, leading to a stronger odor. Ensuring adequate hydration can help mitigate this.
You mentioned that you've already consulted with a urologist and received a clean bill of health. This is reassuring, but if the odor persists despite good hygiene practices, it may be worth seeking a second opinion or asking for a referral to a specialist who can conduct a more thorough examination. Conditions such as balanitis (inflammation of the glans) or infections can sometimes present with similar symptoms, and a healthcare provider may recommend specific tests to rule these out.
In the meantime, here are some practical steps you can take:
1. Maintain Good Hygiene: As mentioned, gently retract the foreskin during showers and clean the area thoroughly. This can help prevent the buildup of smegma and reduce odor.
2. Stay Hydrated: Drink plenty of water throughout the day to help dilute your urine, which can lessen the odor.
3. Monitor Your Diet: Pay attention to how certain foods affect your urine's smell. If you notice a pattern, consider adjusting your diet accordingly.
4. Consider Over-the-Counter Products: Some men find that using a mild, unscented soap or a specialized intimate wash can help maintain cleanliness without causing irritation.
5. Avoid Irritants: Be cautious with products that may irritate the genital area, such as heavily scented soaps, lotions, or laundry detergents.
6. Consult a Specialist: If the problem persists, consider seeking a urologist who specializes in male reproductive health. They may offer additional insights or treatments.
Lastly, while circumcision is a common solution for persistent issues related to the foreskin, it's understandable that you may want to avoid this during the pandemic. If hygiene practices do not alleviate your symptoms, discussing the option with a healthcare provider when the time is right could be beneficial.
It's important to address these concerns with a healthcare professional who can provide personalized advice based on a thorough examination. Don't hesitate to reach out for help, as these issues can often be resolved with the right approach. Take care, and I hope you find relief soon!
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