Post-Balanitis Symptoms: Redness and White Bumps Explained - Urology

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Regarding balanitis?


I have a question regarding post-inflammation of the glans.
It has been over two weeks since I experienced pain upon touch, which has now progressed to sensitivity and then back to normal sensation without any discomfort.
However, the color of the glans remains reddish and looks different from before.
After showering, I noticed two small raised white spots, approximately 2mm in diameter, on the glans just in front of the urethral opening.
They are slightly red but not very noticeable, and I am quite worried about what these two raised white spots might be.
Additionally, how can one determine if the inflammation of the glans has fully healed? Thank you.

KG, 20~29 year old female. Ask Date: 2012/06/22

Dr. Xu Weikai reply Urology


Hello, regarding balanitis, as long as there is no pain and no symptoms, it can be considered healed.
However, if there is still redness or swelling, it is advisable to seek medical attention for confirmation.
As for the small white spots, it is difficult to determine their nature, so it is recommended to consult a physician during your visit.

For daily care of the glans, I suggest the following:
1.
Absolutely avoid using soap or any body wash to clean the glans.

2.
It is recommended to use cold water, not hot water.

3.
After cleaning, apply petroleum jelly to the glans.

4.
If you notice any abnormalities, seek medical attention as soon as possible.

If there are any unclear points, feel free to ask again for further discussion and research.
Online responses should only be used as a reference; if necessary, it is important to visit a medical facility for proper care.

This message is from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/06/22

More Info


Post-balanitis symptoms can be concerning, especially when changes in the appearance of the glans penis (the head of the penis) occur after an episode of inflammation. Based on your description, it seems you are experiencing some lingering symptoms following a bout of balanitis, which is an inflammation of the glans, often caused by infections, irritants, or underlying skin conditions.

Firstly, the redness you are observing on the glans is not uncommon after an episode of balanitis. Inflammation can lead to increased blood flow to the area, resulting in a reddish appearance. This redness may persist for some time even after the acute symptoms have resolved. The fact that you are no longer experiencing discomfort or pain is a positive sign, indicating that the acute phase of the inflammation may have subsided.

The two small white bumps you mentioned, measuring about 2mm in diameter, could be a few different things. One possibility is that they are remnants of the inflammation, such as small cysts or papules that can form as the skin heals. Another possibility is that they could be pearly penile papules, which are normal anatomical variations and are not a cause for concern. However, if these bumps are new and different from what you have previously experienced, it is essential to monitor them for any changes in size, color, or sensation.

In terms of what constitutes healing from balanitis, the following criteria can be considered:
1. Resolution of Symptoms: The absence of pain, itching, burning, or discomfort in the area.

2. Normal Skin Appearance: The glans should gradually return to its normal color and texture, although some residual redness may persist for a while.

3. No Discharge: There should be no unusual discharge from the urethra or the glans.

4. No New Lesions: The appearance of new bumps or lesions should be minimal or absent.

If you are still seeing redness or if the white bumps change in appearance, it would be advisable to consult a healthcare professional. They may perform a physical examination and, if necessary, conduct tests to rule out any infections or other skin conditions.
In conclusion, while some lingering symptoms like redness and small bumps can be normal after balanitis, it is crucial to keep an eye on any changes. If you have concerns about the appearance of the glans or if any new symptoms arise, seeking medical advice is always the best course of action. Your healthcare provider can offer reassurance and, if needed, appropriate treatment to ensure complete recovery.

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