Morning, I found white spots on my underwear, what could be the reason?

Patient's question:

Main symptoms: In the morning, occasionally I find a few white spots on my underwear, but there is no redness or swelling on my penis, and my urethra doesn't itch. When I gently squeeze the head of my penis, no fluid comes out. Everything else is normal. What could be the reason?

Doctor's answer:

Hello: I wonder if you have phimosis? It is likely due to the accumulation of smegma. The foreskin has rich sebaceous glands that secrete a large amount of sebum. When phimosis occurs, the sebum secreted by the sebaceous glands cannot be expelled, and it mixes with precipitates from urine to form a cheesy, foul-smelling substance called "smegma." Smegma is conducive to bacterial growth, which can lead to inflammation of the glans and foreskin. Bacteria can also cause urinary tract infections through the urethra. It is important to pay attention to hygiene and clean frequently. It is best to undergo a circumcision procedure, after which this situation will not occur anymore. After the surgery, the glans will become dry, and balanitis will naturally improve without treatment. If surgery is not performed, the condition is likely to recur. Additionally, some medications contain hormones and are not suitable for long-term use. The surgical procedure takes about 20 to 30 minutes and does not require hospitalization. Post-surgery, there may be mild pain and swelling at the wound site. Painkillers and anti-inflammatory drugs should be taken regularly, and the wound will heal within about 7 to 10 days. Since the glans is quite sensitive, it may cause discomfort, but this usually improves within a week, allowing you to adapt. Circumcision is highly beneficial for those with phimosis. Wishing you good health.

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