Effective Treatments for White Skin Lesions on the Glans - Urology

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Glans penis abrasion?


Hello, I would like to ask about a white sore that appeared on the glans a few days ago.
Is there any medication available at the pharmacy that I can apply to it?

zero nine zero nine, 20~29 year old female. Ask Date: 2015/08/08

Dr. Xu Weikai reply Urology


Hello, to determine the cause, if it is a bacterial infection, an antibiotic ointment will be prescribed; if it is a fungal infection, an antifungal ointment will be given; if it is eczema, a corticosteroid ointment will be recommended.
If you have any concerns, you can visit a nearby medical facility for relevant testing.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, it is still important to seek medical care at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/08/08

More Info


When it comes to treating white skin lesions on the glans, it is essential to first identify the underlying cause of the lesions. White lesions on the glans can be due to various conditions, including but not limited to, fungal infections, lichen sclerosus, pearly penile papules, or even sexually transmitted infections. Therefore, a proper diagnosis by a healthcare professional is crucial before starting any treatment.

If the white lesion is due to a fungal infection, over-the-counter antifungal creams such as clotrimazole (Lotrimin) or miconazole (Monistat) may be effective. These medications work by inhibiting the growth of fungi and can help alleviate symptoms associated with fungal infections, such as itching and irritation.

For conditions like lichen sclerosus, which can cause white patches on the skin, a topical corticosteroid cream may be prescribed. These creams help reduce inflammation and can improve the appearance of the lesions. However, it is important to use these medications under the guidance of a healthcare provider, as long-term use can lead to skin thinning and other side effects.

If the lesions are pearly penile papules, which are harmless and common, no treatment is necessary. They are a normal anatomical variant and do not require intervention unless they cause psychological distress or discomfort.

In cases where the lesions are suspected to be related to sexually transmitted infections, such as herpes or HPV, it is crucial to seek medical advice. Antiviral medications may be required for herpes, while HPV may require different management strategies depending on the type and severity of the infection.

In addition to topical treatments, maintaining good hygiene is essential. Keeping the area clean and dry can help prevent further irritation or infection. Avoiding irritants, such as harsh soaps or lotions, is also advisable.

If you are experiencing pain, discomfort, or if the lesion does not improve with over-the-counter treatments, it is important to consult a healthcare professional. They may perform a physical examination and, if necessary, order tests to determine the exact cause of the lesions. Based on the diagnosis, they can recommend the most effective treatment plan tailored to your specific condition.

In summary, while there are various over-the-counter options available for treating white lesions on the glans, it is crucial to first identify the underlying cause. Self-diagnosing and treating without professional guidance can lead to complications or worsening of the condition. Therefore, seeking medical advice is the best course of action to ensure effective and safe treatment.

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