Urology: Common Concerns About Penis Color and Sensation - Urology

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Hello, doctor?


Since I am still in college, I have some questions...
What is the purple translucent area at the edge of the glans? Also, is there a problem if my glans is not pink but darker in color? Additionally, when I am erect, about half of the glans is exposed, but I can also pull it to the coronal sulcus (it feels constricted).
How should I address this? None of these issues cause itching or pain.

K Tongxue, 10~19 year old female. Ask Date: 2010/07/09

Dr. Xu Weikai reply Urology


1.
Purple? It could be the color of the blood vessels.

2.
The color of the glans does not have a specific normal color; shades of pink and dark red are generally considered normal.

3.
During an erection, there may be a slight tightness, which could indicate a narrower foreskin that may require surgical correction.

Reply Date: 2010/07/09

More Info


When it comes to concerns about the color and sensation of the penis, it’s important to understand that variations in color and texture can be quite common and may not necessarily indicate a medical issue. However, it’s always wise to be aware of any changes and to consult a healthcare professional if you have concerns.


Understanding Color Variations
1. Normal Color Variations: The penis, including the glans (the head), can exhibit a range of colors from pink to darker shades. This is often due to the density of blood vessels and the amount of melanin in the skin. It is not unusual for the glans to appear darker than the surrounding skin, especially in individuals with lighter skin tones. The darker color can be attributed to increased blood flow and the presence of more pigment in that area.

2. Purple or Translucent Areas: If you notice that the edges of the glans appear purple or translucent, this could be due to a variety of factors. It may simply be a normal anatomical variation, but it can also indicate increased blood flow or sensitivity in that area. If there is no pain, itching, or unusual discharge, it is likely not a cause for concern. However, if these symptoms develop, it would be prudent to seek medical advice.


Sensation and Sensitivity
1. Sensitivity of the Glans: It’s common for the glans to be sensitive, especially if it has been covered by the foreskin for a long time (in cases of phimosis). The sensitivity can lead to discomfort when exposed. If you are able to retract the foreskin and expose the glans without pain, that is generally a good sign. However, if you experience discomfort or if the sensitivity is bothersome, you might consider discussing this with a urologist.

2. Handling Sensitivity: If you feel a "tight" sensation when pulling back the foreskin, this could be due to a tight foreskin (phimosis) or simply the natural elasticity of the skin. If it becomes painful or if you have difficulty retracting the foreskin, it is advisable to consult a healthcare provider. They may recommend stretching exercises or, in some cases, a minor surgical procedure to alleviate the issue.


Urinary Concerns
1. Post-Urination Dribbling: If you notice that a few drops of urine leak out after you have finished urinating, this is a common issue known as post-void dribbling. It can occur due to a variety of reasons, including the anatomy of the urethra or pelvic floor muscle control. Strengthening pelvic floor muscles through exercises (like Kegels) can sometimes help with this issue.

2. When to Seek Help: If you experience any changes in urination patterns, such as increased frequency, urgency, pain during urination, or blood in the urine, it is essential to seek medical attention. These could be signs of an underlying condition that needs to be addressed.


Conclusion
In summary, variations in color and sensation of the penis are often normal and can be attributed to anatomical differences, blood flow, and skin pigmentation. If you have concerns about the appearance or sensitivity of your penis, or if you notice any accompanying symptoms like pain or unusual discharge, it is always best to consult a healthcare professional. They can provide a thorough examination and offer personalized advice based on your specific situation. Remember, maintaining open communication with your healthcare provider about any concerns is key to ensuring your sexual health and well-being.

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