Inner Foreskin and Glans Skin Irritation Issues - Urology

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Inner foreskin and glans skin abrasion?


Hello doctor, I have been masturbating quite frequently and often fall asleep without cleaning up afterward (the fluid remains in my underwear and dries naturally by morning).
I make sure to wash particularly well in the evening (scraping off the white parts), but recently, when using stronger sexual toys, I have experienced slight tearing of the foreskin.
Even wearing a condom causes tearing (I can see some cracks with a bit of blood color, but no actual bleeding).
Today, I even noticed that the skin on the back of the glans has torn (again, just a bit of blood color without bleeding).
Could this be due to excessive cleaning, which has removed the protective layer, making my glans and foreskin very fragile? I always use soap to clean thoroughly, but I later learned that this might not be correct.
Should I just rinse with water in the future without completely washing away the white residue? Also, how long does it typically take for the protective layer to recover in this situation? Can I use some ointment to apply (such as a water-based tetracycline eye ointment)?

Xiao Yi, 20~29 year old female. Ask Date: 2022/09/30

Dr. Du Shixi reply Urology


Hello: Be cautious whenever there is a break in the skin, as it may scar, reopen, swell slightly, or even become red, which increases the complexity of care.
It is recommended to clean the area afterward, ensuring that the foreskin is thoroughly rinsed.
It is not necessary to use body wash; simply rinsing with water is sufficient.
Both the inside and outside of the foreskin should be kept dry, not moist (even after urination).
Recovery may take at least 2 weeks.
Wishing you good health.

Reply Date: 2022/09/30

More Info


When it comes to skin irritation issues related to the inner foreskin and glans, it's essential to understand the anatomy and the factors that can contribute to irritation. The inner foreskin and glans are covered by a delicate mucosal layer that can be sensitive to various irritants, including soaps, lubricants, and even friction from sexual activity.

From your description, it seems that you may be experiencing irritation due to a combination of factors: frequent masturbation, the use of strong sexual aids, and possibly over-cleaning with soap. While maintaining hygiene is crucial, excessive washing, especially with soap, can strip away the natural oils and protective barrier of the skin. This can lead to dryness and increased sensitivity, making the skin more prone to micro-tears and irritation.

The presence of slight cracks and blood-tinged areas indicates that the skin is indeed compromised. This could be exacerbated by the use of certain sexual products that may not be designed for sensitive areas. It's advisable to avoid any products that contain harsh chemicals or fragrances, as these can further irritate the skin.

In terms of cleaning, it is generally recommended to wash the area gently with warm water. If soap is used, it should be a mild, fragrance-free soap. The goal is to clean without removing the natural protective oils that help maintain skin integrity. You might consider rinsing with water only and avoiding soap altogether unless necessary.

Regarding the healing process, the time it takes for the protective layer to recover can vary depending on the severity of the irritation. Typically, minor irritations can heal within a few days to a week if the offending factors are removed. During this time, it is crucial to keep the area clean and dry, and to avoid any activities that may exacerbate the irritation, such as vigorous sexual activity or the use of irritating products.

As for topical treatments, while some over-the-counter ointments may provide relief, it is essential to choose products that are safe for sensitive skin. Water-based antibiotic ointments, such as those containing tetracycline, may not be the best choice for this area, as they can sometimes cause further irritation. Instead, consider using a gentle, hypoallergenic moisturizer to help soothe the skin. If the irritation persists or worsens, it would be wise to consult a healthcare professional for a proper evaluation and treatment plan.

In summary, the key steps to address your situation include:
1. Gentle Cleaning: Use warm water and a mild soap if necessary, but avoid over-washing.

2. Avoid Irritants: Steer clear of harsh soaps, fragrances, and potentially irritating sexual products.

3. Moisturize: Consider using a gentle, hypoallergenic moisturizer to help restore the skin barrier.

4. Rest: Allow time for healing by avoiding activities that may further irritate the area.

5. Consult a Professional: If symptoms persist, seek medical advice for a tailored treatment plan.

Taking these steps should help alleviate the irritation and promote healing of the affected skin.

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