Penile Skin Spots and Urinary Issues: A Urology Guide

Regarding small spots on the foreskin?

Hello Doctor, I have two questions.

1.
When I go to the bathroom, I often feel the need to strain, and when I do, I end up passing gas.
My urine stream frequently splits, and if my bladder is too full, I often end up dripping a few drops on the bathroom floor by the time I'm done.
What should I do about this situation, and how can it be treated?
2.
Recently, I developed a viral wart on my hand.
I heard that it can also spread to the genital area.
I checked myself and noticed that the skin at the base of each pubic hair under the foreskin is a lighter color compared to other areas of the foreskin, which is dark brown.
This lighter color is a yellowish hue and is more pronounced in the area below the genitalia, while it is hardly visible above.
Most of the bases of my pubic hairs have this appearance.
I'm very concerned that this might be a sign of a viral wart infection.
Could you please help me with this? Thank you!

Xiao Tang, 20~29 year old female. Ask Date: 2006/06/14

Dr. Lin Wenxu reply Urology

1.
Regarding the need to exert force during urination and the sensation of residual urine, this is somewhat similar to the symptoms commonly seen in elderly individuals with benign prostatic hyperplasia (BPH).
However, a small number of younger individuals may also experience these symptoms.
In the past, this condition was often attributed to "chronic prostatitis," which is usually related to lifestyle, diet, and emotional factors.
Treatment typically involves providing tailored recommendations and oral medications based on the possible causes for each individual case.
2.
Based on your description, the "punctate lesions" you observed are more likely to be follicular in nature rather than indicative of a viral infection.
If you still have concerns, it is advisable to visit a urology clinic for a thorough examination, which will certainly provide you with a satisfactory answer.

Reply Date: 2006/06/14

More Info

When it comes to concerns about urinary issues and skin spots on the penis, it is important to address both symptoms and potential underlying conditions. Let's break down your questions into two parts for clarity.

1. Urinary Issues: Difficulty Urinating and Dribbling
Experiencing difficulty while urinating, such as needing to exert force, and having a split stream or dribbling at the end of urination can be indicative of several conditions. These symptoms may suggest issues related to the urinary tract or prostate. Here are some possible causes and recommendations:
- Prostate Enlargement: In men, benign prostatic hyperplasia (BPH) is a common condition that can lead to urinary difficulties. The enlarged prostate can obstruct the urethra, causing a weak stream, dribbling, or the sensation of incomplete emptying.

- Urinary Tract Infection (UTI): UTIs can cause discomfort during urination and may lead to changes in urination patterns. If you experience additional symptoms such as burning sensation, urgency, or frequency, it’s advisable to consult a healthcare provider for a urine test.

- Urethral Stricture: A narrowing of the urethra can also lead to similar symptoms. This can occur due to previous infections, injuries, or inflammation.

- Pelvic Floor Dysfunction: Sometimes, issues with the muscles that control urination can lead to difficulty. Pelvic floor exercises may help strengthen these muscles.

Recommendations:
- Consult a Urologist: Given the persistence of your symptoms, it would be wise to see a urologist. They may perform a physical examination, urine tests, and possibly imaging studies to determine the cause of your symptoms.

- Hydration and Diet: Ensure you are well-hydrated and consider reducing caffeine and alcohol intake, as these can irritate the bladder.

- Avoid Straining: Try to relax while urinating. Straining can lead to further complications.

2. Skin Changes and Concerns About Viral Warts
The appearance of lighter spots at the base of your pubic hair and concerns about viral warts are valid. Here’s what you need to know:
- Viral Warts (HPV): Human Papillomavirus (HPV) can cause warts in various areas, including the genital region. If you have warts on your hands, there is a possibility of transmission to the genital area through direct contact. However, not all skin changes are due to warts.

- Skin Variations: The color variation you describe at the base of your pubic hair could be a normal skin variation or a result of friction, irritation, or other benign skin conditions. It is not uncommon for skin pigmentation to vary in different areas of the body.

- Consult a Dermatologist: If you are concerned about the possibility of warts or any other skin condition, it is best to consult a dermatologist. They can perform a visual examination and, if necessary, a biopsy to determine the nature of the skin changes.

Recommendations:
- Avoid Self-Diagnosis: While it’s good to be observant of changes in your body, self-diagnosing can lead to unnecessary anxiety. Professional evaluation is crucial.

- Practice Safe Sex: If you are sexually active, using protection can reduce the risk of transmitting or acquiring sexually transmitted infections, including HPV.

- Monitor Changes: Keep an eye on any changes in the skin or any new symptoms. If they worsen or new symptoms arise, seek medical attention promptly.

In conclusion, both urinary issues and skin changes warrant professional evaluation. A urologist can help address urinary symptoms, while a dermatologist can provide insight into skin concerns. Early intervention can lead to better outcomes, so don’t hesitate to seek medical advice.

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