Unexplained Wounds Under the Foreskin: A Urology Concern

Q: Unexplained Wounds Under the Foreskin: A Urology Concern

Hello： Such situations are not uncommon in clinical practice, but they usually occur a few times a year and resolve with treatment in 2-3 weeks. <br>Therefore, it is generally advised to pay close attention to wound care when there is an injury, keep the area dry, ensure adequate

Unidentified wound under the prepuce of the glans?

The topic: I frequently experience lesions similar to acne, sometimes presenting as round wounds measuring 1-2 mm.
This has been ongoing for five years.
During the second year of the condition, I went to a major hospital for blood tests, and the results showed no hepatitis or sexually transmitted diseases, only that some indices were slightly elevated, resembling gonorrhea, but it was not indicative of gonorrhea.
I was prescribed an ointment, and later I began purchasing ointments on my own.
The lesions tend to reappear after a few months, typically within three weeks.
I do not engage in sexual activity and only masturbate once every two to three months.
Could this be attributed to friction? This has persisted for five years.
What could this condition be? Interestingly, every time I masturbate, a lesion appears that week, but they also occur without any sexual activity.

Han, 40~49 year old female. Ask Date: 2024/01/26

Dr. Du Shixi reply Urology

Hello: Such situations are not uncommon in clinical practice, but they usually occur a few times a year and resolve with treatment in 2-3 weeks.
Therefore, it is generally advised to pay close attention to wound care when there is an injury, keep the area dry, ensure adequate rest and nutrition, and boost immunity.
If there is a family history of diabetes, it may be necessary to check fasting blood glucose levels.
However, if episodes occur very frequently, it may be necessary to visit a major hospital to investigate other potential causes.
Wishing you good health.

Reply Date: 2024/01/26

More Info

Unexplained wounds under the foreskin can be concerning and may indicate a variety of underlying issues. Given your description of recurring lesions resembling small pimples or wounds that have persisted for five years, it is essential to consider several potential causes.

Possible Causes
1. Infection: One of the most common causes of lesions in the genital area is infection. This could include bacterial infections, fungal infections, or sexually transmitted infections (STIs) such as herpes or HPV. Although you mentioned that tests for STIs came back negative, it may be worth considering that some infections can be difficult to detect or may not present with typical symptoms.

2. Dermatological Conditions: Conditions such as eczema, psoriasis, or lichen sclerosus can cause skin changes and lesions. These conditions can lead to inflammation and irritation, resulting in wounds or sores. Lichen sclerosus, in particular, is a chronic condition that can affect the genital area and may lead to scarring if left untreated.

3. Allergic Reactions or Irritation: Allergic reactions to soaps, detergents, or personal care products can also cause skin irritation and lesions. Additionally, friction from clothing or during sexual activity can lead to irritation and subsequent wounds.

4. Masturbation and Friction: You mentioned that you engage in masturbation infrequently. While occasional masturbation is unlikely to cause significant irritation, if there is any friction or if the technique is aggressive, it could contribute to skin breakdown and the formation of wounds.

5. Underlying Health Issues: Certain systemic conditions, such as diabetes or immune disorders, can affect skin health and lead to recurrent infections or lesions. If you have any other health concerns, it may be worth discussing these with your healthcare provider.

Recommendations
1. Consult a Urologist or Dermatologist: Given the chronic nature of your symptoms, it is advisable to seek a specialist's opinion. A urologist or dermatologist can perform a thorough examination and may recommend additional tests, such as a biopsy, to determine the exact nature of the lesions.

2. Maintain Hygiene: Ensure that you maintain proper hygiene in the genital area. Use mild, unscented soaps and avoid harsh chemicals that could irritate the skin.

3. Avoid Irritants: If you suspect that certain products or activities may be causing irritation, try to eliminate them from your routine. This includes soaps, lotions, or even certain types of clothing that may cause friction.

4. Monitor Symptoms: Keep a record of when the lesions appear, any associated symptoms (such as itching or pain), and any potential triggers. This information can be valuable for your healthcare provider in diagnosing the issue.

5. Consider a Dermatological Treatment: If a dermatological condition is suspected, topical treatments such as corticosteroids or antifungal creams may be prescribed to help alleviate symptoms.

6. Lifestyle Modifications: If stress or anxiety is a factor, consider stress-reduction techniques such as mindfulness or relaxation exercises, as these can sometimes exacerbate skin conditions.

Conclusion
While it is understandable to be concerned about recurring wounds under the foreskin, many potential causes exist, ranging from benign dermatological issues to infections. A thorough evaluation by a healthcare professional is crucial to determine the underlying cause and appropriate treatment. Do not hesitate to seek medical attention, as early intervention can often lead to better outcomes.

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