Is This Normal? Urological Concerns and Symptoms - Urology

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Is this normal?


Based on the images, could you please tell me what is located between the urethral opening and the foreskin? Is it swollen or is it a normal structure? The area between the lower end of the urethra and the foreskin appears darker in color, with slight folds and protrusions; is this a normal phenomenon? I have phimosis, but I can retract the foreskin without any discomfort, and there is no discharge.
I also do not experience any issues while urinating.
What could this be, doctor?

Niming, 10~19 year old female. Ask Date: 2015/01/13

Dr. Xu Weikai reply Urology


Anonymous: Hello, I reviewed the attached images but cannot make a definitive judgment.
At first glance, I do not see any abnormalities.
I am unable to assess the redness and swelling you mentioned.
However, some lesions can be very small and require a physical examination for proper evaluation.
Note: The tissue connecting the urethral opening and the foreskin is called the frenulum or penile frenulum.
You can search for images online to compare and see if they match.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Responses on the internet should only be used as a reference; if necessary, it is essential to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Ministry of Health and Welfare, who cares about your well-being.

Reply Date: 2015/01/13

More Info


When it comes to concerns regarding urological health, particularly regarding the appearance and sensations around the urethral opening and the foreskin, it is essential to approach the situation with a clear understanding of normal anatomy and potential variations. Based on your description and the images provided, it seems you are experiencing some changes in the area between the urethral opening and the foreskin, which you are concerned may not be normal.

Firstly, it is important to note that the anatomy of the male genitalia can vary significantly from person to person. The area you are describing, which includes the urethral opening and the skin of the foreskin, can have natural variations in color, texture, and appearance. The presence of a deeper color and slight folds or protrusions is often a normal anatomical feature. The skin in this region can also appear different due to factors such as blood flow, skin thickness, and individual pigmentation.

In your case, you mentioned that you have a longer foreskin but can retract it without discomfort, and you have not experienced any unusual symptoms such as discharge or pain during urination. These are positive signs indicating that there may not be an underlying pathological condition. However, the redness and swelling you are observing could be due to a variety of benign reasons, including:
1. Irritation or Friction: Sometimes, irritation from clothing, hygiene products, or even sexual activity can cause temporary redness or swelling in the genital area.

2. Normal Variation: As mentioned, the skin can have natural variations in color and texture. The presence of folds or a slightly darker area may simply be a normal anatomical feature.

3. Inflammation: If there is any mild inflammation, it could be due to a minor infection or irritation, especially if you have been cleaning the area more rigorously than usual.

4. Phimosis: If you have a longer foreskin, it is important to ensure that it can be retracted comfortably. If there is any difficulty or pain when retracting the foreskin, it may be worth discussing with a healthcare provider.

5. Allergic Reactions: Sometimes, products such as soaps, lotions, or even laundry detergents can cause allergic reactions that lead to redness and irritation.

Given that you have not experienced any significant discomfort, discharge, or changes in urination, it is likely that what you are observing is within the realm of normal anatomical variation. However, if you notice any changes such as increased redness, swelling, pain, or discharge, it would be advisable to consult a healthcare professional for a thorough examination.

In conclusion, while it is common to have concerns about changes in the genital area, many variations are normal. It is always best to err on the side of caution and seek medical advice if you have any doubts or if symptoms change. Regular check-ups with a urologist can also help ensure that your urological health remains optimal. Remember, maintaining good hygiene and being aware of your body’s normal state can help you identify any potential issues early on.

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