Urological Concerns: Common Symptoms and Solutions

Q: Urological Concerns: Common Symptoms and Solutions

Hello, everyone： <br>1. <br>The male glans is a highly sensitive and engorged area, with the urethral opening being the most vulnerable part for men. <br>When the urethral opening is gently spread apart with two fingers, a light red mucosa can be observed, which should normally a

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I have a few questions...
1.
Today, after using the restroom, I noticed a white secretion at the tip of my penis after urination.
It was about 0.3 milliliters, smooth to the touch, and odorless (not like semen).
However, I have only noticed this once today and have not experienced it before.
2.
Yesterday, I might have caused some abrasions on the inner thighs and scrotum from walking too much.
I couldn't sleep, so I applied some cooling ointment for insect bites.
I'm wondering if this could lead to any serious side effects.
3.
Additionally, sometimes I notice small hard lumps on the scrotum.
If I detect them early and squeeze, they release a white substance similar to a whitehead (secretion?).
If I leave them alone, they seem to become encapsulated under the skin.
I have previously used a scalpel to open them, which also released a white substance, but after a while, it hardens and has a slightly sour odor.
Sometimes, my genital area itches, and I'm not sure if it's due to insufficient ventilation or other reasons.
Could you please provide some advice? I apologize for the complexity of my questions, but I hope you can help clarify these issues.
Thank you.

Dai Dai, 10~19 year old female. Ask Date: 2003/10/01

Dr. Cai Bingkun reply Urology

Hello, everyone:
1.
The male glans is a highly sensitive and engorged area, with the urethral opening being the most vulnerable part for men.
When the urethral opening is gently spread apart with two fingers, a light red mucosa can be observed, which should normally appear smooth and symmetrical.
The urethral mucosa can also produce secretions, similar to any other mucosal surface in the body, especially after defecation or ejaculation.
Commonly, this may appear as a clear, egg-white-like discharge.
According to Traditional Chinese Medicine, this is referred to as "slippery essence" due to the engorgement and secretion from the prostate and urethral glands, which is not a cause for concern.
2.
There will be no long-term consequences.
Maintaining hygiene in the genital area is crucial.
Like other soft skin areas of the body that are prone to friction, such as the armpits, neck, lower abdomen, and groin, various skin conditions can develop in situations of excessive sweating and poor ventilation.
Therefore, after showering, it is important to dry the area completely.
In hot and humid climates, applying some body powder can help.
If there are ulcers or other skin conditions, avoid applying thick ointments; a thin layer of eye ointment may be applied, or it may be best to leave it untreated, keeping the area dry and exposed to air, while using oral medications for treatment.
3.
Epidermoid cysts are usually multiple and commonly occur in the scrotal area.
If incised, a white, cheese-like substance can be found inside.
Under microscopic examination, this is composed of keratin, and may even contain some calcium.
Typically, no surgical removal is necessary; if treatment is desired, simply incising the cyst to express its contents is sufficient.
Your guardian angel, Cai Bingkun, Urology Department, Yunlin Hospital.

Reply Date: 2003/10/01

More Info

When it comes to urological concerns, it's essential to approach symptoms with a clear understanding of potential causes and appropriate responses. Let's break down your questions and provide insights based on medical knowledge.

1. White Discharge from the Glans: The presence of a white, non-flowing discharge from the glans (the tip of the penis) can be concerning, especially if it is a new symptom. This type of discharge could be related to several factors, including smegma, which is a natural buildup of dead skin cells and oils that can accumulate under the foreskin or around the glans. It is typically odorless and can appear as a white, slippery substance. However, if this discharge is accompanied by other symptoms such as itching, burning, or an unusual odor, it could indicate an infection, such as a sexually transmitted infection (STI) or a yeast infection. Since you mentioned this is the first occurrence, it may not be a cause for alarm, but monitoring the situation is crucial. If the discharge persists or worsens, consulting a healthcare provider for a thorough evaluation is advisable.

2. Skin Irritation from Walking and Medication Use: If you have experienced chafing or irritation in the inner thighs and scrotal area due to excessive walking, it is essential to care for the affected skin properly. Using a cooling ointment for insect bites may provide temporary relief, but it is crucial to ensure that the product is suitable for sensitive areas. If the irritation is severe or shows signs of infection (such as increased redness, swelling, or pus), it would be wise to seek medical attention. Generally, keeping the area clean and dry, wearing breathable fabrics, and applying a gentle moisturizer or barrier cream can help prevent further irritation.

3. Hard Bumps on the Scrotum: The presence of small, hard bumps on the scrotum can be concerning, especially if they are painful or change in appearance. These bumps could be sebaceous cysts, which are common and usually harmless. They occur when sebaceous glands become blocked, leading to the accumulation of sebum. If you notice that these bumps can be squeezed to release a white substance, it may be a sign of a clogged gland. However, if they become painful, inflamed, or if you experience any unusual symptoms, it is essential to consult a healthcare provider. Avoiding self-surgery, such as using a scalpel, is crucial, as this can lead to infections or scarring.
Regarding the itching and discomfort you mentioned, it could be related to several factors, including hygiene, moisture, or even an allergic reaction to products used in the area. Wearing loose-fitting, breathable underwear can help reduce moisture buildup and irritation. If the itching persists, it may be beneficial to consult a healthcare provider for a proper diagnosis and treatment plan.

In summary, while some of the symptoms you describe may not be immediately alarming, they warrant attention and monitoring. Maintaining good hygiene, wearing appropriate clothing, and being aware of any changes in your symptoms are essential steps in managing your urological health. If you have any concerns or if symptoms persist, do not hesitate to reach out to a healthcare professional for further evaluation and guidance.

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