Genital Issues: When to See a Urologist for Concerns

I would like to inquire about issues related to the genitalia?

I have recently noticed a white substance on the glans and the area covered by the foreskin that resembles peeling skin or ulcers (I'm not quite sure what ulcers mean).
This white substance can be scrubbed off during my daily shower, but if I scrub too hard, it breaks the skin, yet it reappears every day.
Additionally, I have developed a few small round bald spots on the scrotum.
Could this be a sexually transmitted infection? Should I see a urologist for this? Also, are there any urology clinics in the Hsinchu area that I can visit? If possible, please reply to my email to help clarify my concerns.
Thank you.

SS, 20~29 year old female. Ask Date: 2005/04/23

Dr. Lai Ronghao reply Urology

Your description may indicate a sebaceous cyst or an epidermoid cyst.
It would be best to have it examined by a urology clinic for a more accurate assessment.

Reply Date: 2005/04/23

More Info

When it comes to genital issues, it is crucial to understand the symptoms and when to seek medical advice. Based on your description, you are experiencing a white, peeling substance on the glans (the head of the penis) and some small round bumps on the scrotum. These symptoms can be concerning, and it is wise to consult a healthcare professional, specifically a urologist, who specializes in male reproductive health and urinary tract issues.

The white substance you describe could be a few different things. One possibility is a condition known as balanitis, which is inflammation of the glans. This can occur due to various reasons, including poor hygiene, infections (bacterial or fungal), or skin conditions. The peeling skin and the fact that it can be removed but returns daily suggest that there may be an underlying irritation or infection that needs to be addressed.

The small round bumps on the scrotum could be sebaceous cysts, which are generally harmless and occur when the sebaceous glands become blocked. However, they can also be a sign of other conditions, including sexually transmitted infections (STIs) or other dermatological issues. It is essential to have these bumps evaluated by a medical professional to determine their nature and whether any treatment is necessary.

Regarding your concern about whether this could be a sexually transmitted infection, it is important to note that some STIs can present with similar symptoms, including sores, bumps, or unusual discharge. Therefore, it is advisable to get tested for STIs if you are sexually active, especially if you have had unprotected sex or multiple partners.

In terms of seeking help, visiting a urologist is indeed the right step. Urologists are equipped to diagnose and treat a wide range of conditions related to the male reproductive system and urinary tract. They can perform necessary examinations, such as a physical exam, and may recommend tests like swabs or blood tests to identify any infections or other underlying issues.

If you are located in Hsinchu and looking for a urology clinic, you can search for local hospitals or medical centers that have urology departments. Many hospitals will have a urology specialist available, and you can often find this information on their websites. Additionally, you can ask for referrals from your primary care physician or consult online health platforms that list specialists in your area.

In summary, it is essential to address your symptoms promptly by consulting a urologist. They can provide a thorough examination, diagnose the issue accurately, and recommend appropriate treatment. Do not hesitate to seek medical advice, as early intervention can often lead to better outcomes and peace of mind regarding your health.

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