Asymmetry in Male Urethral Folds: A Urology Inquiry - Urology

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Follow-up Inquiry #192377


Dear Dr.
Du,
Thank you very much for your response and explanation in the consultation regarding question #192377.
I generally understand the information provided.
However, I would like to confirm one point with you:
Regarding the inquiry ---> "If inflammation is not the cause of the enlargement of the right side of the skin fold next to the glans urethral opening, is it normal for the skin folds on either side of the glans urethral opening to not be of equal size and symmetry?"
Your response was: "They do not have to be the same size and symmetrical, but the difference should not be significant."
Based on this, I would like to ask Dr.
Du if your meaning is that it is common for the skin folds on either side of the glans urethral opening in men to not be of equal size and symmetry, and that each man may have some variation in size, but as long as the difference between the two skin folds is not significant, it is considered normal?
Thank you, Dr.
Du.

Axiang, 40~49 year old female. Ask Date: 2023/02/10

Dr. Du Shixi reply Urology


Hello: The glans urethra is a line that slightly separates during urination to allow urine to pass through.
There should not be significant differences between the left and right sides.
If you feel there is an issue with the urethral opening, it is advisable to seek medical evaluation.
Wishing you good health.

Reply Date: 2023/02/10

More Info


The inquiry regarding asymmetry in the urethral folds adjacent to the glans penis raises important considerations in urology. To address your question, it is indeed common for the fleshy folds (or skin tags) around the urethral meatus (the opening of the urethra) to exhibit some degree of asymmetry. This asymmetry can be attributed to various factors, including natural anatomical variations, developmental differences, and even minor injuries or irritations that may have occurred over time.

In general, the human body is not perfectly symmetrical. Variations in size and shape are normal and can be observed in many parts of the body, including the genital region. The urethral folds, also known as the preputial or labial folds in females, can vary in size and prominence from one side to the other. As long as the differences are not significant and there are no accompanying symptoms such as pain, discomfort, or signs of infection (like redness, swelling, or discharge), these variations are typically considered normal.

Your understanding aligns with the response you received from Dr. Du, who indicated that while the folds may not be identical in size, the differences should not be substantial. This means that a slight asymmetry is acceptable and does not necessarily indicate a pathological condition. However, if there is a noticeable change in size, shape, or texture of these folds, or if you experience any discomfort, it would be prudent to consult a urologist for further evaluation.

In terms of anatomical and physiological considerations, the urethral folds play a role in protecting the urethral opening and may also contribute to sexual function. Variations in these structures can be influenced by hormonal factors, genetic predispositions, and even environmental factors such as hygiene practices and sexual activity.

If you are concerned about the asymmetry or if there are any changes in the appearance or sensation of the area, it is advisable to seek a professional evaluation. A urologist can perform a physical examination and, if necessary, imaging studies to ensure that there are no underlying issues that need to be addressed.

In summary, slight asymmetry in the urethral folds is generally normal and can be attributed to individual anatomical variations. As long as there are no concerning symptoms, this asymmetry should not be a cause for alarm. Regular self-examinations and awareness of any changes in your body are important, and maintaining open communication with your healthcare provider will help ensure your urological health is monitored appropriately.

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