Redness Around the Glans: Causes and Treatments

Q: Redness Around the Glans: Causes and Treatments

Hello： If this situation occurs, it is mostly caused by DIY methods. <br>Continuous treatment should be maintained. <br>Additionally, if there has been any unsafe sexual behavior, a blood test should be conducted during the follow-up visit. <br>If there is a family history of dia

The glans is red?

I had a circumcision, and initially, I noticed that the glans sulcus, the groove near the head of the penis, was red.
It didn't improve, and soon both sides of the glans sulcus became red as well.
I went to a clinic, and they diagnosed me with balanitis.
I applied a topical medication for two weeks and received an injection, but the redness on both sides did not improve.
I saw the doctor again, and they prescribed oral antibiotics along with another injection and continued the topical medication.
(I did not self-medicate with the topical treatment initially because I wanted to let the balanitis heal first.) After a week, I returned to the doctor, who said it was healed and that I no longer needed to apply the medication.
However, after trying to self-treat again (just once), both sides became red and had broken skin again.
Although the area of broken skin is not larger than before, I am wondering why this is happening.
Should I return to see the doctor, or should I continue applying the topical medication?

Ayu, 20~29 year old female. Ask Date: 2023/05/31

Dr. Du Shixi reply Urology

Hello: If this situation occurs, it is mostly caused by DIY methods.
Continuous treatment should be maintained.
Additionally, if there has been any unsafe sexual behavior, a blood test should be conducted during the follow-up visit.
If there is a family history of diabetes, blood glucose levels should be checked.
If there is a foreskin, it is important to keep it dry and clean; it must be dried thoroughly when wet.
Wishing you good health.

Reply Date: 2023/05/31

More Info

Understanding redness around the glans, particularly after a circumcision, can be quite concerning and may indicate several underlying issues. Based on your description, it seems you have been experiencing persistent redness and irritation around the glans and the coronal sulcus, which your doctor diagnosed as balanitis (inflammation of the glans). This condition can be caused by various factors, including infections, irritations, or allergic reactions.

Causes of Redness Around the Glans
1. Infection: Balanitis can be caused by bacterial or fungal infections. The use of antibiotics may help if a bacterial infection is present, but if the redness persists, it could indicate a fungal infection, which may require antifungal treatment.

2. Irritation: After circumcision, the glans is exposed and may be more sensitive. Friction from clothing, personal hygiene products, or even excessive cleaning can lead to irritation and redness.

3. Allergic Reactions: Sometimes, the ingredients in soaps, lotions, or medications can cause allergic reactions, leading to inflammation and redness.

4. Poor Hygiene: Inadequate cleaning can lead to the accumulation of smegma, which can irritate the glans and cause inflammation.

5. Skin Conditions: Conditions such as psoriasis or eczema can also affect the genital area, leading to redness and irritation.

Treatment Options
1. Topical Treatments: Since you have been using Meikang ointment, which is often used for skin irritations, it may be beneficial to continue using it as directed by your physician. However, if the redness persists or worsens, it may be necessary to reassess the treatment.

2. Oral Antibiotics: If your doctor has prescribed oral antibiotics, it is essential to complete the full course, even if symptoms improve. This helps ensure that any underlying bacterial infection is fully treated.

3. Avoid Irritants: Be cautious with any products you apply to the area. Opt for mild, fragrance-free soaps and avoid any potential irritants.

4. Follow-Up with Your Doctor: Given that the redness has not resolved and you have experienced skin breakdown, it is advisable to return to your healthcare provider. They may need to reassess your condition, possibly perform tests to rule out other infections, or adjust your treatment plan.

5. Hygiene Practices: Maintain good hygiene by gently cleaning the area with warm water and avoiding harsh soaps. After cleaning, ensure the area is dry before applying any ointments.

When to Seek Immediate Care
If you experience increased pain, swelling, discharge, or fever, it is crucial to seek medical attention promptly, as these could be signs of a more serious infection or complication.

In summary, while redness around the glans can be a common issue, especially after circumcision, persistent symptoms warrant further evaluation. It is essential to follow your doctor's advice and keep them informed of any changes in your condition. Your health and comfort are paramount, and addressing these symptoms early can help prevent further complications.

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