Glans and Prepuce Inflammation: Causes and Treatments - Urology

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Inflammation of the glans and foreskin?


1.
Can I apply iodine solution on the glans and foreskin inflammation?
2.
What is the cause of frequent white flakes?
3.
If the glans is covered when not erect but exposed when erect, is this a sign of phimosis?
4.
Is circumcision recommended for recurrent inflammation?

Lin Du, 20~29 year old female. Ask Date: 2023/04/21

Dr. Du Shixi reply Urology


Hello: 1.
Can I apply iodine solution to the glans and foreskin inflammation? --》Avoid products containing alcohol.
2.
What is the cause of frequent white flakes? --》Dermatitis.
3.
If the glans is covered when not erect but exposed when erect, is this phimosis? --》Most individuals who have not undergone circumcision experience this, which is likely a case of phimosis.
4.
Is it advisable to undergo circumcision for recurrent inflammation? --》Circumcision is recommended, but one should also pay attention to lifestyle habits, as any remaining foreskin may still become red and flaky.
Wishing you good health.

Reply Date: 2023/04/21

More Info


Understanding glans and prepuce inflammation is crucial for maintaining genital health. Inflammation in these areas can arise from various causes, including infections, irritations, and underlying medical conditions. Let's address your questions one by one, providing insights into the causes, treatments, and considerations regarding glans and prepuce inflammation.

1. Can you apply iodine solution (杏輝金碘) to the glans and prepuce?
Iodine solutions, such as povidone-iodine, are antiseptic agents that can be used to clean wounds and prevent infections. However, applying iodine directly to the sensitive skin of the glans and prepuce may cause irritation or allergic reactions in some individuals. It is essential to consult a healthcare provider before using any topical antiseptic in these areas, as they can recommend appropriate treatments based on the specific condition and severity of inflammation.

2. What causes the presence of white flakes?
The presence of white flakes or debris under the foreskin can be attributed to several factors. One common cause is the accumulation of smegma, a substance composed of dead skin cells, oils, and moisture. Smegma can build up if proper hygiene is not maintained, leading to irritation and inflammation. Other potential causes include fungal infections (such as candidiasis), bacterial infections, or skin conditions like psoriasis. Maintaining good hygiene by gently cleaning the area with mild soap and water can help prevent the buildup of smegma and reduce the risk of inflammation.

3. Is the inability to retract the foreskin when not erect a sign of phimosis?
If the foreskin covers the glans when not erect but retracts during an erection, this may not necessarily indicate phimosis. Phimosis is characterized by the inability to retract the foreskin at all, regardless of whether the penis is erect or flaccid. However, if you experience discomfort, pain, or difficulty retracting the foreskin, it is advisable to consult a healthcare provider. They can assess the situation and determine if any treatment is necessary, including the possibility of circumcision if phimosis or recurrent infections are diagnosed.

4. Should circumcision be considered for recurrent inflammation?
Recurrent inflammation of the glans and prepuce, especially if it is associated with infections or significant discomfort, may lead healthcare providers to recommend circumcision. Circumcision can help reduce the risk of future infections by removing the foreskin, which can harbor bacteria and irritants. However, this decision should be made in consultation with a healthcare professional who can evaluate the underlying causes of inflammation, discuss the potential benefits and risks of the procedure, and consider the patient's overall health and preferences.

In summary, glans and prepuce inflammation can stem from various causes, including hygiene practices, infections, and anatomical considerations. Proper hygiene is essential for preventing irritation and inflammation. If you experience persistent symptoms, it is crucial to seek medical advice for a thorough evaluation and appropriate treatment options. Circumcision may be a consideration for recurrent issues, but it should be approached with careful consideration and professional guidance.

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