I have many questions to ask, thank you for your help?
Hello, doctor! First, I would like to explain that I have phimosis, so please consider this situation in the following questions.
Thank you!
1.
Recently, I noticed that the skin around the coronal sulcus (that's how I would describe it XD) seems to have a wound or inflammation.
Since I cannot see a doctor immediately, can I use the hydrochloride tetracycline eye ointment that I have on hand to apply it?
2.
If there is a wound or inflammation, is it okay to come into contact with water? I have seen conflicting information online—some say it's fine, while others say it's not.
However, isn't it necessary to clean the area before changing the dressing? Wouldn't that mean it would come into contact with water?
3.
If there is still some smegma that hasn't been completely cleaned (I've tried my best, but there's still a small amount stuck XD), will applying the medication be completely ineffective? Or will it just reduce the efficacy of the medication?
4.
If no treatment is administered, will these wounds or inflammation take a long time to heal, possibly several months before they resolve on their own? Is there a chance they might never heal?
5.
After cleaning the penis, if I don't dry it and put the foreskin back on, could that cause any issues?
Wang, 30~39 year old female. Ask Date: 2015/09/01
Dr. Xu Weikai reply Urology
Wang: Hello! 1.
If it has not expired, it can be used.
2.
When it comes into contact with water, the concern is about the water you are using, which may not be completely sterile and could lead to infection.
If you use saline solution or properly sterilized distilled water, there is no such concern.
3.
A small amount of residue does not have a significant impact.
4.
Tissue has its own ability to repair itself.
5.
No, unless you are using very dirty water.
If you have concerns, you can go to a medical center for further detailed examination.
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: 2015/09/01
More Info
When dealing with urological concerns such as phimosis and inflammation, it's essential to approach the situation with care and informed decision-making. Here are responses to your questions, along with some additional medical insights.
1. Using Tetracycline Hydrochloride Ointment: While tetracycline is an antibiotic that can be effective against certain bacterial infections, it is generally not recommended to use it on open wounds or inflamed areas without medical supervision. The skin in the genital area is sensitive, and applying a medication not specifically designed for that area could potentially cause irritation or an allergic reaction. It's best to consult a healthcare provider for appropriate topical treatments tailored to your specific condition.
2. Cleaning and Water Exposure: When dealing with wounds or inflammation, maintaining cleanliness is crucial. However, the approach to cleaning should be gentle. It is generally acceptable to rinse the area with mild soap and water, but avoid scrubbing or using harsh chemicals. If there is an open wound, it’s advisable to keep it dry and avoid submerging it in water (like baths or swimming) until it has healed. If you need to clean the area, do so gently and pat it dry afterward.
3. Effectiveness of Medication with Residual Smegma: If there is still some smegma present, it may hinder the absorption of topical medications. While it may not completely negate the effectiveness of the ointment, it could reduce its efficacy. It’s important to clean the area as thoroughly as possible before applying any medication to ensure that it can penetrate the skin effectively.
4. Healing Time Without Treatment: If left untreated, minor wounds or inflammation may take longer to heal, and there is a risk of developing more serious infections. In some cases, untreated inflammation can lead to chronic conditions that may require more invasive treatments. It’s advisable to seek medical attention sooner rather than later to prevent complications and ensure proper healing.
5. Moisture and Hygiene: After cleaning the penis, it’s important to dry the area gently before replacing the foreskin. If the area remains damp, it can create an environment conducive to bacterial growth, potentially worsening inflammation or leading to infections. Always ensure that the area is dry before covering it again.
Additional Considerations
Phimosis, or the inability to retract the foreskin, can lead to complications such as inflammation, infections, and pain during sexual activity. If you experience persistent symptoms, it may be necessary to consult a urologist. They can provide options ranging from conservative management, such as topical steroids to help with foreskin retraction, to surgical options like circumcision if warranted.
In addition, maintaining good hygiene is crucial. Regular cleaning of the genital area can help prevent the buildup of smegma, which can contribute to inflammation and discomfort. If you notice any signs of infection, such as increased redness, swelling, or discharge, seek medical attention promptly.
Lastly, if you are experiencing anxiety or distress related to your symptoms, consider discussing this with a healthcare professional. Mental health is an important aspect of overall well-being, and addressing any psychological concerns can significantly improve your quality of life.
In summary, while home management can be helpful for minor issues, it’s essential to seek professional medical advice for persistent or severe symptoms to ensure appropriate treatment and prevent complications.
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