Penile Discomfort and Concerns: A Urology Perspective

Issues related to the glans and the coronal sulcus..?

Hello Dr.
Liu, I would like to ask you about an issue I've been experiencing.
Recently, my glans and coronal sulcus have started to itch and hurt a bit, and I've noticed some white "flakes" appearing, which I didn't have before.
When I wash with soap, it becomes even more painful if I wash for too long, which is something I didn't experience previously.
What could be the problem? I used a type of condom containing a local anesthetic recently; could this be related? However, I didn't have this issue the first time I used it...
Additionally, I have a concern about the size of my penis when it's not erect.
It is quite short, sometimes only the length of the glans, which makes me feel a bit uncomfortable when I go to the sauna.
However, when erect, it is still over ten centimeters! I remember seeing a report about a surgery that can partially remove some connective tissue that links the body and the penis, allowing the shaft to extend further outward when erect, so it doesn't sit too close to the abdomen.
I was thinking that this way, my penis might not retract so much when relaxed and would only have a small portion outside.
I have two questions...
Please help clarify these issues, Dr.
Liu.
Thank you!

Xiao Bai, 20~29 year old female. Ask Date: 2005/08/04

Dr. Liu Jianting reply Urology

1.
It could be glans and foreskin inflammation, eczema, or a fungal infection.
Please visit a hospital to consult a urologist for examination and treatment.
2.
Sigh! People can be more frustrating than the situation itself; as long as it's sufficient, that's all that matters.

Reply Date: 2005/08/04

More Info

Understanding penile discomfort and concerns can be a sensitive topic, but it is essential to address these issues with care and professionalism. Based on your description, it seems you are experiencing discomfort in the glans (the head of the penis) and the corona (the ridge of the glans), accompanied by itching, pain, and the presence of white flakes. These symptoms can be indicative of several conditions, and it is crucial to consider various factors that may contribute to your situation.

Firstly, the symptoms you describe, such as itching and pain, could be related to a condition known as balanitis, which is inflammation of the glans. Balanitis can be caused by various factors, including poor hygiene, infections (such as yeast infections or bacterial infections), or irritants like soaps or lotions. The white flakes you mentioned could be a buildup of smegma, which is a combination of dead skin cells and oils, or they could indicate a fungal infection. If you have recently used a condom containing a local anesthetic, it is possible that you may have had a reaction to the ingredients in the condom, leading to irritation or an allergic response.

It is important to note that using harsh soaps or scrubbing the area too vigorously can exacerbate irritation and discomfort. Gentle cleansing with warm water and avoiding irritants is often recommended. If the symptoms persist or worsen, it would be advisable to consult a urologist or healthcare provider for a thorough examination and appropriate treatment.

Regarding your second concern about the size of your penis when flaccid, it is quite common for individuals to feel self-conscious about their anatomy. The size of the penis can vary significantly among individuals, and it is essential to understand that many factors, including genetics and body composition, influence this. The phenomenon you describe, where the penis appears shorter when flaccid, is often referred to as "retraction" and can be influenced by the temperature, anxiety, or even the position of the body.

There are surgical procedures designed to address concerns about penile length and appearance, such as the penile lengthening surgery. This surgery typically involves cutting the suspensory ligament that attaches the penis to the pubic bone, allowing for a greater outward appearance of length. However, it is crucial to approach such procedures with caution and to have realistic expectations. Surgery carries risks, including complications, and should only be considered after thorough consultation with a qualified urologist.

In conclusion, it is essential to address your discomfort with a healthcare professional who can provide a proper diagnosis and treatment plan. Additionally, if you have concerns about the size of your penis or any related issues, discussing these with a urologist can help you explore your options and alleviate any anxiety you may have. Remember, open communication with your healthcare provider is key to addressing your concerns effectively.

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