The glans has folds?
In recent days, I have noticed that the glans has a wrinkled appearance similar to old skin, and the foreskin seems to be peeling.
What could this be?
Xiao Wang, 10~19 year old female. Ask Date: 2015/07/08
Dr. Fu Shizhang reply Urology
It is likely balanitis due to phimosis; it is recommended to visit an outpatient clinic for evaluation.
Reply Date: 2015/07/08
More Info
The appearance of a wrinkled or peeling glans (the head of the penis) can be concerning and may be indicative of several underlying conditions. It is essential to understand the potential causes and when to seek medical attention.
Possible Causes
1. Normal Variations: The skin on the glans can naturally appear wrinkled or have folds, especially when it is not fully covered by the foreskin. This is often normal and not a cause for concern.
2. Irritation or Allergic Reaction: Irritation from soaps, lotions, or other personal care products can lead to skin changes, including peeling or wrinkling. Allergic reactions to latex condoms or lubricants may also cause similar symptoms.
3. Infections: Fungal infections, such as candidiasis (yeast infection), can lead to peeling skin and irritation. Bacterial infections or sexually transmitted infections (STIs) can also cause changes in the appearance of the glans.
4. Dermatological Conditions: Conditions such as psoriasis, eczema, or lichen sclerosus can affect the skin of the penis, leading to wrinkling, peeling, or other changes. These conditions may require specific treatments.
5. Phimosis or Balanitis: In cases where the foreskin cannot be easily retracted (phimosis), irritation and inflammation (balanitis) can occur, leading to changes in the skin's appearance.
6. Dehydration or Dry Skin: Just like other parts of the body, the skin on the glans can become dry, especially in colder climates or due to lack of moisture, leading to a wrinkled appearance.
When to Seek Medical Attention
If you notice persistent changes in the appearance of the glans, especially if accompanied by other symptoms such as itching, burning, pain, or discharge, it is crucial to consult a healthcare provider. A urologist or dermatologist can perform a thorough examination and may recommend tests to determine the underlying cause.
Recommended Actions
1. Avoid Irritants: If you suspect that soaps, lotions, or other products are causing irritation, discontinue their use and observe if the condition improves.
2. Maintain Hygiene: Proper hygiene is essential. Gently clean the area with mild soap and water, and ensure it is thoroughly dried afterward.
3. Moisturize: If dryness is suspected, applying a gentle, fragrance-free moisturizer may help alleviate symptoms.
4. Monitor Symptoms: Keep track of any additional symptoms that may develop, such as pain, discharge, or changes in urination, and report these to your healthcare provider.
5. Consult a Specialist: If symptoms persist or worsen, seek an appointment with a urologist. They can provide a definitive diagnosis and appropriate treatment options based on the underlying cause.
Conclusion
While a wrinkled or peeling glans can be alarming, it is often due to benign causes. However, it is essential to remain vigilant and consult a healthcare professional if the condition does not improve or if other concerning symptoms arise. Early intervention can help address any potential issues effectively and ensure overall urological health.
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