Is it pearls or balanitis or something else?

Patient's question:

5.6 days ago, discovered while showering, small red bumps around the edge of the glans and coronal sulcus, feeling slightly more than before, more noticeable and numerous on the left side than the right. Symptoms present, including both with and without flashes. No history of unprotected sex, and generally maintain good hygiene. However, the day before noticing this, I sat on the ground with some dust from a training session. Currently, no significant pain or itching. Is it (pearl papules) or balanitis or something else?

Doctor's answer:

The urine is thick and white, which may indicate a urinary tract infection, and the possibility of a sexually transmitted disease cannot be ruled out. It is recommended that you visit a regular hospital's urology department for a follow-up examination, undergo relevant tests to confirm the diagnosis, and actively treat the cause and symptoms. The condition of balanitis tends to recur, requiring long-term oral medication. For male patients, it is necessary to immediately seek treatment at a professional and regular hospital. Treatment should be considered based on the results of a thorough examination. Additionally, proper diet should be maintained, and sexual activity should be avoided.

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