and Managing Issues with the Frenulum of the Penis

Frenulum problems of the glans?

Hello, doctor.
I would like to ask you about something I recently noticed while showering.
I found a white patch, about 0.5 to 1 centimeter in size, under one side of the frenulum of my glans.
It looks like dead skin or dirt and cannot be washed away.
It causes slight pain when touched.
I have previously tried to remove it with my fingers, which left a small indentation, but it returned afterward.
Is this normal? Should I leave it alone, or is there a better way to clean it? Thank you, doctor.

Ye, 20~29 year old female. Ask Date: 2022/06/08

Dr. Chen Jiansheng reply Urology

Please seek medical attention.

Reply Date: 2022/06/08

More Info

Understanding issues related to the frenulum of the penis is important for both physical health and emotional well-being. The frenulum, a band of tissue located on the underside of the penis, connects the glans (the head) to the shaft. It plays a crucial role in sexual function and sensitivity.
From your description, it sounds like you may be experiencing a condition known as "smegma accumulation" or possibly a form of irritation or infection. Smegma is a combination of dead skin cells, oils, and moisture that can accumulate under the foreskin or in the folds of the frenulum. While it is a normal bodily secretion, excessive buildup can lead to discomfort, odor, and potential infection.

The white substance you are noticing could be smegma, especially if it appears to be like dead skin or dirt and is not easily removable with washing. The slight pain you feel upon touching the area may indicate irritation or inflammation, which could be due to several factors, including poor hygiene, friction, or even a mild infection.

Here are some recommendations for managing this issue:
1. Hygiene: Maintain good hygiene by gently washing the area with warm water during your daily shower. If you are uncircumcised, gently retract the foreskin (if applicable) to clean underneath. Avoid using harsh soaps or chemicals that could irritate the sensitive skin.

2. Avoid Picking: It’s important not to pick at or forcibly remove any buildup, as this can lead to further irritation or even injury to the delicate tissue. If you notice that the area is painful or if the condition worsens, it’s best to refrain from manipulating it.

3. Moisturization: If the skin appears dry or irritated, consider applying a gentle, fragrance-free moisturizer to the area. This can help soothe irritation and prevent further buildup.

4. Observation: Monitor the area for any changes. If the white substance persists, increases in size, or if you experience increased pain, swelling, or discharge, it is advisable to seek medical attention. A healthcare provider can perform a physical examination and determine if there is an underlying condition that needs treatment.

5. Consultation: If you are concerned about the appearance or discomfort, it’s wise to consult a urologist or a healthcare professional specializing in male reproductive health. They can provide a thorough evaluation and recommend appropriate treatment options, which may include topical medications or other interventions if necessary.

In summary, while some accumulation of smegma can be normal, persistent symptoms or discomfort should not be ignored. Proper hygiene and monitoring are key, and professional medical advice is invaluable for ensuring your health and peace of mind. Remember, it’s always better to err on the side of caution when it comes to your health.

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