What is the white substance in the foreskin?

Patient's question:

It has been a long day without washing, and there is a layer of white substance in the foreskin. The glans is red and smooth, except for a few small red spots the size of a needle tip. After sex, the glans and penis become red. Usually, when the foreskin is retracted, there are also small red spots in patches. What could be the cause? Is it balanitis?

Doctor's answer:

According to your description, you have balanoposthitis. A normal amount of lipid material secreted in the preputial cavity can accumulate as smegma under conditions of phimosis or redundant prepuce, irritating the prepuce and glans to cause balanoposthitis. Regular cleaning of the prepuce and glans, maintaining cleanliness and dryness in the preputial cavity, can completely prevent balanitis. It is important to maintain good hygiene habits. For individuals with phimosis or redundant prepuce (where the prepuce cannot be retracted), circumcision can also be an effective preventive measure.

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