Managing Dryness and Irritation of the Glans: A Urology Perspective - Urology

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The glans penis is slightly dry and cracked?


Doctor, I apologize for bothering you, but I would like to ask a question.
About two months ago, I visited a doctor because of itching on my glans.
The doctor prescribed a cream for me and advised me to monitor the situation.
The cream (Miconazole cream) did provide significant relief.
However, during a busy period, I stopped applying it and experienced itching again, but reapplying it alleviated the symptoms.
Nonetheless, there is still a small red patch on my glans that doesn't hurt and feels normal to the touch.
Should I continue using the cream without interruption until it completely resolves? Additionally, when I shower, I notice that my glans appears somewhat dry, leading to peeling.
How can I address this issue? Thank you, doctor.

a a, 10~19 year old female. Ask Date: 2022/04/29

Dr. Chen Jiansheng reply Urology


Please proceed with the examination and treatment.

Reply Date: 2022/04/29

More Info


Managing dryness and irritation of the glans can be a common issue, and it’s important to approach it with a clear understanding of the underlying causes and appropriate treatment options. From your description, it seems like you have been experiencing symptoms such as itching and redness of the glans, which have improved with the use of a topical cream (MeiKang cream). However, you also noted that the symptoms return when you stop using the cream, and you are concerned about the persistent redness and dryness.

Firstly, it’s essential to recognize that the glans (the head of the penis) can become irritated for various reasons, including friction, infections, allergic reactions, or skin conditions such as dermatitis. In your case, the improvement with the topical cream suggests that your symptoms may be related to a form of dermatitis or irritation that responds well to the ingredients in the cream.


Treatment and Management
1. Continued Use of Topical Cream: If the MeiKang cream has been effective in alleviating your symptoms, it may be beneficial to continue using it as directed by your physician. However, it is crucial to follow your doctor's advice regarding the duration of use. Some topical treatments can be used intermittently, while others may require continuous application until the condition resolves.

2. Moisturization: Dryness can lead to peeling and irritation. Consider using a gentle, fragrance-free moisturizer specifically designed for sensitive skin. Applying a moisturizer after bathing can help maintain hydration and prevent dryness.

3. Hygiene Practices: Ensure that you are practicing good hygiene. Gently wash the area with mild soap and water, and avoid harsh soaps or products that can exacerbate dryness. After washing, pat the area dry rather than rubbing it.

4. Avoid Irritants: Identify and avoid any potential irritants that may be contributing to your symptoms. This includes certain soaps, lotions, or even laundry detergents that may come into contact with the genital area.

5. Observation of Symptoms: Since you mentioned a persistent red spot that is not painful, it’s important to monitor this area. If the redness persists or worsens, or if you develop new symptoms (such as pain, discharge, or significant changes in appearance), it would be wise to return to your healthcare provider for further evaluation.

6. Possible Underlying Conditions: In some cases, persistent irritation may indicate an underlying condition such as a fungal infection or a sexually transmitted infection (STI). If your symptoms do not improve with topical treatment, or if you have any concerns about STIs, it is essential to seek medical advice for appropriate testing and treatment.

7. Follow-Up: Regular follow-up with your healthcare provider is crucial, especially if you have ongoing symptoms. They can assess the effectiveness of the treatment and make any necessary adjustments.


Conclusion
In summary, managing dryness and irritation of the glans involves a combination of proper hygiene, the use of effective topical treatments, and ongoing monitoring of symptoms. While the MeiKang cream has provided relief, it is essential to use it as directed and to consider additional moisturizing strategies to combat dryness. If symptoms persist or worsen, do not hesitate to seek further medical advice to rule out any underlying conditions. Your health and comfort are paramount, and addressing these symptoms proactively will help ensure a better quality of life.

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