Red Spots on the Glans: Causes and Treatment Options - Urology

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When it comes to red spots on the glans (the head of the penis), there are several potential causes and treatment options to consider. Based on your description, it seems you are experiencing a combination of symptoms including white discharge, a foul odor, pain during urination, and discomfort upon touching the glans and the corona (the ridge of the glans). Let's break down your concerns and provide a comprehensive understanding.


1. Possible Causes of Symptoms
The symptoms you describe could be indicative of several conditions:
- Balanitis: This is an inflammation of the glans, often caused by poor hygiene, infections (bacterial or fungal), or irritants. The presence of a foul odor and white discharge could suggest a yeast infection or bacterial infection.

- Phimosis: This condition occurs when the foreskin cannot be easily retracted over the glans. You mentioned a "包莖" (phimosis) phenomenon, which can lead to discomfort, pain, and hygiene issues, potentially resulting in infections.

- Sexually Transmitted Infections (STIs): Certain STIs can cause redness, irritation, and discharge. If there is a possibility of exposure, it is crucial to get tested.

- Allergic Reactions or Irritation: Sometimes, soaps, lotions, or even laundry detergents can cause irritation, leading to redness and discomfort.


2. Cleaning Practices
You mentioned using hot water to clean the area, which can indeed be harmful. Hot water can strip the skin of its natural oils, leading to dryness and irritation. Instead, it is recommended to use lukewarm water and a mild, unscented soap. Gentle cleaning is essential, especially for the area under the foreskin if you are uncircumcised.

3. Treatment Options
- Topical Treatments: Your doctor has suggested applying a topical ointment, which is a common first-line treatment for infections or inflammation. It is essential to follow the prescribed treatment regimen.

- Circumcision: If phimosis is causing recurrent issues, circumcision may be recommended. This procedure can alleviate symptoms by removing the foreskin, thus preventing future infections and discomfort.


4. Pain and Discomfort
Pain during urination and when touching the glans can be distressing. If the pain persists despite treatment, it is crucial to follow up with your healthcare provider. They may need to reassess your condition and consider alternative treatments or further investigations.


5. Sexual Activity During Treatment
Regarding sexual activity while using medication, it is generally advisable to avoid sexual intercourse until the symptoms have resolved and you have completed the course of treatment. Engaging in sexual activity could potentially exacerbate the irritation or lead to the transmission of an infection to your partner.


6. When to Seek Further Medical Attention
If you notice any worsening of symptoms, such as increased pain, swelling, or the development of new symptoms (like fever or systemic symptoms), it is crucial to seek immediate medical attention. Persistent symptoms may require further evaluation, including cultures or additional diagnostic tests to identify the underlying cause.


Conclusion
In summary, the symptoms you are experiencing could be due to a variety of conditions, including balanitis, phimosis, or possibly an STI. Proper hygiene practices, adherence to prescribed treatments, and open communication with your healthcare provider are essential for effective management. If you have any concerns or if symptoms persist, do not hesitate to seek further medical advice. Your health and comfort are paramount, and addressing these issues promptly can lead to better outcomes.