Penile Skin Peeling and Urinary Concerns: A Guide - Urology

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Peeling of the inner edge of the penis where it connects to the foreskin (penile corona)?


Hello doctor, the inner edge of my penis where it connects to the foreskin is peeling excessively (the coronal sulcus?).
My foreskin also seems a bit long; could this be the reason? It keeps peeling, and I haven't seen it without peeling.
Is this a problem? Or could it be due to excessive masturbation? I do it about 1 to 2 times a week.
Additionally, I feel like I have some post-urination dribbling (but I'm still young), where after using the restroom, I sometimes feel like it's not completely clean.
After urinating, the glans sometimes feels wet, and I have the urge to urinate again.
Certain movements like bending over or squatting put pressure on the muscles between the anus and the penis, which makes me feel like I need to urinate again.
What could this be? Is it due to stress causing frequent urination? Or could it be related to some venous engorgement near the testicles?

Nìmíng zhě, 10~19 year old female. Ask Date: 2012/04/21

Dr. Li Yilun reply Urology


We apologize for the delayed response due to the internet system not notifying us of your inquiry.
Your situation is quite complex and cannot be adequately addressed online.
If you have any questions, we recommend consulting a dermatologist or urologist.
Physicians often need to perform a physical examination and take a detailed medical history to determine the diagnosis and treatment options.

Reply Date: 2012/04/21

More Info


Understanding penile skin peeling and urinary concerns can be a complex issue, often requiring a thorough examination and diagnosis by a healthcare professional. Based on your description, it seems you are experiencing two main concerns: peeling skin around the glans (the head of the penis) and a sensation of incomplete urination or urinary urgency.


Peeling Skin
The peeling skin you are experiencing could be attributed to several factors:
1. Irritation or Allergic Reaction: This could be due to soaps, lotions, or other products that come into contact with the genital area. It's essential to use mild, unscented products to minimize irritation.

2. Fungal or Bacterial Infection: Conditions like balanitis (inflammation of the glans) can cause peeling and discomfort. This is often associated with poor hygiene or an overgrowth of yeast.

3. Dermatological Conditions: Conditions such as eczema or psoriasis can also affect the genital area, leading to peeling skin.
4. Phimosis: If your foreskin is too tight (phimosis), it can lead to irritation and peeling when the skin is stretched during erections or sexual activity.

5. Excessive Friction: Frequent masturbation or sexual activity can cause friction, leading to skin irritation and peeling.


Urinary Concerns
The sensation of incomplete urination and the feeling of wetness on the glans could be due to several reasons:
1. Post-Void Dribbling: This is a common issue where urine remains in the urethra after urination, leading to leakage. It can be caused by weak pelvic floor muscles or improper urination techniques.

2. Urinary Tract Infection (UTI): While less common in young males, a UTI can cause urgency and a sensation of incomplete emptying.

3. Prostatitis: Inflammation of the prostate can lead to urinary symptoms, including urgency and discomfort.

4. Psychological Factors: Stress and anxiety can exacerbate urinary symptoms, leading to a feeling of urgency or frequency.


Recommendations
1. Consult a Healthcare Professional: Given the complexity of your symptoms, it is crucial to consult a urologist or dermatologist. They can provide a proper diagnosis and treatment plan tailored to your needs.

2. Maintain Hygiene: Ensure proper hygiene by gently washing the genital area with mild soap and water. Avoid harsh soaps or products that can irritate the skin.

3. Avoid Irritants: Identify and avoid any products that may be causing irritation, including scented soaps, lotions, or lubricants.

4. Monitor Symptoms: Keep track of your symptoms, including any changes in skin condition or urinary habits. This information can be helpful for your healthcare provider.

5. Pelvic Floor Exercises: If post-void dribbling is an issue, pelvic floor exercises (Kegel exercises) may help strengthen the muscles involved in urination.

6. Stay Hydrated: Drinking plenty of water can help flush out the urinary system and reduce the risk of infections.

7. Stress Management: If you suspect that stress is contributing to your urinary symptoms, consider stress-reduction techniques such as mindfulness, meditation, or physical activity.


Conclusion
While your symptoms may be concerning, many conditions affecting the genital area and urinary function are treatable. It is essential to seek professional medical advice to determine the underlying cause and receive appropriate treatment. Avoid self-diagnosing or self-treating, as this can lead to complications or worsening of symptoms. Remember that open communication with your healthcare provider is key to addressing your concerns effectively.

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