Patient's question:
The glans is peeling and appears milky white, with small spots on the foreskin. There is no odor, no foul smell, and normal urination without pus discharge. After washing my underwear and socks together, it has become like this. Recently, I have been using anti-inflammatory medications for symptoms similar to urinary tract infections. Could you, doctor, use anti-inflammatory medications for urinary tract infections? If not, what medication would be better? I hope you can help me clarify this. Due to this reason, I have been feeling restless and anxious lately, and it has affected my practice.Doctor's answer:
It is recommended to conduct a bacterial culture first. If the bacteria causing the infection on the glans and the bacteria causing the urinary and reproductive system infections are the same, they can be treated with the same medication. If a bacterial culture is not performed and broad-spectrum antibiotics are used blindly, this is not recommended. Excessive foreskin makes it difficult to clean the smegma properly, leading to bacterial growth and subsequent changes in the mucosal tissue, such as the formation of bumps. In severe cases, it can cause inflammation, red spots, red patches, and other symptoms like erosion. Having excessive foreskin can easily lead to recurrent infections causing glans inflammation.