and Managing Post-Inflammatory Glans Symptoms - Urology

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Inflammation and rash of the glans?


Inflammation of the glans with a rash has resulted in small wounds.
Whenever there is an erection, the rash becomes red and expands, then reduces to small wounds again.
This has been ongoing for over a month.
I have seen a doctor and have taken medication and applied topical treatments, but the results have not been very effective.
I am feeling a lot of stress and emotional pressure.

Konglong, 30~39 year old female. Ask Date: 2016/03/09

Dr. Fu Shizhang reply Urology


If it is only balanitis, there is no need for excessive concern.
Just be mindful to avoid lifestyle stress, maintain a regular routine without staying up late, avoid smoking and alcohol, and with appropriate medication treatment, recovery will occur.
However, if the wound continues to be unhealed, it may be necessary to consider whether it is caused by a sexually transmitted infection or a malignant disease.

Reply Date: 2016/03/09

More Info


Post-inflammatory glans symptoms, particularly those involving redness, rashes, and small wounds on the glans (the head of the penis), can be quite distressing and may significantly affect one’s quality of life. It’s important to understand the potential causes, management strategies, and when to seek further medical advice.


Understanding the Symptoms
The symptoms you describe—redness, rashes, and small wounds—could be indicative of several conditions. Common causes include:
1. Balanitis: This is an inflammation of the glans, often due to infections (bacterial or fungal), irritants (such as soaps or lotions), or underlying skin conditions. Symptoms typically include redness, swelling, and sometimes discharge.

2. Contact Dermatitis: This occurs when the skin reacts to irritants or allergens, leading to redness and rash. It can be triggered by soaps, detergents, or even certain fabrics.

3. Sexually Transmitted Infections (STIs): Certain STIs can cause similar symptoms, including herpes and candidiasis (yeast infection).
4. Psoriasis or Eczema: These chronic skin conditions can also affect the genital area, leading to red patches and irritation.


Management Strategies
Given that you have already consulted a physician and have been prescribed medications and topical treatments, here are some additional strategies that may help:
1. Maintain Hygiene: Gently clean the area with mild, unscented soap and water. Avoid harsh soaps or products that may irritate the skin further.

2. Avoid Irritants: Identify and avoid any potential irritants, including certain soaps, lotions, or even tight clothing that may cause friction.

3. Topical Treatments: If you haven’t already, ask your doctor about using a topical corticosteroid cream to reduce inflammation. Antifungal creams may also be appropriate if a fungal infection is suspected.

4. Moisturizers: Applying a fragrance-free moisturizer can help soothe the skin and prevent dryness, which may exacerbate irritation.

5. Diet and Lifestyle: Stress can worsen skin conditions, so consider stress management techniques such as mindfulness, yoga, or counseling. Additionally, a balanced diet rich in vitamins and minerals can support skin health.

6. Follow-Up with Your Doctor: Since your symptoms have persisted for over a month, it’s crucial to follow up with your healthcare provider. They may recommend further testing to rule out infections or other underlying conditions.
7. Consider a Dermatologist: If your primary care physician is unable to provide relief, a referral to a dermatologist who specializes in skin conditions may be beneficial.


When to Seek Immediate Help
If you experience any of the following, seek immediate medical attention:
- Severe pain or discomfort
- Fever or chills, which may indicate an infection
- Increased swelling or discharge
- Symptoms that worsen despite treatment

Conclusion
Managing post-inflammatory glans symptoms can be challenging, especially when they persist despite treatment. It’s essential to maintain open communication with your healthcare provider and advocate for further evaluation if necessary. Remember, mental health is just as important as physical health; consider seeking support if you feel overwhelmed by your symptoms. With the right approach and care, it is possible to find relief and improve your condition.

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