and Treating Cracks Behind the Glans: A Urology Perspective

Similar to fissures?

Hello: I recently noticed something resembling cracks behind my glans.
It doesn't hurt and isn't very large.
How should I treat this? I also masturbate; could it be caused by that? (I don't do it very forcefully.) Will applying Manuka honey help? (I've been applying it for 4 days!) What will happen if I don't do anything about it?

Niming, 10~19 year old female. Ask Date: 2012/07/28

Dr. Jiang Yini reply Urology

First, rest to allow for natural healing.
If there is no improvement, you may need to schedule an appointment with a urologist for suturing.

Reply Date: 2012/07/28

More Info

When it comes to the issue of cracks or fissures behind the glans (the head of the penis), it’s important to first understand the potential causes and appropriate treatment options. Cracks in this area can arise from various factors, including friction, irritation, infections, or skin conditions. Given that you mentioned the cracks are not painful and are relatively small, it’s possible that they could be related to friction from activities such as masturbation, especially if there is insufficient lubrication.

Potential Causes
1. Friction and Irritation: Engaging in masturbation without adequate lubrication can lead to minor abrasions or cracks. Even if you are not applying excessive force, repetitive motion can cause irritation.

2. Infections: Conditions like balanitis (inflammation of the glans) can lead to symptoms such as redness, swelling, and cracks. This is often caused by poor hygiene, irritants, or infections (bacterial or fungal).

3. Skin Conditions: Dermatitis or other skin conditions can also manifest as cracks or fissures. Conditions like psoriasis or eczema can affect the genital area, leading to similar symptoms.

4. Allergic Reactions: Sometimes, products like soaps, lotions, or lubricants can cause allergic reactions, leading to irritation and cracks.

Treatment Options
1. Topical Treatments: Applying a gentle moisturizer or barrier cream can help soothe the area. While you mentioned using a product like Manuka honey (曼秀雷頓), which has natural antibacterial properties, it may help with healing. However, if there is no improvement after a few days, it may be worth considering other options.

2. Avoiding Irritants: Ensure that you are using mild, unscented soaps and avoid any products that may cause irritation. If you suspect that a particular product is causing the issue, discontinue its use.

3. Lubrication During Masturbation: If friction is a contributing factor, consider using a water-based lubricant during masturbation to reduce irritation.

4. Hygiene: Maintain good hygiene by gently cleaning the area with warm water and avoiding harsh soaps. Ensure that the area is dry after washing.

5. Consultation with a Urologist: If the cracks do not improve with home treatment, or if you notice any signs of infection (such as increased redness, swelling, discharge, or pain), it is important to consult a urologist. They can provide a proper diagnosis and treatment plan.

Prognosis and Long-term Considerations
If left untreated, minor cracks may heal on their own, especially if they are not associated with an underlying infection or significant irritation. However, if the cracks are due to a skin condition or infection, they may worsen or lead to complications if not addressed.
In summary, while minor cracks behind the glans may not be a cause for immediate concern, monitoring the situation is important. If symptoms persist or worsen, seeking medical advice is the best course of action. Remember, maintaining good hygiene and using lubrication can significantly reduce the risk of similar issues in the future.

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