Glandular Issues: Symptoms and Care for Penile Health - Urology

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Glans issues


Hello, I would like to ask about a bruise-like discoloration that has appeared on the left side of my glans, near the urethral opening (adjacent to the urethra and frenulum).
Compared to other areas, the skin there appears wrinkled, and sometimes it hurts a bit when touched or when my pants rub against it (though the pain is not constant).
Additionally, the lower end of the glans on the left side and the edge of the coronal sulcus sometimes appear slightly red, and touching or friction from clothing can cause mild pain (usually just at one point).
Furthermore, the blood vessels on the foreskin near the glans on the left side appear darker and thicker.
These symptoms have persisted for about two months, but there are no other spots, discharge, or itching.
Could you please advise what might be happening and how to manage or improve this condition? Thank you!

24-year-old male, 20~29 year old female. Ask Date: 2013/07/21

Dr. Xu Weikai reply Urology


24-year-old male: Hello, it is difficult to determine; it could be inflammation or trauma.
It is best to seek medical attention as soon as possible.
If it is inconvenient to see a doctor, you can try local heat application first and then decide on the next steps.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet should only be used as a reference; if necessary, it is still important to visit a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan, who cares about you.

Reply Date: 2013/07/21

More Info


It sounds like you are experiencing some concerning symptoms related to your penile health, particularly around the glans (the head of the penis) and the surrounding areas. Based on your description, you have noticed a bruise-like discoloration, wrinkling of the skin, occasional pain upon touch or friction, and changes in the appearance of the blood vessels in that area. Here’s a breakdown of your symptoms and some recommendations for care and management.


Possible Causes of Your Symptoms
1. Bruising or Trauma: The bruise-like discoloration you mentioned could be a result of trauma or friction. This can occur from vigorous sexual activity, rough handling, or even tight clothing. If the area has been subjected to repeated trauma, it may lead to localized bruising and discomfort.

2. Peyronie's Disease: This condition involves the development of fibrous scar tissue inside the penis, which can cause curved, painful erections. While you haven't mentioned curvature, the changes in skin texture and pain could be related to this condition, especially if there has been any history of trauma.

3. Infection or Inflammation: Although you haven't reported any discharge or itching, it's still possible that there could be a mild infection or inflammation, such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin). These conditions can cause redness, swelling, and discomfort.

4. Dermatological Issues: Skin conditions such as eczema, psoriasis, or even a fungal infection could cause changes in skin texture and color. These conditions can also lead to localized pain and discomfort.

5. Vascular Changes: The appearance of deeper and thicker blood vessels could be a normal variant or could indicate increased blood flow due to inflammation or irritation.


Recommendations for Care and Management
1. Avoid Irritation: Try to avoid tight clothing and any activities that may cause friction in the affected area. Loose-fitting underwear and pants can help reduce irritation.

2. Gentle Hygiene: Maintain good hygiene by gently washing the area with mild soap and water. Avoid harsh soaps or irritants that could exacerbate the condition.

3. Moisturization: If the skin appears dry or wrinkled, consider using a gentle, fragrance-free moisturizer to keep the skin hydrated. This can help alleviate discomfort.

4. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage any discomfort you may be experiencing.

5. Monitor Symptoms: Keep an eye on the symptoms. If the discoloration worsens, if you develop any new symptoms (such as discharge, severe pain, or fever), or if the condition does not improve within a few weeks, it is crucial to seek medical attention.

6. Consult a Specialist: Given that these symptoms have persisted for two months, it would be wise to consult a urologist. They can perform a thorough examination and may recommend tests such as an ultrasound or other imaging studies to assess the underlying cause of your symptoms.

7. Avoid Self-Diagnosis: While it’s tempting to search for answers online, self-diagnosis can lead to unnecessary anxiety or mismanagement of the condition. A healthcare professional can provide a proper diagnosis and treatment plan tailored to your specific situation.


Conclusion
Your symptoms warrant attention, and while they may not indicate a severe condition, it is essential to address them promptly to prevent any potential complications. Maintaining good hygiene, avoiding irritants, and consulting a healthcare provider will be key steps in managing your penile health. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek help if needed.

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