Itchy Glans: Causes and Treatment Options - Urology

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Itchy glans, or glans penis, can be a distressing condition, and understanding its causes and treatment options is essential for effective management. Based on your description, it seems you are experiencing a persistent itch and the presence of a white membrane on the glans, along with a sore area that resembles broken skin. Here’s a comprehensive overview of potential causes, treatments, and recommendations.


Causes of Itchy Glans
1. Balanitis: This is an inflammation of the glans, often caused by poor hygiene, irritants, or infections. Symptoms include redness, swelling, and itching. In your case, the white membrane could be smegma or a sign of inflammation.

2. Yeast Infection: A common cause of itching in the genital area, particularly in men, is a yeast infection (Candida). This can occur even in the absence of sexual activity and may present as a white, curd-like discharge along with itching and irritation.

3. Contact Dermatitis: This condition arises from an allergic reaction to soaps, lotions, or other products that come into contact with the genital area. If you have recently changed any personal care products, this could be a contributing factor.

4. Sexually Transmitted Infections (STIs): While you mentioned no sexual intercourse, it’s important to consider that some STIs can be transmitted through skin-to-skin contact. Infections like herpes or HPV can cause itching and irritation.

5. Psoriasis or Eczema: These skin conditions can also affect the genital area, leading to itching, redness, and scaling.

6. Friction or Irritation: Frequent masturbation or friction from clothing can lead to irritation of the glans, resulting in itching and discomfort.


Treatment Options
1. Maintain Hygiene: Continue to wash the area gently with mild soap and water. Avoid harsh soaps or products that can irritate the skin.

2. Topical Treatments: Over-the-counter antifungal creams (like clotrimazole or miconazole) can be effective if a yeast infection is suspected. If it’s contact dermatitis, a mild hydrocortisone cream may help reduce inflammation and itching.

3. Avoid Irritants: Identify and avoid any potential irritants, including soaps, lotions, or laundry detergents that may be causing an allergic reaction.

4. Consult a Healthcare Provider: Since you have a persistent sore area that resembles broken skin, it’s crucial to consult a healthcare provider or a dermatologist. They can perform a physical examination, possibly take a culture or swab of the affected area, and provide a definitive diagnosis.

5. Prescription Medications: If a bacterial infection is diagnosed, your doctor may prescribe antibiotics. For severe cases of balanitis or dermatitis, stronger topical steroids or antifungal medications may be necessary.

6. Lifestyle Modifications: Wearing loose-fitting, breathable underwear can help reduce friction and irritation. Additionally, avoiding excessive masturbation until the area heals may be beneficial.


Conclusion
Itchy glans can result from various causes, and while some may be benign, others may require medical attention. Given the symptoms you've described, particularly the presence of a sore area, it is advisable to seek medical evaluation to rule out infections or other underlying conditions. Early diagnosis and treatment can lead to a quicker resolution of symptoms and prevent further complications. Remember, maintaining good hygiene and avoiding irritants are key steps in managing this condition.