I am very worried, very worried?
Dr.
Li: In September, I asked you about my concerns after visiting a semi-full-service skincare clinic.
After a month, I experienced symptoms yesterday, including redness and swelling of the skin above the penis.
After consulting a dermatologist, I was diagnosed with balanoposthitis.
I was still worried and asked the dermatologist if I should get tested.
The dermatologist said that since there were no ulcers, only noticeable redness and swelling, there was no need to waste money on tests.
Should I see a urologist for further evaluation? (I mentioned to the dermatologist about my visit to the semi-full-service clinic, and he examined my lymph nodes for any swelling.)
Xiao Chen, 30~39 year old female. Ask Date: 2013/10/06
Dr. Li Yilun reply Urology
Itching of the penis and small red rashes on the glans may be early signs of some skin inflammation.
In young males, balanoposthitis is often associated with sexual activity, so it is essential to rule out the possibility of sexually transmitted infections.
Clinically, visual inspection and palpation are necessary to determine the potential causes of skin changes.
Other causes may relate to hygiene practices, dermatitis, or allergic skin conditions.
Additionally, it may also be associated with diabetes.
The condition can vary among different patients.
If symptoms are present, it is advisable to visit a nearby urology department.
Physicians often need to conduct a thorough medical history inquiry, visual inspection, palpation, and examinations to confirm the diagnosis and treatment plan.
Furthermore, it is recommended to avoid risky sexual behaviors to reduce the chances of sexually transmitted infections; otherwise, it may be too late to worry.
Reply Date: 2013/10/06
More Info
When it comes to skin issues, particularly those that arise after a treatment or a change in environment, it’s essential to approach the situation with care and a thorough understanding of the underlying conditions. Based on your concerns regarding the red and swollen skin on the penis, which has been diagnosed as balanoposthitis (inflammation of the glans and foreskin), it’s understandable to feel anxious, especially considering your recent experiences at a skincare establishment.
Balanoposthitis can be caused by various factors, including irritation, infections (bacterial or fungal), or allergic reactions. Since your skin condition has been evaluated by a dermatologist who noted the absence of ulcers but observed significant redness and swelling, it’s crucial to follow their advice while also considering your own comfort and health.
Here are some steps you can take:
1. Follow Up with a Urologist: If you continue to experience symptoms or if they worsen, it would be prudent to consult a urologist. They specialize in urinary tract and male reproductive system issues and can provide a more focused evaluation of your symptoms. This is particularly important if you have concerns about potential infections or other underlying conditions that may not have been addressed by the dermatologist.
2. Monitor Symptoms: Keep track of any changes in your symptoms. If you notice increased redness, swelling, pain, or any discharge, it’s essential to seek medical attention promptly. Documenting these changes can help your healthcare provider make a more informed diagnosis.
3. Avoid Irritants: Until you have a clearer understanding of the cause of your symptoms, it’s wise to avoid any potential irritants. This includes harsh soaps, lotions, or any products that may have contributed to the irritation. Stick to gentle, hypoallergenic products for personal hygiene.
4. Maintain Hygiene: Proper hygiene is crucial in managing balanoposthitis. Gently clean the area with mild soap and water, and ensure it is thoroughly dried afterward. Avoid excessive scrubbing, which could exacerbate irritation.
5. Consider Allergies or Sensitivities: If you suspect that your symptoms may be related to a product used during your visit to the skincare establishment, consider whether you have any known allergies or sensitivities. Discussing this with your healthcare provider can help determine if an allergic reaction is a possibility.
6. Avoid Sexual Activity: Until your symptoms have resolved, it may be best to avoid sexual activity. This can help prevent further irritation and allow the area to heal.
7. Follow Medical Advice: If your dermatologist has recommended a specific treatment or medication, be sure to follow their instructions closely. If you have concerns about the treatment or if it seems ineffective, don’t hesitate to reach out for further guidance.
In conclusion, while the initial evaluation by your dermatologist is a good starting point, your ongoing symptoms warrant further investigation, particularly by a urologist. They can provide a comprehensive assessment and determine if any additional tests or treatments are necessary. Remember, your health and comfort are paramount, and seeking clarification and further evaluation is always a wise choice when it comes to your well-being.
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