Thick White Skin on the Glans: Causes and Treatments - Urology

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Understanding thick white skin on the glans, particularly when it presents as a rough, non-painful, and non-itchy texture, can be concerning. This condition, often described as a thickened white skin, could be attributed to several underlying causes, including but not limited to, balanitis, lichen sclerosus, or even a fungal infection.
Balanitis is an inflammation of the glans (the head of the penis) that can result from various factors, including poor hygiene, irritants, or infections. It can lead to symptoms such as redness, swelling, and sometimes a white discharge or thickened skin. Lichen sclerosus is a chronic inflammatory skin condition that can affect the genital area, leading to white patches and thickened skin. It is more common in men who are uncircumcised and can cause significant discomfort if left untreated.

Fungal infections, particularly those caused by Candida species, can also lead to thickened, white patches on the glans. These infections are often associated with other symptoms, such as itching or burning, but not always.
Given your history of treatments, including injections and topical medications, it is crucial to consider that some conditions may require a more targeted approach. If previous treatments have not yielded results, it might be beneficial to seek a second opinion from a dermatologist or a urologist who specializes in genital skin conditions. They may recommend a biopsy or culture to identify any underlying infections or skin disorders that have not been previously diagnosed.

Regarding your question about whether your wife should also be treated, it depends on the underlying cause of your condition. If a fungal infection or sexually transmitted infection is suspected, it is advisable for both partners to be treated to prevent reinfection. Open communication with your partner about your symptoms and treatment is essential for both your health and hers.

As for over-the-counter treatments, there are antifungal creams available that can be effective for fungal infections. However, it is essential to use these under the guidance of a healthcare professional, especially since you have been experiencing this issue for an extended period.
In addition to medical treatments, maintaining good hygiene is crucial. This includes gently cleaning the area with mild soap and water, ensuring the area is dry after bathing, and avoiding irritants such as scented soaps or lotions.
If you are concerned about the appearance of the thickened skin, it is important to remember that many skin conditions can improve with appropriate treatment. However, patience is key, as some conditions may take time to respond to therapy.
In summary, the thick white skin on the glans could be due to various causes, and a thorough evaluation by a specialist is recommended. Treatment may involve topical medications, lifestyle changes, and possibly treatment for your partner, depending on the diagnosis. Always consult with a healthcare provider before starting any new treatment to ensure it is appropriate for your specific condition.