Can You Trust Doctors When Dealing with Urological Issues? - Urology

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Can you really trust doctors when you go to the hospital?


Hello Doctor: Last month, I noticed a red lump on my glans, which felt a bit warm.
Naturally, as a man, I started to feel anxious, so I quickly went to see a doctor (a urologist!).
Here’s what happened: The first doctor I saw told me that my phimosis was causing eczema.
I ended up seeing three doctors, and each one told me I had eczema, but I felt like there was no improvement.
So, I decided to switch doctors for a second opinion.
The second doctor also diagnosed me with eczema, which relieved my worries.
However, after two weeks, my condition remained the same, and I became concerned again...
The third doctor finally provided a different diagnosis: balanitis.
This doctor’s treatment was significantly more effective than the previous two; within a week, I noticed signs of improvement.
However, after two weeks, I felt like it wasn't completely cured, but the condition had definitely improved a lot.
I’m curious about your thoughts on this.
I honestly don’t know what a healthy glans should look like; I just feel like if there’s any redness, it means I’m not healed, and I’m hesitant to stop using the ointment.
How can I determine if I’m healing? Also, will circumcision help restore my glans to its previous state? All the doctors have told me that I have phimosis, and I really don’t want to continue worrying about this.
Please give me a clear answer, okay? I still hope I can trust what the doctors say.

Wo feichang huaiyi -- qinshen jingyan, 20~29 year old female. Ask Date: 2006/05/23

Dr. Zhang Chengye reply Urology


Hello: Please continue to patiently follow the prescribed treatment from your physician.
If the topical medication prescribed by the doctor does not improve your current condition, please return for further follow-up treatment.
Additionally, if phimosis does not affect your daily life, maintaining personal hygiene should suffice.
Whether or not to undergo circumcision can be discussed with your physician regarding its necessity.
Thank you!

Reply Date: 2006/05/23

More Info


When dealing with urological issues, particularly those related to the penis and foreskin, it is essential to establish a trusting relationship with your healthcare provider. Your experience highlights a common concern among patients: the challenge of receiving consistent and accurate diagnoses and treatments.
Firstly, it is important to understand that medical professionals, including urologists, rely on their training and experience to diagnose conditions. However, the human body can present symptoms that overlap between different conditions, leading to varying interpretations. In your case, the initial diagnoses of eczema or dermatitis due to phimosis (tight foreskin) may have been valid based on the symptoms presented. However, the fact that you did not see improvement after several visits is a legitimate reason to seek a second opinion, which you did.
The third doctor's diagnosis of balanitis (inflammation of the glans) indicates that there may have been an underlying infection or inflammation that was not addressed in the previous consultations. This is a reminder that persistence in seeking care is crucial, especially when symptoms do not improve. It is also a testament to the importance of patient advocacy—being proactive about your health and seeking further evaluation when necessary.

Regarding your concerns about the appearance of your glans and the use of topical medications, it is essential to follow your doctor's instructions carefully. The redness you are observing may be a sign of ongoing inflammation or irritation, and it is crucial to communicate openly with your healthcare provider about your concerns. If you are unsure whether to continue using the medication or if you should stop, it is best to consult your doctor. They can provide guidance based on your specific situation and may suggest alternative treatments if necessary.

As for the question of whether circumcision would resolve your issues, it is a common procedure for men with recurrent infections or inflammation related to phimosis. Circumcision can reduce the risk of future infections and may alleviate symptoms associated with tight foreskin. However, it is essential to discuss the potential benefits and risks with your urologist. They can help you weigh your options and determine if this procedure is appropriate for your situation.

In conclusion, trust in your healthcare provider is built through clear communication, consistent follow-up, and a willingness to seek additional opinions when necessary. It is vital to have a healthcare provider who listens to your concerns and takes them seriously. If you ever feel uncertain about a diagnosis or treatment plan, do not hesitate to seek a second opinion. Your health and peace of mind are paramount, and you deserve to feel confident in the care you receive.

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