Painful Symptoms in the Foreskin: When to Seek Help

I have a slight pain in my foreskin?

I actually noticed some strange white lumps on my glans and foreskin around middle school, but they were not painful or itchy.
Recently, I've experienced some stinging or itching on the foreskin.
I'm unsure what symptoms this might indicate and would appreciate your guidance.
Should I see a dermatologist or a urologist?

Xiao Bai, 10~19 year old female. Ask Date: 2005/02/19

Dr. Jiang Zheen reply Dermatology

Your description cannot lead to a definitive diagnosis.
Please visit a nearby outpatient clinic for examination.
Either a dermatology or urology department would be suitable.

Reply Date: 2005/02/19

More Info

When it comes to symptoms involving the foreskin, such as the appearance of white lumps or discomfort, it is essential to approach the situation with care and seek appropriate medical advice. The symptoms you describe, including the presence of white lumps on the glans (head of the penis) and the recent onset of pain or itching, could be indicative of several conditions.
One possibility is a benign condition known as pearly penile papules, which are small, harmless bumps that can appear around the corona of the glans. These are normal anatomical variations and typically do not require treatment. However, if the lumps are new, changing, or accompanied by discomfort, it is crucial to consider other potential causes.

Another possibility is a condition called balanitis, which is inflammation of the glans and can be caused by various factors, including poor hygiene, infections (such as yeast infections or sexually transmitted infections), or skin conditions like eczema or psoriasis. Symptoms of balanitis can include redness, swelling, itching, and discharge, and it may require treatment with topical antifungal or steroid creams.

Given that you have experienced a change in symptoms, such as the onset of pain or itching, it is advisable to seek medical attention. You should consider visiting a urologist, as they specialize in male reproductive health and can provide a thorough examination and appropriate diagnosis. A dermatologist could also be consulted if the symptoms appear to be related to a skin condition.
In either case, it is essential to avoid self-diagnosing or self-treating, as this could lead to complications or worsening of the condition. A healthcare professional will be able to conduct a physical examination, possibly perform tests, and provide you with a clear diagnosis and treatment plan.

In summary, while some conditions affecting the foreskin may be benign, the presence of new symptoms warrants a medical evaluation. Seeking help from a urologist or dermatologist is the best course of action to ensure proper diagnosis and treatment. Remember, it is always better to err on the side of caution when it comes to your health.

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