Should You See a Urologist or Dermatologist for Glans Ulcer Issues? - Urology

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Glans issues


The glans appears ulcerated (without sexual activity).
Should I definitely see a urologist, or can I consult a dermatologist? The nearest urology clinic is a large hospital that is at least an hour's drive from my home.

Niming, 30~39 year old female. Ask Date: 2024/01/07

Dr. Chen Jiansheng reply Urology


Please seek medical attention.

Reply Date: 2024/01/07

More Info


When dealing with glans ulcer issues, it is essential to understand the nature of the symptoms and the potential underlying causes. Glans ulcers can arise from various conditions, including infections, inflammatory diseases, or even allergic reactions. Given that you mentioned the ulcer appears on the glans and that you have not engaged in sexual activity, it is crucial to consider both urological and dermatological perspectives.

Urologist vs. Dermatologist: Who to See?
1. Urologist: A urologist specializes in the urinary tract and male reproductive system. They are well-equipped to diagnose and treat conditions related to the glans, including infections (like balanitis), sexually transmitted infections (STIs), and other urological disorders. If the ulcer is accompanied by other symptoms such as pain during urination, discharge, or swelling, seeing a urologist would be advisable. They can perform necessary tests, such as urine analysis or swabs, to determine if there is an infectious cause.

2. Dermatologist: A dermatologist specializes in skin conditions. If the ulcer appears to be more of a skin issue, such as a rash, eczema, or a dermatological infection (like herpes or fungal infections), a dermatologist would be the appropriate choice. They can provide treatments for skin-related issues and may also conduct a biopsy if necessary to rule out more severe conditions.

Considerations for Your Situation:
- Distance to the Urologist: If the nearest urologist is an hour away, and you are experiencing discomfort or pain, it may be worth considering a visit to a local dermatologist first. They can provide an initial assessment and may be able to treat the condition or refer you to a urologist if necessary.

- Symptoms Monitoring: Keep track of any additional symptoms that may develop, such as fever, increased pain, or changes in the ulcer's appearance. This information will be valuable for any healthcare provider you consult.

- Self-Care: While waiting for an appointment, maintain good hygiene in the genital area. Avoid using harsh soaps or products that could irritate the skin. If you notice any signs of infection (such as increased redness, swelling, or discharge), seek medical attention promptly.

- Communication with Healthcare Providers: If you decide to see a dermatologist, make sure to communicate all your symptoms clearly, including the duration of the ulcer, any associated symptoms, and your medical history. This information will help them provide a more accurate diagnosis.

In conclusion, both urologists and dermatologists can play a role in diagnosing and treating glans ulcers. If you are experiencing significant discomfort or if the ulcer persists, it is essential to seek medical attention. If the distance to a urologist is a concern, starting with a dermatologist may be a practical approach. They can help determine the next steps and whether a referral to a urologist is necessary. Always prioritize your health and seek professional advice when dealing with concerning symptoms.

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