Seeking Solutions for Painful Urological Issues: A Patient's Dilemma

Knee pain: Seeking solutions?

Hello doctor, during intercourse, I pulled down my foreskin, but it has not returned to its original position since then, and my glans has been exposed.
Recently, it suddenly went back, but the glans has become red, with some areas more red and painful.
My foreskin also has a red line that hurts, and there is often some foul-smelling white discharge, even though I haven't ejaculated for five days.
I often feel itchy or painful while sitting.
What should I do to resolve this? Thank you, doctor.

An An Da Da, 20~29 year old female. Ask Date: 2015/06/22

Dr. Xu Weikai reply Urology

Hello, it is difficult to determine the cause; it could be a severe infection or inflammation.
It may also be due to poor circulation.
As for the foul odor of bodily fluids, this is typically a sign of infection and requires further examination and treatment.
Conclusion: Seek medical attention as soon as possible.
If there are any unclear points, feel free to ask again for further discussion and research.
Online responses should only be used as a reference; if necessary, you should visit a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/06/22

More Info

It sounds like you are experiencing a number of concerning symptoms related to your urological health, particularly involving your foreskin and glans (the head of the penis). Based on your description, there are several potential issues that could be at play, including inflammation, infection, or a condition known as balanitis.

Understanding Your Symptoms
1. Redness and Pain: The redness and pain you are experiencing on the glans and the foreskin could indicate inflammation, which is often a sign of an infection. Balanitis, which is the inflammation of the glans, can be caused by various factors including poor hygiene, infections (bacterial or fungal), or irritation from soaps, lotions, or other products.

2. White Discharge: The presence of a foul-smelling white discharge is also concerning. This could be a sign of a yeast infection (candidiasis) or a bacterial infection. In some cases, sexually transmitted infections (STIs) can also present with similar symptoms, so it is essential to consider this possibility.

3. Itching and Pain: The itching and pain, especially when sitting, can be indicative of irritation or inflammation of the skin in that area. This could be exacerbated by moisture, friction, or the presence of an infection.

Recommended Steps for Resolution
1. Consult a Urologist: Given the complexity of your symptoms, it is advisable to see a urologist. They specialize in male reproductive health and urinary tract issues and can provide a thorough examination. Bring any relevant medical history, including previous issues with your foreskin and any sexual health history.

2. Diagnostic Tests: The urologist may recommend tests such as a urinalysis, swabs of the discharge for culture, or even imaging studies if necessary. These tests can help identify any underlying infections or other conditions.

3. Treatment Options: Depending on the diagnosis, treatment may include:
- Antibiotics or Antifungals: If an infection is confirmed, appropriate medications will be prescribed.

- Topical Treatments: Creams or ointments may be recommended to reduce inflammation and soothe the area.

- Hygiene Practices: Maintaining proper hygiene is crucial. Gently clean the area with mild soap and water, and ensure it is dry afterward to prevent moisture buildup, which can lead to further irritation or infection.

4. Avoid Irritants: Until you see a doctor, avoid any products that may irritate the area, such as scented soaps, lotions, or other personal care products.

5. Follow-Up Care: After treatment, follow up with your urologist to ensure that the condition has resolved and to discuss any further preventive measures.

Conclusion
Your symptoms are concerning and warrant professional medical evaluation. It is essential to address these issues promptly to prevent complications and to ensure your overall urological health. Remember, open communication with your healthcare provider about your symptoms and concerns is vital for effective treatment. Don't hesitate to seek help, as many men experience similar issues, and there are effective treatments available.

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