Common Urological Concerns: Urine Clarity and Hygiene Issues - Urology

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1.
It is normal for the first few urinations after holding urine or after sexual activity to appear slightly cloudy or milky.
This can be due to the presence of sperm, prostatic fluid, or other substances.
2.
The white film on the glans penis after retracting the foreskin is likely smegma, which is a combination of dead skin cells, oils, and other bodily secretions.
It is advisable to clean this area regularly to maintain hygiene, but be gentle to avoid irritation.
3.
During military physical examinations, it is indeed common for healthcare providers to check the genital area, which may include retracting the foreskin if applicable.
This is typically done to assess for any abnormalities or infections.
If an erection occurs during the examination, it is a natural physiological response and should not be a cause for concern; healthcare professionals are trained to handle such situations professionally.

A Yuan, 20~29 year old female. Ask Date: 2004/07/13

Dr. Zhang Chengye reply Urology


Hello, A-Yuan: 1.
It is normal.
2.
The white membrane is dirt.
3.
The retraction is to check for phimosis; there should not be an erection.
Sincerely, Dr.
Chang Cheng-Ye, Attending Physician, Department of Urology, Hsinchu Hospital, Ministry of Health and Welfare.

Reply Date: 2004/07/13

More Info


When it comes to common urological concerns, particularly regarding urine clarity and hygiene issues, it's essential to address each of your questions with a clear understanding of normal physiological responses and hygiene practices.

1. Cloudy Urine After Holding It In or DIY Activities: It is not uncommon for the first few urinations after holding urine for an extended period or after certain activities to appear cloudy or slightly milky. This can be due to several factors, including the concentration of urine, the presence of mucus, or even the shedding of cells from the urinary tract. If the cloudiness is accompanied by other symptoms such as a strong odor, pain during urination, or blood in the urine, it may indicate an underlying issue such as a urinary tract infection (UTI) or dehydration. However, if it occurs occasionally without other symptoms, it is generally considered normal.

2. White Membrane on the Glans: The presence of a white membrane on the glans (the head of the penis) can be attributed to smegma, which is a combination of dead skin cells, oils, and moisture that can accumulate, especially in uncircumcised males. If you have retracted your foreskin and notice this buildup, it is advisable to clean the area gently with warm water. It is not a protective membrane but rather a substance that can lead to irritation or infection if not cleaned regularly. Regular hygiene practices, including gentle washing, can help prevent this buildup and maintain genital health.

3. Military Physical Examination and Foreskin Inspection: Regarding the military physical examination, it is standard practice in many military organizations to conduct a thorough health assessment, which may include an examination of the genital area. This is typically done to ensure that there are no medical conditions that could affect your ability to serve. The examination may involve retracting the foreskin to check for any abnormalities, infections, or other health issues. If you experience an erection during the examination, it is a natural physiological response and should not be a cause for embarrassment. Medical professionals are trained to handle such situations professionally and sensitively.

In summary, maintaining good hygiene is crucial for urological health. Regular cleaning of the genital area, especially for those who are uncircumcised, can prevent the buildup of smegma and reduce the risk of infections. If you notice persistent changes in urine clarity or any unusual symptoms, it is advisable to consult a healthcare professional for further evaluation. Additionally, being prepared for medical examinations, including understanding what to expect, can help alleviate any anxiety associated with these procedures.

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