Swelling and Rashes on the Glans: A Urology Perspective - Urology

More Info

---

Understanding swelling and rashes on the glans can be a complex issue, especially after a recent sexual encounter that raises concerns about sexually transmitted infections (STIs) or other dermatological conditions. Based on your description, it seems you are experiencing some localized swelling and redness on the glans, which can be distressing.

Firstly, it’s important to note that the presence of a smooth, swollen area on the glans, along with red spots or rashes, can have several potential causes. These may include:
1. Irritation or Allergic Reaction: Sometimes, the skin on the glans can become irritated due to friction, soaps, or other substances. This irritation can manifest as redness and swelling. If you recently engaged in sexual activity, even with a condom, the friction or the use of lubricants could lead to localized irritation.

2. Infections: While you mentioned that you used protection, it’s still possible to contract infections through non-penetrative sexual activities. Conditions such as herpes, HPV (which can cause warts), or other STIs can present with similar symptoms. The fact that you have a history of a sexual encounter raises the need for careful monitoring and possibly further evaluation.

3. Pearly Penile Papules or Fordyce Spots: These are benign conditions that can appear as small bumps on the glans or shaft of the penis. They are not harmful and do not require treatment. However, they can sometimes be mistaken for other conditions.

4. Balanitis: This is an inflammation of the glans, often due to infection or poor hygiene. Symptoms can include swelling, redness, and sometimes discharge. If you have a history of phimosis (tight foreskin), this could increase your risk of balanitis.

Regarding your specific question about whether symptoms can be observed when fully erect, it is indeed possible for certain conditions to become more pronounced or less visible depending on the state of erection. For example, some rashes or swellings may be more noticeable when the penis is flaccid due to the skin being less taut. Conversely, if the swelling is significant, it may still be visible when erect, but the tension of the skin could obscure smaller lesions.

Given your concerns, here are some recommendations:
1. Follow-Up with a Urologist: Since you have already seen a urologist, it’s crucial to follow their advice and possibly return for a follow-up if the symptoms persist or worsen. They may recommend tests to rule out infections or other conditions.

2. Avoid Irritants: Until you have a clearer understanding of the cause of your symptoms, avoid any potential irritants, including scented soaps, lotions, or other products that may exacerbate the condition.

3. Monitor Symptoms: Keep an eye on the swelling and rashes. If you notice any changes, such as increased redness, pain, or discharge, seek medical attention promptly.

4. Practice Safe Sex: Moving forward, ensure that you practice safe sex to minimize the risk of STIs. This includes using condoms consistently and correctly, even during non-penetrative activities.

5. Consider a Dermatological Evaluation: If the urologist cannot provide a definitive diagnosis, a referral to a dermatologist may be beneficial. They can offer specialized insights into skin conditions affecting the genital area.

In conclusion, while your symptoms may not necessarily indicate a severe condition, it is essential to remain vigilant and proactive about your health. Regular check-ups and open communication with healthcare providers will help ensure that any potential issues are addressed promptly.