Glans Issues: Pain, Hygiene, and Circumcision Considerations

Q: Glans Issues: Pain, Hygiene, and Circumcision Considerations

A-Zhi： Hello, cleaning the glans is necessary. <br>However, improper cleaning can actually cause damage. <br>For guidance on how to clean, you can refer to my previous responses to other users. <br>The principle is to avoid using soap, hot water, body wash, etc. <br>If proper car

Glans issues

Hello, doctor: I have been experiencing redness, swelling, and small ulcers on my glans, so I visited a doctor last week.
The doctor prescribed me some pills and zinc oxide ointment for the wounds, and they have mostly healed.
However, I still occasionally feel slight stinging and itching (for example, when I take out my penis to urinate).
Is this because the wounds are still healing? This has been ongoing for quite some time.
During my follow-up appointment today, the doctor told me that my recovery is going well and suggested that I undergo circumcision to prevent recurrence.
I do have a foreskin, but I always pull it back to wash during showers, and I also wipe with toilet paper after using the restroom.
Is circumcision necessary? Due to my long working hours, I am concerned about how difficult it will be to care for the wound post-surgery.
Additionally, I want to ask the doctor about my previous use of medication; after a while without masturbation, I felt much better, but later, feeling a strong sexual urge, I masturbated and it seemed like there were signs of a recurrence afterward.
Is this related to masturbation? I am not very vigorous, and now I am hesitant to let it become too excited.
I would appreciate your guidance on this matter.
Thank you!

A-Zhi, 20~29 year old female. Ask Date: 2015/11/10

Dr. Xu Weikai reply Urology

A-Zhi: Hello, cleaning the glans is necessary.
However, improper cleaning can actually cause damage.
For guidance on how to clean, you can refer to my previous responses to other users.
The principle is to avoid using soap, hot water, body wash, etc.
If proper care can be achieved and if it can reduce the risk of balanitis, I personally believe that surgery is not necessary.
During an erection, the tissue expands, and if the epidermis has not fully healed, it can indeed lead to minor injuries.

Reply Date: 2015/11/10

More Info

Understanding glans issues, particularly those related to pain, hygiene, and circumcision considerations, is crucial for maintaining genital health. Based on your description, it seems you have experienced some inflammation and minor ulceration of the glans, which has improved with treatment. However, the persistence of mild pain and itching could indicate that the area is still healing or that there may be underlying issues that need to be addressed.

Pain and Healing
The sensation of pain or itching, especially when the penis is exposed (like during urination), could be due to several factors. It’s possible that the skin is still sensitive as it heals, or there may be residual irritation from the previous condition. If the doctor has indicated that the healing is progressing well, this is a positive sign. However, if the discomfort persists or worsens, it is essential to follow up with your healthcare provider to rule out any complications, such as infection or dermatitis.

Hygiene Practices
Maintaining proper hygiene is vital, especially if you have a foreskin. It’s good to hear that you are making an effort to clean the area thoroughly. However, ensure that you are not overly aggressive during cleaning, as this can lead to irritation. Using mild, unscented soap and warm water is generally recommended. After washing, make sure to dry the area gently to avoid moisture buildup, which can lead to fungal infections.

Circumcision Considerations
Your doctor’s recommendation for circumcision is based on the idea that it may help prevent recurrent infections or inflammation. Circumcision can reduce the risk of certain conditions, such as balanitis (inflammation of the glans) and phimosis (inability to retract the foreskin). If you have recurrent issues despite good hygiene practices, circumcision could be a beneficial option.

However, it’s understandable to have concerns about the surgery and post-operative care, especially with a busy work schedule. Recovery from circumcision typically involves some discomfort and requires keeping the area clean and dry. Most men can return to normal activities within a week or two, but it’s essential to follow your surgeon’s post-operative instructions carefully.

Relationship Between Sexual Activity and Symptoms
Regarding your concern about masturbation and its potential link to your symptoms, it’s important to note that sexual activity can sometimes exacerbate irritation, especially if the area is still healing. If you notice that symptoms worsen after masturbation, it may be wise to limit this activity until you are fully healed. Gentle handling and avoiding excessive friction are crucial during this time.

Conclusion
In summary, while your symptoms may be part of the healing process, persistent discomfort warrants further evaluation. Discuss your concerns about circumcision with your doctor, including the potential benefits and risks, as well as your worries about post-operative care. It’s also advisable to monitor your symptoms in relation to sexual activity and adjust accordingly. Maintaining open communication with your healthcare provider will help ensure that you receive the best care tailored to your needs.

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