Inflammation and Topical Treatments for Urological Issues - Urology

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Inflammation, ointment


Hello Doctor: Recently, I noticed that during an erection, the glans appears slightly red and feels granular, but it is smooth to the touch and not painful.
When not erect, it is almost unnoticeable.
I previously read that this could be due to balanitis or a fungal infection.
I would like to ask: 1.
Is it possible that I have the conditions I mentioned? 2.
I previously received Betamethasone cream; is this effective? 3.
What else should I pay attention to, and how long will it take to heal?

Niming, 10~19 year old female. Ask Date: 2022/08/31

Dr. Du Shixi reply Urology


Hello: 1.
Is it possible that it is the disease I mentioned above? -- Most likely, as you said.
2.
I previously received Betamethasone cream; is it effective? -- Be cautious with the expiration date of old ointments; it's best to consult a doctor for examination.
3.
Is there anything else I need to pay attention to, and how long will it take to improve? -- Keep the area clean and dry, avoid tight clothing, dry off if it gets wet, clean with plain water, and avoid irritating foods.
A light redness should significantly improve within a week.
Wishing you good health.

Reply Date: 2022/08/31

More Info


When it comes to understanding inflammation and topical treatments for urological issues, particularly in the context of your symptoms, it’s essential to consider a few key points regarding potential conditions, treatment options, and preventive measures.

1. Possible Conditions: Based on your description of a red, granular appearance of the glans (the head of the penis) during erection, it could indeed be indicative of conditions such as balanitis (inflammation of the glans) or a fungal infection, such as candidiasis. Balanitis can occur due to various factors, including poor hygiene, irritants, or infections. The smooth texture you describe, along with the absence of pain, suggests that it may not be an acute infection but rather a mild inflammatory response. However, it’s crucial to rule out other conditions, such as sexually transmitted infections (STIs) or dermatitis, which can also present with similar symptoms.

2. Topical Treatments: You mentioned using Betamethasone cream (倍克健乳膏), which is a topical corticosteroid. This medication can be effective in reducing inflammation and irritation associated with balanitis or other inflammatory skin conditions. However, it’s important to use it as directed by a healthcare professional, as prolonged use of corticosteroids can lead to skin thinning and other side effects. If you have not seen improvement after a few days of using the cream, or if the condition worsens, it would be prudent to consult a healthcare provider for further evaluation.

3. Additional Considerations: When managing urological issues, personal hygiene plays a critical role. Ensure that the genital area is kept clean and dry. If you are uncircumcised, gently retract the foreskin during cleaning to prevent the buildup of smegma, which can contribute to irritation and infection. Avoid using harsh soaps or irritants in the area, as these can exacerbate inflammation.
4. Duration of Symptoms: The duration for which such conditions take to resolve can vary widely depending on the underlying cause. Mild cases of balanitis may improve within a few days with appropriate topical treatment and good hygiene practices. However, if the symptoms persist beyond a week or two, or if you experience additional symptoms such as pain, discharge, or fever, it is essential to seek medical attention. A healthcare provider may recommend further diagnostic tests, such as swabs or cultures, to identify any underlying infections.

5. Preventive Measures: To prevent recurrence of such issues, consider the following:
- Maintain good hygiene by washing the genital area daily with mild soap and water.

- Avoid irritants, including scented soaps, lotions, and personal care products.

- If you are sexually active, ensure that you and your partner are practicing safe sex to reduce the risk of STIs.

- Consider wearing breathable cotton underwear to reduce moisture buildup.

In summary, while your symptoms may suggest a mild inflammatory condition, it is essential to monitor the situation closely. If symptoms persist or worsen, consulting a healthcare professional for a thorough examination and tailored treatment plan is advisable. Remember, early intervention can often prevent more serious complications and ensure a quicker recovery.

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