Foreskin Issues: White Spots and Treatment Options

Q: Foreskin Issues: White Spots and Treatment Options

Xiao Hao： Hello, it is difficult to determine your condition. <br>Sometimes, localized inflammation, normal glands (such as the pearly penile papules), and sebaceous gland blockages can present similar lesions. <br>If there are any unclear points, feel free to ask again, and we c

Prepuce issues

Hello Doctor: Recently, while showering, I noticed some white spots under the foreskin due to phimosis when I pulled the foreskin down to wash.
They wouldn't wash away, so I went to see a urologist.
He told me it was some kind of sebaceous material...
and there was another term he used.
I asked him how to handle it, and he said it was not a concern unless I wanted a circumcision.
He gave me some medication to apply, but he mentioned that it would help with the condition.
I would like to ask: is it really not a concern? What is the other term? Should I apply the medication? Also, when I masturbate, the glans sometimes feels a bit painful (it's hard to describe, but sometimes it just goes away quickly).
Is this related?

Xiao Hao, 20~29 year old female. Ask Date: 2012/07/31

Dr. Xu Weikai reply Urology

Xiao Hao: Hello, it is difficult to determine your condition.
Sometimes, localized inflammation, normal glands (such as the pearly penile papules), and sebaceous gland blockages can present similar lesions.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only serve as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/07/31

More Info

Understanding foreskin issues, particularly the presence of white spots, can be a source of concern for many individuals. The white spots you observed under the foreskin are likely to be sebaceous glands or smegma, which is a combination of dead skin cells, oils, and moisture that can accumulate in the area. This is a common occurrence, especially in individuals who are uncircumcised, and it is generally not a cause for alarm.

The term "smegma" refers to the substance that can build up under the foreskin if proper hygiene is not maintained. It is important to clean the area regularly to prevent the accumulation of smegma, which can lead to irritation or infection. The presence of smegma itself is not harmful, but if it is not cleaned properly, it can cause discomfort or an unpleasant odor.

Your urologist's advice to not worry unless you are considering circumcision is sound. Circumcision is a surgical procedure that removes the foreskin and is often considered for various medical or personal reasons. However, it is not necessary for everyone, especially if there are no significant health issues or discomfort associated with the foreskin.

The medication your doctor provided is likely a topical treatment designed to help with any irritation or inflammation you may be experiencing. It is essential to follow your doctor's instructions regarding its application. If the medication is meant to be applied regularly, it can help maintain the health of the skin and prevent any potential issues.

Regarding the pain or discomfort you mentioned during masturbation, it could be related to several factors. If the foreskin is tight (a condition known as phimosis), it can cause discomfort when retracted or during sexual activity. This tightness can lead to pain, especially if there is friction against the sensitive skin of the glans (the head of the penis). If you find that the discomfort persists or worsens, it would be advisable to consult your urologist again for further evaluation.

In summary, the white spots you observed are likely normal and not a cause for concern. Maintaining good hygiene is crucial, and if you have any ongoing discomfort or questions about your condition, do not hesitate to reach out to your healthcare provider for further guidance. They can provide personalized advice based on your specific situation and help ensure your sexual health and comfort.

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