Managing Persistent Urological Issues: Tips for Care and Recovery

Q: Managing Persistent Urological Issues: Tips for Care and Recovery

Hello： <br>1. <br>The glans and foreskin feel very wrinkled and dry. <br>After washing with just water, there is a slight odor, and using body wash results in a dry, painful pulling sensation (it's hard to describe the pain, but it goes away quickly). <br>How should I care for th

I'm sorry, the question might be a bit confusing?

Previously, I had a condition of phimosis, but it was loose enough to be easily retracted.
Around mid-last year, I experienced discomfort in my penis and was diagnosed with simple herpes.
Since then, I have had recurrent episodes.
After switching doctors, I was diagnosed with inflammation, which has also been persistent and fluctuating.
I have taken numerous antibiotics and anti-inflammatory medications.
At the worst point, the tip of my penis had severe inflammation and swelling (I had blood sugar and STD tests done in between, both of which were normal).
After four months, it finally stabilized...
(I have applied a lot of medication during this time).

I would like to ask:
1.
The glans and foreskin feel very wrinkled and dry.
Washing with just water leaves a slight odor, and using body wash causes a bit of a dry, pulling pain (it's hard to describe, but the pain is brief).
How should I care for this? Will it recover? (It has been almost six months since it started, and the glans and foreskin do not seem to have improved.)
2.
The foreskin has become much thicker than before.
It can still be retracted, but there is a sticky sensation when I do so.
What should I do about this?
3.
The glans and foreskin still appear slightly red and occasionally have an odor, along with small white spots that I am unsure are smegma.
Should I see a doctor? The skin on the glans and foreskin feels very poor now.
Will applying medication worsen the condition?

Feichang kunrao de ren, 30~39 year old female. Ask Date: 2024/03/07

Dr. Du Shixi reply Urology

Hello:
1.
The glans and foreskin feel very wrinkled and dry.
After washing with just water, there is a slight odor, and using body wash results in a dry, painful pulling sensation (it's hard to describe the pain, but it goes away quickly).
How should I care for this to improve? Will it recover? —> Rinse with clean water and pat dry.
If there is redness, apply an ointment.
Your condition may be chronic inflammation (it has been almost six months since it started, and the glans and foreskin do not seem to be improving).
2.
The foreskin has become much thicker than before.
It can still be retracted, but there is a sticky sensation when doing so.
What should I do? —> After the foreskin heals, you may need to consider circumcision; otherwise, it may continue to fluctuate between good and bad.
3.
The glans and foreskin still feel a bit red, occasionally have an odor, and there are small white spots.
I'm not sure if it's smegma.
Should I see a doctor? The skin on the glans and foreskin feels terrible now.
Will applying medication worsen it? —> Please seek medical attention.
If you do not take proper care now, it will likely recur.
Wishing you good health.
If engaging in sexual activity, always practice safe sex.

Reply Date: 2024/03/07

More Info

Managing persistent urological issues, especially following a history of infections and inflammation, requires a careful and informed approach. Based on your description, it seems you have been dealing with recurrent issues related to your foreskin and glans, including dryness, irritation, and possibly some form of dermatitis or post-inflammatory changes. Here are some tips for care and recovery:
1. Gentle Hygiene Practices: It’s crucial to maintain proper hygiene without causing further irritation. Use lukewarm water to clean the area gently. Avoid using harsh soaps or body washes, as they can strip the skin of its natural oils and exacerbate dryness. If you feel the need to use a cleanser, opt for a mild, fragrance-free soap specifically designed for sensitive skin.

2. Moisturizing: Given the dryness and the feeling of tightness you described, applying a gentle, hypoallergenic moisturizer can help. Look for products that are free from fragrances and irritants. Some men find that using a water-based lubricant can also provide temporary relief from dryness and discomfort.

