and Treating Glans Skin Issues After Infection - Urology

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When dealing with skin issues related to the glans after an infection, it is crucial to approach the situation with caution and proper medical guidance. Based on your description, it seems that you have experienced a bacterial infection that led to the development of warts (likely condylomata acuminata), followed by a procedure to remove them. Post-surgery, you are now facing complications such as skin breakdown, increased size of the affected area, and discharge, which could indicate a secondary infection or improper healing.

Firstly, it’s essential to understand that the glans is a sensitive area, and any trauma or irritation can lead to complications. The fact that you have noticed an increase in the size of the affected area and the presence of discharge suggests that the healing process is not progressing as it should. This could be due to several factors, including infection, irritation from friction (especially if you are engaging in sexual activities), or an allergic reaction to topical treatments.

Here are some steps you can take to manage the situation:
1. Avoid Irritation: It is crucial to avoid any activities that may further irritate the area, including masturbation or any form of sexual activity until the area has healed properly. Friction can exacerbate the condition and lead to further complications.

2. Topical Treatments: While you mentioned using an eye ointment prescribed by your doctor, it may not be the most appropriate treatment for this specific area. Eye ointments are formulated for a different type of skin and may not be effective for skin on the glans. Instead, consider discussing with your healthcare provider about using a topical antibiotic ointment that is suitable for genital skin, such as mupirocin or a similar product, to prevent or treat any bacterial infection.

3. Hygiene: Maintain good hygiene by gently cleaning the area with mild soap and water. Avoid using harsh soaps or products that can cause irritation. After cleaning, pat the area dry gently.

4. Moisturization: Applying a gentle, fragrance-free moisturizer can help soothe the skin. While some suggest using petroleum jelly (like Vaseline), it is essential to ensure that it does not trap moisture and lead to further irritation. If you choose to use it, apply a thin layer and monitor for any adverse reactions.

5. Observation: Keep an eye on the symptoms. If the discharge becomes purulent (thick and yellow or green), or if you experience increased redness, swelling, or pain, it is crucial to seek medical attention promptly. These could be signs of a more severe infection that may require oral antibiotics.

6. Follow-Up: Since you have concerns about potential HIV exposure, it is advisable to get tested. The window period for HIV testing can vary, but it is generally recommended to wait at least three months after potential exposure for accurate results. However, if you have any symptoms that concern you, discussing them with a healthcare provider is essential.

7. Consult a Specialist: If the condition does not improve or worsens, it may be necessary to consult a dermatologist or a urologist who specializes in genital skin conditions. They can provide a more tailored treatment plan and address any underlying issues.

In summary, while it is understandable to feel anxious about your symptoms, taking proactive steps to manage the situation and seeking appropriate medical advice is crucial. Avoiding irritation, maintaining hygiene, and using suitable topical treatments can help promote healing. If symptoms persist or worsen, do not hesitate to seek further medical evaluation.