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Urology (Expert Forum)
glans penis irritation
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
glans penis irritation
by DEANMACHINE, Sep 29, 2003 12:00AM
I've had an irritation of the glans penis to the right side of the meatus for quite some time now-over 3 months. Saw a physician who said he didn't see anything to be alarmed about and gave me econazole ointment which did provide some relief a couple weeks ago. It gets irritaed when it rubs against clothes but it's only minor. It just doesn't seem to go away 100%-will it take some time even after the treatment to feel normal again? I've had no other symptoms like painful urination, flu symptoms, blisters, sores, bumps, scabbing, discharge, etc. The skin looks a little discolored and a little wrinkly-you can touch it or squeeze it witout. The meatus is a little red too and sensitive. I was diagnosed with nonspecific urethritis a while back and given cipro/doxycyclin to clear it up.
There seemd to be a circular little "thing" in the area of irritation as well-harldy noticible but like a barely raised with a little crater in the middle-not an ulcer or sore just a very slight indentation.
Any idea what this all is and how long does it normally take for sensitivity to subside? I was told it's balanitis-does this sound right?
There seemd to be a circular little "thing" in the area of irritation as well-harldy noticible but like a barely raised with a little crater in the middle-not an ulcer or sore just a very slight indentation.
Any idea what this all is and how long does it normally take for sensitivity to subside? I was told it's balanitis-does this sound right?
Doctor's Answer
by Kevin Pho, MD, Sep 30, 2003 12:00AM
, Sep 30, 2003 12:00AM
Balanitis is inflammation of the glans penis. Uncircumcised men with poor personal hygiene are most affected by balanitis. Lack of aeration and irritation because of smegma and discharge surrounding the glans penis causes inflammation and edema. Adherence of the foreskin to the inflamed and edematous glans penis causes phimosis. It is a common condition affecting 11% of adult men in urology clinics.
Typically econazole would be appropriate treatment. If you are uncircumcized, retract the foreskin daily and soak in warm water to clean penis and foreskin.
Also cultures for the various causes of urethritis should also be taken - to make sure that chlamydia or gonorrhea isn't the cause.
If the urology workup is not revealing, you may want to be seen by a dermatologist for further evaluation.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Typically econazole would be appropriate treatment. If you are uncircumcized, retract the foreskin daily and soak in warm water to clean penis and foreskin.
Also cultures for the various causes of urethritis should also be taken - to make sure that chlamydia or gonorrhea isn't the cause.
If the urology workup is not revealing, you may want to be seen by a dermatologist for further evaluation.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Member Comments
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