3. Avoid Irritants: Be cautious with any topical treatments you have been using. If you suspect that certain creams or ointments are causing irritation, discontinue their use and consult your healthcare provider. Over-the-counter hydrocortisone cream may help reduce inflammation, but it should be used sparingly and not for prolonged periods without medical advice.

4. Monitor Symptoms: Keep an eye on any changes in your symptoms. If you notice increased redness, swelling, or discharge, it may indicate an ongoing infection or another issue that requires medical attention. The presence of white spots could be indicative of smegma buildup, which is normal but should be cleaned regularly.

5. Consult a Specialist: Given the persistence of your symptoms, it would be wise to see a urologist or dermatologist specializing in genital skin conditions. They can provide a thorough examination and may recommend specific treatments, such as topical steroids for inflammation or antifungal treatments if a yeast infection is suspected.

6. Consider Circumcision: If you continue to experience issues with your foreskin, and if it is deemed medically appropriate, circumcision may be considered. This procedure can alleviate recurrent infections and inflammation by removing the problematic tissue.

7. Diet and Lifestyle: Maintaining a healthy diet and staying hydrated can support your overall skin health. Additionally, managing stress levels can be beneficial, as stress can sometimes exacerbate skin conditions.

8. Follow-Up Care: Regular follow-ups with your healthcare provider are essential to monitor your condition and adjust treatment as necessary. If you have been prescribed antibiotics or antifungals, ensure you complete the full course as directed.

In summary, while it is possible for your condition to improve with appropriate care, it is essential to approach this systematically and with professional guidance. Persistent symptoms warrant a thorough evaluation to rule out any underlying conditions and to tailor a treatment plan that addresses your specific needs. Don't hesitate to seek medical advice, as early intervention can lead to better outcomes and relief from discomfort.

Similar Q&A

Managing Chronic Prostatitis and Urinary Incontinence: Tips and Insights

Hello, after previously consulting about urinary retention and incontinence issues, I underwent ultrasound, urinalysis, and X-ray examinations at a teaching hospital in Taipei, which diagnosed me with chronic prostatitis. I have been taking antibiotics produced by Bayer for six w...

Dr. Xu Weikai reply Urology
Hello, generally, medication treatment takes about 6 weeks, but a small number of stubborn patients may require a longer duration, even up to six months (or longer). Maintenance: Drink plenty of water, avoid holding urine, and cranberry can be used for urinary tract health when n...

Understanding and Managing Frequent Urination: Expert Insights

Hello Dr. Yang: I have been troubled by frequent urination for several years. I have visited two hospitals for this issue and there was a suspicion of overactive bladder. However, after taking medication for six months, there was no improvement. I have also undergone urodynamics,...

Dr. Yang Zhangzhi reply Urology
Hello: There are many reasons for frequent urination. Please bring your urodynamic study report and record your urination frequency and total urine volume for a detailed evaluation at the nephrology outpatient clinic.

Managing Urinary Difficulties in Elderly Patients with Comorbidities

Hello, Director. My elderly family member is nearly ninety years old and was diagnosed with benign prostatic hyperplasia two years ago. He has been regularly taking diuretics and tamsulosin, and his condition has been well controlled with normal urination. However, one to two mon...

Dr. Du Shixi reply Urology
Hello: Given the current situation, surgery is not appropriate. The main focus should be on resolving the internal medical issues and improving the overall health condition. Once the urinary catheter is removed, the patient may be able to urinate independently. Currently, we need...

Managing Bladder Issues: Solutions for Frequent Urination and Urgency

1. If a woman experiences inflammation of the bladder trigone, leading to frequent urination, urgency, and occasional urinary incontinence, and has recurrent episodes despite antibiotic treatment, what should be done? Is it advisable to take antibiotics long-term to completely er...

Dr. Zhang Chengye reply Urology
1. Check for post-void residual urine; long-term use of antibiotics is not advisable, and there are solutions available. 2. Please consult a physician for a prescription and treatment of your symptoms.