Glans Inflammation: Symptoms, Treatment, and Care Tips - Urology

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Understanding glans inflammation, also known as balanitis, is crucial for effective treatment and management. Balanitis can be caused by various factors, including infections (bacterial, fungal, or viral), irritants (such as soaps or lotions), or underlying medical conditions (like diabetes). The symptoms typically include redness, swelling, pain, itching, and sometimes discharge from the glans.
In your case, it seems that you initially experienced a skin tear at the frenulum (the band of tissue on the underside of the penis), which can be quite painful and may lead to secondary infections if not treated properly. The appearance of red spots and the subsequent worsening of the condition, including the presence of tissue fluid and pus, suggests that there may be an ongoing infection or irritation that requires careful management.

1. Is this a normal progression of the condition?
It is not uncommon for balanitis to worsen before it improves, especially if there is an underlying infection. However, the presence of increasing redness, discharge, and bleeding is concerning. It is essential to follow up with your healthcare provider, as they may need to reassess your treatment plan. If the prescribed medication does not seem to be effective after several days, it may indicate that the infection is resistant to the treatment or that another underlying issue needs to be addressed.

2. Should you continue using iodine and how should you clean the area?
Generally, cleaning the glans and the surrounding area with warm water is sufficient for daily hygiene. Using mild, unscented soap can be helpful, but avoid harsh soaps or irritants. Iodine can be effective for disinfecting, but it should be used cautiously, as it can also irritate sensitive skin. If your doctor advised you to apply iodine, it may be for a specific reason, but if you notice increased irritation or discomfort, you should discuss this with them. It is essential to follow their guidance closely, as they are familiar with your specific condition.

3. Should you retract the foreskin after cleaning?
If you are uncircumcised, it is important to clean under the foreskin regularly to prevent the buildup of smegma, which can contribute to irritation and infection. After cleaning, it is generally advisable to return the foreskin to its normal position to protect the glans. However, if you are experiencing pain or discomfort, you should consult your healthcare provider for personalized advice.

In summary, while some worsening of symptoms can occur initially, persistent symptoms such as increasing redness, discharge, and bleeding warrant further evaluation. Regular cleaning with water is typically sufficient, and any additional treatments should be discussed with your healthcare provider. It is crucial to maintain open communication with your doctor about your symptoms and any changes you observe, as they can provide the best guidance tailored to your situation.