Redness and Itching: Is It Balanitis or Phimosis? - Urology

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The glans and the area near the penis are red?


Hello, doctor.
I have some redness on my glans and near the shaft of my penis.
Usually, there’s no sensation, but I recently learned that I should retract the foreskin to clean it.
After cleaning, the red area feels a bit itchy, but the sensation goes away after about an hour.
The first time I cleaned it, there was some yellow discharge with an odor, but it disappeared after washing.
I haven’t had any sexual intercourse.
Could this be balanitis or posthitis? Is it necessary to see a doctor, or can I just maintain cleanliness?

Niming, 10~19 year old female. Ask Date: 2013/07/27

Dr. Li Yilun reply Urology


The yellow substance you notice during your first cleaning of the glans and foreskin is usually smegma.
If there are no changes such as redness, swelling, heat, pain, or an increase in discharge after cleaning, you can generally continue to observe and maintain cleanliness.
However, if there are any changes or if symptoms worsen, it is advisable to consult a healthcare professional for examination and evaluation to avoid delaying the diagnosis.
Physicians typically require a medical history, visual inspection, palpation, and tests to confirm the diagnosis and determine the appropriate treatment.

Reply Date: 2013/07/27

More Info


Understanding the symptoms you are experiencing is crucial for determining whether you are dealing with balanitis (inflammation of the glans penis) or phimosis (a condition where the foreskin cannot be easily retracted). Based on your description, it seems you are experiencing redness and mild itching around the glans and the area near the penis, particularly after cleaning.
Balanitis is often characterized by redness, swelling, and irritation of the glans, which can be accompanied by itching or discomfort. It can be caused by various factors, including poor hygiene, infections (bacterial or fungal), irritants (such as soaps or lotions), or skin conditions (like eczema). The presence of a yellowish discharge with an odor, especially after cleaning, could indicate a possible infection or irritation.
Phimosis, on the other hand, refers to the inability to retract the foreskin fully over the glans. This condition can lead to difficulty in cleaning the area properly, which may contribute to inflammation or infection. If you are able to retract the foreskin without pain, phimosis may not be the primary concern, but if you experience pain or difficulty, it could be a contributing factor.

In your case, since you mentioned that the redness and itching subside after cleaning, it suggests that maintaining proper hygiene is important. However, the initial yellow discharge and odor could indicate an underlying issue that may require medical attention. While keeping the area clean is essential, it is also important to monitor your symptoms. If the redness persists, worsens, or if you develop additional symptoms such as pain, swelling, or discharge, it would be advisable to seek medical evaluation.

A healthcare professional can conduct a thorough examination and may recommend treatments such as topical antifungal or antibacterial creams if an infection is suspected. They can also provide guidance on proper hygiene practices and assess whether any underlying conditions, such as phimosis, need to be addressed.

In summary, while maintaining cleanliness is crucial, it is equally important to be vigilant about any persistent or worsening symptoms. Consulting a healthcare provider would be the best course of action to ensure proper diagnosis and treatment. Ignoring symptoms could lead to complications, so it is always better to err on the side of caution when it comes to your health.

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