Urological Concerns: Common Symptoms and When to Seek Help

Q: Urological Concerns: Common Symptoms and When to Seek Help

Hello： The most common reasons for one side of the scrotum being larger than the other include hernia, hydrocele, epididymitis, and tumors, which require medical evaluation for diagnosis confirmation. <br>The white substance under the foreskin is likely smegma, related to hygiene

Urgent matter?

Hello doctor, I have three questions I would like to ask for your help with, thank you.

1.
I have a habit of pulling back my foreskin to clean my glans while showering.
However, about a month ago, I noticed many small red bumps on my glans that look like blisters.
I am not sexually active, have never had a girlfriend, and have not visited any adult venues.
I am very worried that I might have a sexually transmitted infection (STI), which is driving me crazy.
Can you tell me what kind of reactions STIs can produce so that I can observe myself and at least not overthink it?
2.
Every time I pull back my foreskin while showering, I notice a white, foul-smelling substance on my glans that looks like dirt.
Is this also a sign of infection?
3.
Four years ago, during my military service, I felt like one of my testicles had dropped.
Since then, they have been uneven in size, with one being larger than the other.
I haven't seen a doctor about this.
What could happen if I don't seek medical attention for such a long time?
I appreciate your help with these questions, as I am feeling mentally distressed due to work and these issues.

Ayi, 20~29 year old female. Ask Date: 2006/08/01

Dr. Chen Xiuyi reply Urology

Hello: The most common reasons for one side of the scrotum being larger than the other include hernia, hydrocele, epididymitis, and tumors, which require medical evaluation for diagnosis confirmation.
The white substance under the foreskin is likely smegma, related to hygiene practices.
The presence of many small red spots on the glans should raise concerns for inflammation and requires medical evaluation for diagnosis confirmation.
Sincerely, Dr.
Chen Hsiu-Yi, Urologist.

Reply Date: 2006/08/01

More Info

It sounds like you have several concerns regarding your urological health, and it's important to address them carefully. Let's break down your questions one by one.

1. Red Bumps on the Glans: You mentioned noticing small red bumps on your glans (the head of the penis) after cleaning. While it’s understandable to be worried about sexually transmitted infections (STIs), it's important to note that not all bumps or lesions are indicative of STIs. Common causes of red bumps can include irritation from cleaning, allergic reactions, or conditions like pearly penile papules, which are harmless and common. STIs typically present with additional symptoms such as pain, discharge, or sores. If you are concerned about STIs, it’s best to consult a healthcare professional who can perform tests and provide a definitive diagnosis.

2. White Substance Under the Foreskin: The white substance you notice when you retract your foreskin is likely smegma, a combination of dead skin cells, oils, and moisture that can accumulate under the foreskin. While it is not inherently harmful, poor hygiene can lead to irritation or infections. Regular cleaning is important, but be gentle to avoid irritation. If you notice any unusual odor, persistent irritation, or changes in color or texture, it would be wise to seek medical advice.

3. Testicular Size Discrepancy: You mentioned that one of your testicles appears larger than the other and that this has been the case since your military service. It’s not uncommon for testicles to vary in size, but significant changes or a noticeable difference in size can be a sign of an underlying condition, such as a hydrocele, varicocele, or even a testicular mass. It’s concerning that you have not sought medical attention for this issue, especially since it has persisted for several years. I strongly recommend that you see a urologist for a thorough examination. They can perform an ultrasound if necessary and provide you with the appropriate diagnosis and treatment options.

In summary, while it’s natural to feel anxious about these symptoms, it’s crucial to consult a healthcare professional who can provide a proper evaluation and peace of mind. Delaying medical advice can lead to unnecessary worry and potential complications. Remember, taking care of your health is important, and seeking help is a proactive step towards ensuring your well-being. Don't hesitate to reach out to a urologist or your primary care physician to discuss your concerns in detail. They can help clarify your symptoms and guide you on the next steps.

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