Patient's question:
I don't know whether the urinary tract infection came first or the balanitis, but it was triggered by a high-risk sexual act.⑴. My urine has been yellow for three months, and I've occasionally felt a sharp pain in the posterior urethra (the part from the scrotum to the anus) for the past two weeks.
⑵. There are scattered pinpoint-sized papules on the coronal sulcus of the glans, which were less noticeable before but became more apparent two months ago. They never grew larger (unlike genital warts). The glans is particularly sticky, and my fingers get very sticky when touching it. When I wash the glans and foreskin, there's white residue, though not in large amounts. I wonder if it's because I wash every day, or if it would be visible without washing. During erection, the glans turns purple-red, the edges are swollen, shiny, and slippery. The urethral meatus becomes bright red and looks wide during erection. After the erection subsides, the glans becomes dry and cracked, like a winter-dry hand.
Doctor's answer:
Initial consideration is chronic prostatitis, phimosis, balanitis, and other possible diseases. It is recommended that you visit a hospital to see a professional urologist for a follow-up examination. Based on medical history, symptoms, and physical signs, further auxiliary tests may be necessary, such as routine prostatic fluid examination, ultrasound, chlamydia and mycoplasma tests, blood and urine routine tests, and semen routine tests. Once a definitive diagnosis is made, targeted and standardized treatment should be administered according to the prescribed course. Pay attention to maintaining good lifestyle and dietary habits, drink plenty of water, and avoid holding urine. The patient should receive timely symptomatic treatment and avoid overexertion in daily life, while also paying attention to personal hygiene.