Itchy Glans: When to See a Urologist - Urology

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Recently, there has been itching in the glans?


Hello Dr.
Chen, I've been experiencing itching while cleaning my glans recently.
There is no redness or swelling on the glans, but it itches a lot during cleaning, similar to the sensation of being bitten by a mosquito.
I also feel some sharp pain near the coronal sulcus when cleaning.
Do I need to see a urologist? Thank you.

Xiao Ming, 20~29 year old female. Ask Date: 2016/03/13

Dr. Chen Wenming reply Urology


Inflammation of the glans should be evaluated by a physician.

Reply Date: 2016/03/13

More Info


Itchy glans, or the head of the penis, can be a common issue that many men experience at some point in their lives. The sensation of itching, especially when accompanied by discomfort or pain during cleaning, can be indicative of several underlying conditions. While the absence of redness or swelling may suggest that the issue is not immediately severe, it is still important to understand the potential causes and when to seek medical advice from a urologist.


Common Causes of Itchy Glans
1. Irritation or Allergic Reaction: One of the most common causes of itching in the glans is irritation from soaps, detergents, or personal hygiene products. If you have recently changed any products that come into contact with your genital area, this could be the culprit. Allergic reactions to latex condoms or lubricants can also lead to itching.

2. Infections: Fungal infections, such as candidiasis (yeast infection), can cause significant itching and discomfort. Bacterial infections or sexually transmitted infections (STIs) like herpes or gonorrhea may also present with itching, although they typically have additional symptoms such as discharge or sores.

3. Dermatitis: Contact dermatitis, which is an inflammation of the skin caused by direct contact with an irritant or allergen, can lead to itching and discomfort. This can occur from exposure to certain fabrics, soaps, or even sweat.

4. Phimosis or Balanitis: Phimosis is a condition where the foreskin cannot be easily retracted over the glans, which can lead to irritation and itching. Balanitis, an inflammation of the glans, can also cause similar symptoms and may be associated with poor hygiene or infections.

5. Skin Conditions: Conditions such as psoriasis or eczema can affect the genital area and lead to itching. These conditions may require specific treatments to manage symptoms effectively.


When to See a Urologist
Given your symptoms of itching and slight pain during cleaning, it is advisable to consult a urologist if:
- The itching persists despite good hygiene practices.

- You notice any changes in the appearance of the glans, such as discoloration, lesions, or unusual discharge.

- You experience additional symptoms such as pain during urination, swelling, or fever.

- The discomfort interferes with your daily activities or sexual function.

A urologist can perform a thorough examination and may recommend tests to determine the underlying cause of your symptoms. This could include swabs for infections, allergy tests, or skin biopsies if necessary.


Conclusion
While occasional itching of the glans may not be a cause for alarm, persistent or severe symptoms warrant a visit to a healthcare professional. Early diagnosis and treatment can help prevent complications and ensure that any underlying conditions are addressed promptly. Maintaining good hygiene, avoiding potential irritants, and being aware of changes in your body are essential steps in managing your health. If you have any concerns or if your symptoms worsen, do not hesitate to seek medical attention.

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