Redness Around the Glans: Causes and Treatment Options - Urology

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A small red ring around the glans?


Hello Doctor: Two months ago, I noticed a small red ring on my glans, which has not been painful.
It hasn't improved, and about two weeks ago, I visited the Disease Control Bureau (STD Prevention Center) in Ximen, where the doctor diagnosed me with balanitis.
I was prescribed Extracomb 6gm Cream and oral Supercillin 250mg capsules for treatment.
After about two weeks, the redness has faded, and I thought it was getting better.
However, after engaging in sexual activity, I found that the red area became painful and slightly swollen, and it hurts a lot when it comes into contact with water.
It seems like it might be starting to suppurate! I would like to ask the doctor if it is still safe to continue applying Extracomb cream in the presence of painful wounds.
Thank you for your response, Doctor!

alex, 20~29 year old female. Ask Date: 2008/11/15

Dr. Yan Dawei reply Urology


If balanitis persists, circumcision may be considered.
If you have any questions, please consult the urology outpatient clinic.

Reply Date: 2008/11/15

More Info


When it comes to redness around the glans, particularly in the context of a diagnosis of balanitis (inflammation of the glans), there are several important factors to consider regarding causes, treatment options, and when to seek further medical attention.


Causes of Redness Around the Glans
1. Balanitis: This is the most common cause of redness in this area. It can be due to various factors, including infections (bacterial, fungal, or viral), irritants (such as soaps or lotions), or underlying skin conditions (like eczema or psoriasis).

2. Infections: Fungal infections, particularly those caused by Candida (yeast), are common in individuals with a moist environment, such as under the foreskin. Bacterial infections can also occur, especially if there is a break in the skin.

3. Sexually Transmitted Infections (STIs): Certain STIs can cause inflammation and redness. If there is any suspicion of an STI, it is crucial to get tested.

4. Irritation: This can result from friction during sexual activity, use of certain hygiene products, or even from tight clothing.


Treatment Options
1. Topical Treatments: The use of creams like Extracomb, which contains anti-inflammatory and antifungal components, can be effective. However, if there is an open wound or signs of infection (like pus), it is essential to consult a healthcare provider before continuing any topical treatment.

2. Oral Medications: Antibiotics like Supercillin may be prescribed for bacterial infections. It is important to complete the full course of antibiotics even if symptoms improve.

3. Hygiene: Maintaining proper hygiene is crucial. Gently cleaning the area with mild soap and water and ensuring it is dry can help prevent further irritation.

4. Avoiding Irritants: If certain products are causing irritation, it is best to avoid them. This includes scented soaps, lotions, or any products that may exacerbate the condition.


When to Seek Further Medical Attention
- Worsening Symptoms: If the redness and pain worsen, or if there is an increase in swelling, it is important to seek medical attention. Signs of a possible abscess or severe infection require prompt treatment.

- Persistent Symptoms: If the redness does not improve with treatment after a reasonable period (usually a week or two), further evaluation is necessary. This may include a swab for culture to identify the specific pathogen causing the infection.

- Pain During Sexual Activity: If pain occurs during sexual activity, it may indicate that the condition is worsening or that there is a complication, such as a secondary infection.

- Signs of Systemic Infection: If you experience fever, chills, or other systemic symptoms, it is crucial to seek immediate medical care.


Conclusion
In your case, since you have noticed an increase in pain and potential signs of infection after sexual activity, it is advisable to stop using the topical treatment until you can consult with your healthcare provider. They may recommend a different treatment approach, possibly including a different topical medication or further evaluation to rule out any complications. It is essential to address these symptoms promptly to prevent further issues and ensure proper healing. Always prioritize open communication with your healthcare provider regarding any changes in your symptoms or concerns about your treatment plan.

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