Red Spots on the Glans: Insights from a Urology Consultation - Urology

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When it comes to understanding red spots on the glans (the head of the penis), it is essential to consider various potential causes and the context of your symptoms. Based on your description, it seems you have already consulted a urologist who assessed the condition and deemed it non-concerning. However, it is understandable to have lingering questions, especially when it comes to your health and well-being.

Red spots on the glans can arise from several conditions, including but not limited to:
1. Chronic Inflammation: This can occur due to irritation or friction, often exacerbated by conditions like phimosis (tight foreskin) or poor hygiene. Chronic inflammation may lead to the formation of red spots or lesions.

2. Balanitis: This is an inflammation of the glans, often caused by infections (bacterial or fungal), irritants, or allergies. Symptoms can include redness, swelling, and discomfort.

3. Dermatitis: Conditions such as eczema or contact dermatitis can affect the genital area, leading to red, itchy patches. This could be due to soaps, lotions, or even laundry detergents.

4. Sexually Transmitted Infections (STIs): Certain STIs can present with red spots or lesions on the glans. However, these are usually accompanied by other symptoms such as discharge, pain, or itching.

5. Pearly Penile Papules: These are small, harmless bumps that can appear around the glans and are often mistaken for lesions. They are a normal anatomical variant and do not require treatment.

6. Fordyce Spots: These are small, painless, pale bumps that can appear on the glans and are also considered normal.

Given that your urologist has examined the area and indicated that there is no cause for concern, it is likely that the red spots are benign. The fact that you have a condition referred to as "pseudophimosis" (where the foreskin covers the glans but can retract during an erection) may contribute to the irritation and redness you are experiencing. Regular cleaning and maintaining good hygiene can help alleviate some of the symptoms.

Regarding your question about whether to bring this up again during your next appointment, it is always a good idea to communicate any ongoing concerns with your healthcare provider. If the red spots persist, change in appearance, or if you develop new symptoms (such as pain, discharge, or significant changes in sensation), you should definitely mention these to your doctor. It is your right to seek clarity about your health, and a good physician will appreciate your proactive approach.

As for the use of "臨得隆" (presumably a topical treatment), it is essential to consult your urologist before starting any new treatment. While it may help with conditions like balanitis or phimosis, it is crucial to ensure that it is appropriate for your specific situation. Self-treating without proper guidance can sometimes lead to further irritation or complications.

In summary, while your urologist has reassured you that the condition is not concerning, it is always wise to stay informed and proactive about your health. If you have any doubts or if the situation changes, do not hesitate to seek further advice. Communication with your healthcare provider is key to ensuring your concerns are addressed and that you receive the best possible care.