Redness and Swelling Around the Glans: A Urology Perspective

Redness and swelling around the urethral meatus and glans?

Hello, Doctor! Previously, I experienced inflammation of the foreskin and applied Meikang cream (but I also applied it to the glans at that time).
After using it for two consecutive days, I suddenly felt pain at the tip of the glans and noticed redness and swelling, so I stopped using the medication.
Later, I had glans inflammation again, and the doctor prescribed Meikang cream once more, which has since healed the inflammation, but the redness and swelling at the tip of the glans have not resolved.
The doctor mentioned that I could stop using the medication.
The doctor then suggested a circumcision procedure, which I underwent.
After the circumcision, the swelling at the tip of the glans decreased a bit, and there was no pain.
However, after more than a week, one day, after watching an adult film, I became excited and secreted some fluid, but I did not engage in any DIY or sexual activity.
This caused some small red spots to appear on the previously swollen area of the glans.
I quickly cleaned the area, and the red spots disappeared.
The next day, I visited another urologist, who prescribed a cream that I need to apply twice a day.
It is a white cream that feels moist when applied, but I am not sure of the name since it comes in a small bottle.
After applying it, the redness and swelling became more pronounced, and I occasionally feel pain.
Should I stop using the medication and return to see the clinic doctor? What kind of symptoms might this be?

Fanrao, 20~29 year old female. Ask Date: 2009/05/16

Dr. Lai Ronghao reply Urology

If your condition does not improve under the care of the same physician, it is recommended that you seek assistance from a larger hospital.

Reply Date: 2009/05/16

More Info

Understanding redness and swelling around the glans can be quite complex, especially when considering the various underlying causes and treatment options. Based on your description, it seems that you have experienced a series of events that have led to persistent symptoms around the glans (the head of the penis), including redness, swelling, and occasional pain.
Initially, you mentioned that you applied a topical medication (美康乳膏, which I assume is a steroid cream) for a foreskin infection, which also affected the glans. The use of topical steroids can sometimes lead to skin thinning or irritation, especially if used excessively or on sensitive areas like the glans. This could explain the subsequent pain and redness you experienced after the initial application.

After stopping the medication and experiencing further inflammation, your doctor recommended circumcision, which is often suggested in cases of recurrent infections or inflammation of the glans and foreskin (balanitis). Post-surgery, it is not uncommon for the area to remain red and swollen as it heals. The healing process can take several weeks, and during this time, the skin may be sensitive and reactive to various stimuli.

You mentioned that after a period of healing, you experienced a resurgence of symptoms following arousal, which led to the appearance of small red spots. This could be a sign of irritation or a mild allergic reaction, possibly exacerbated by the use of the topical medication prescribed by the second urologist. It’s important to note that the glans is a sensitive area, and any form of stimulation or irritation can lead to localized inflammation.

Given that the redness and swelling have not fully resolved and that you are experiencing occasional pain, it would be prudent to consult your healthcare provider. Here are some considerations for your situation:
1. Medication Review: If the new topical medication is causing increased redness or discomfort, it may be wise to stop using it and discuss this with your doctor. Sometimes, a different formulation or a less potent medication may be more appropriate.

2. Follow-Up Appointment: Since you have ongoing symptoms, a follow-up appointment with your urologist is essential. They can assess the area for any signs of infection, allergic reaction, or other underlying conditions that may require different treatment.

3. Hygiene Practices: Maintaining proper hygiene is crucial, especially after surgery. Ensure that the area is kept clean and dry, and avoid any irritants that could exacerbate the condition.

4. Avoiding Irritants: If you notice that certain activities (like watching adult films) trigger your symptoms, it may be beneficial to avoid these until you have a clearer understanding of what is causing the irritation.

5. Potential Conditions: The symptoms you describe could be indicative of several conditions, including balanitis, contact dermatitis, or even a fungal infection. A thorough examination by a healthcare professional will help clarify the diagnosis.

In summary, while some redness and swelling can be expected after circumcision, persistent symptoms warrant further evaluation. It’s important to communicate openly with your healthcare provider about your symptoms and any medications you are using. They can provide tailored advice and treatment options to help resolve your symptoms effectively.

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