Blisters at the Urethral Opening: Causes and Treatments

Blister at the urethral opening?

I previously asked a question but did not receive a response, and I am a bit worried, so I apologize for asking again.
Last Sunday, April 28, I had unprotected sexual intercourse with my girlfriend.
That night, she mentioned that her vagina was very itchy, and she started using a suppository and taking medication.
I also noticed that my glans had small red spots, which were not painful or itchy.
I was very concerned and went to see a urologist.
After examining me, the doctor said it was glans inflammation and not a sexually transmitted infection.
He prescribed medication for me to take and also gave me an ointment to apply.
Two days later, the red spots disappeared, but I noticed another issue: there are white blisters on both sides of my urethral opening (commonly referred to as the "meatus").
They do not burst and there is no pus or discharge.
I am very worried about what this could be.
Please help me, doctor.
The medication details are as follows: DEXAZONE 0.5 gm, VITAMIN B COMPLEX, DELAMIN 2 gm, KMTCLOBETASOL 5 gm (topical).

GG, 20~29 year old female. Ask Date: 2013/05/06

Dr. Xu Weikai reply Urology

Hello, you may have an infection and need to undergo bacterial and microbiological testing.
As for your girlfriend, it's important for her to see a gynecologist as well.
Both of you should be treated simultaneously for effective results.

Reply Date: 2013/05/06

More Info

Blisters at the urethral opening can be concerning, especially after experiencing symptoms such as itching and the appearance of red spots on the glans (the head of the penis). Based on your description, it seems that you have already consulted a urologist who diagnosed you with glans inflammation rather than a sexually transmitted infection (STI). This is a positive sign, as it suggests that the condition may be related to irritation or an allergic reaction rather than an infectious process.

Causes of Blisters at the Urethral Opening
1. Irritation or Allergic Reaction: Engaging in sexual activity without protection can lead to irritation of the sensitive skin in the genital area. This can be exacerbated by the use of lubricants, soaps, or other products that may cause an allergic reaction.

2. Infection: While your doctor has ruled out STIs, other infections can still cause blisters. For example, a yeast infection or a bacterial infection can lead to similar symptoms.

3. Dermatological Conditions: Conditions such as eczema or psoriasis can also affect the genital area, leading to the development of blisters or rashes.

4. Friction: Physical irritation from sexual activity can cause friction burns or blisters, especially if there is a lack of lubrication.

Treatment Options
1. Topical Medications: The medications prescribed to you, including Clobetasol (a potent topical steroid), can help reduce inflammation and irritation. It's important to apply these as directed by your physician.

2. Oral Medications: The use of Dexamethasone (a corticosteroid) and Vitamin B Complex may help in reducing inflammation and promoting healing.

3. Avoiding Irritants: Until the blisters heal, it is advisable to avoid any potential irritants, including soaps, lotions, or other topical products that may exacerbate the condition.

4. Hygiene: Maintaining good hygiene is crucial. Gently clean the area with mild soap and water, and avoid scrubbing.

5. Follow-Up: Since you have already seen a urologist, it is essential to follow up if the blisters do not improve or if new symptoms arise. Persistent or worsening symptoms may require further evaluation.

When to Seek Further Medical Attention
- If the blisters become painful, start to ooze, or show signs of infection (such as increased redness, warmth, or discharge).

- If you develop fever or systemic symptoms.

- If the condition does not improve with the prescribed treatment within a few days.

Conclusion
In summary, while the appearance of blisters at the urethral opening can be alarming, it is often related to irritation or inflammation rather than a serious infection. Following your doctor's advice, using the prescribed medications, and maintaining good hygiene should help in resolving the issue. If you have any lingering concerns or if symptoms persist, do not hesitate to seek further medical advice. It's always better to err on the side of caution when it comes to your health.

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