Penile Wounds: Symptoms, Causes, and Concerns - Urology

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When it comes to penile wounds, it's important to approach the situation with caution and a clear understanding of potential causes and symptoms. Based on your description, you have a wound on the shaft of your penis that produces pus when squeezed, and you are concerned about the possibility of a sexually transmitted infection (STI), particularly syphilis.
Firstly, let's clarify some key points regarding penile wounds. The presence of a wound that exudes pus can indicate an infection, which may be due to various causes, including:
1. Bacterial Infection: This is the most common cause of pus-filled wounds. Bacteria can enter through small cuts or abrasions, leading to localized infections. If the wound is not healing and continues to produce pus, it may require medical evaluation and treatment.

2. Sexually Transmitted Infections (STIs): While syphilis can present with sores, it typically does not cause pus-filled lesions. Other STIs, such as herpes or gonorrhea, may present with different symptoms, including sores, blisters, or discharge. It’s crucial to consider your sexual history and any potential exposure to STIs.

3. Folliculitis or Ingrown Hairs: Sometimes, hair follicles can become inflamed or infected, leading to pus-filled bumps that may resemble pimples. This can occur in any area where hair is present, including the genital region.

4. Trauma or Irritation: If there was any friction or trauma during sexual activity, it could lead to irritation or injury, resulting in a wound that may become infected.

Given that you mentioned the wound has not healed after four days, it is advisable to seek medical attention. A healthcare provider can perform a physical examination, possibly conduct tests to rule out STIs, and determine the appropriate treatment.
In the meantime, here are some general recommendations:
- Avoid Squeezing the Wound: While it may be tempting to squeeze the wound to see if more pus comes out, this can exacerbate the infection and delay healing.

- Keep the Area Clean: Gently wash the area with mild soap and water. Avoid using harsh chemicals or alcohol, as these can irritate the skin further.

- Avoid Sexual Activity: Until you have a clear diagnosis and the wound has healed, it’s best to abstain from sexual activity to prevent further irritation or potential transmission of infections.

- Monitor Symptoms: Keep an eye on any changes in the wound, such as increased redness, swelling, or pain, which could indicate a worsening infection.

In conclusion, while your concern about syphilis is understandable, the symptoms you describe may not align with this particular STI. However, any persistent wound, especially in the genital area, warrants professional evaluation to ensure proper diagnosis and treatment. Remember, early intervention can prevent complications and promote healing.