Penis pain and inability to urinate, with a sore glans, is it balanitis?

Patient's question:

My son is over two years old. A few days ago, he cried when he urinated, saying it hurt and he was afraid to urinate. Later, he seemed to improve on his own. In the past two days, he occasionally mentioned pain again. Today, I gently examined his foreskin and noticed an ulcer on the glans. Could it be balanitis?

Doctor's answer:

Based on the symptoms you described and the photos you provided, it is more likely caused by repeated irritation from smegma. Enhance your baby's hygiene habits, frequently clean the urethral meatus and coronal sulcus, and promptly remove urine deposits to avoid repeated irritation that may lead to urethritis or balanitis. If the foreskin cannot be retracted smoothly, seek medical attention at a regular hospital's general surgery or urology department for a professional doctor to perform a foreskin retraction procedure. The condition of redness and swelling of the glans is prone to recurrence, requiring long-term medication treatment. Additionally, for male patients, it is important to actively seek medical treatment at a professional and reputable hospital. Treatment should be considered based on the results of a thorough examination. Also, pay attention to a proper diet and avoid sexual activity.

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