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Patient's question:

For a while now, I've noticed that my glans is particularly dry, and it seems to be shedding something like dandruff. I also feel itchy and painful at times. Is this balanitis? Please ask: What should I pay attention to if I have itchy glans, and how should it be treated?

Doctor's answer:

Glands on the glans develop papules and erythema, which gradually expand with clear margins. Small vesicles the size of needles are visible on the erythema, eventually forming erosions and glans itching. Initially, the local area is flushed, the skin of the penis becomes red and swollen, with a sensation of heat and itching on the glans. When the foreskin is retracted, congestion and purulent discharge are observed on the inner surface of the foreskin and the glans, with even broken skin. Secondary infection may lead to small ulcers with foul-smelling creamy purulent discharge. Pain is felt upon friction with underwear, and patients often experience difficulty in movement and glans itching. It may be accompanied by swollen, painful inguinal lymph nodes and glans itching. The harm of glans itching in males is very significant.

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