Uneven Glans: A Urology Perspective - Urology

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Glans issues?


Since the fourth grade, when I first retracted my foreskin, the glans has appeared uneven.
I didn't pay much attention to it because I didn't feel any discomfort, but I find it aesthetically unpleasing.

Xiao Shuai, 10~19 year old female. Ask Date: 2023/06/20

Dr. Du Shixi reply Urology


Hello: If there are changes outside the normal range, then medical attention is necessary.
Wishing you good health.

Reply Date: 2023/06/20

More Info


Understanding uneven glans, or the head of the penis, can be a concern for many individuals, especially when it comes to aesthetics and potential health implications. From a urology perspective, it is important to differentiate between normal anatomical variations and conditions that may require medical attention.

Firstly, it is essential to recognize that the penis, like any other part of the body, can exhibit a range of normal variations in shape, size, and texture. The glans may appear uneven or irregular due to several factors, including natural anatomical differences, the presence of scars from previous injuries, or conditions such as balanitis (inflammation of the glans) or lichen sclerosus (a chronic skin condition). If the unevenness is not accompanied by pain, discomfort, or other symptoms such as discharge or changes in urination, it is often considered a benign condition.

In your case, since you mentioned that you first noticed the unevenness in the fourth grade and have not experienced any discomfort, it is likely that this is a normal anatomical variation. Many men have asymmetrical glans, and unless it is causing physical discomfort or psychological distress, it may not require any treatment. However, if the appearance of the glans is a significant concern for you, it is advisable to consult with a urologist. They can provide a thorough examination and discuss potential options if you are seeking cosmetic improvement.

It is also worth noting that if there are any changes in the condition of the glans, such as the development of new lesions, changes in color, or the onset of pain or discomfort, it is crucial to seek medical advice promptly. These changes could indicate an underlying condition that may require treatment.

In terms of treatment options, if the unevenness is determined to be a result of a medical condition, the urologist may recommend topical treatments, lifestyle changes, or, in some cases, surgical intervention. For purely cosmetic concerns, options may include surgical procedures to reshape the glans, although these are typically reserved for cases where there is significant psychological distress or functional impairment.

In conclusion, while unevenness of the glans can be a source of concern, it is often a normal anatomical variation. If it is not causing any discomfort or functional issues, it may not require intervention. However, if you have concerns about its appearance or if there are any changes in your symptoms, consulting with a urologist is the best course of action. They can provide personalized advice and help you understand your options, ensuring that your health and well-being are prioritized.

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