What should I do if there is a purplish-red patch on the glans?

Patient's question:

I am 37 years old. In June, a purplish-red patch appeared on my glans. I didn't know what it was, so I applied Skin Ease, which seemed to remove a layer of skin. The size didn't change, and it hasn't healed properly yet. The purplish-red patch hasn't changed. I applied erythromycin and miconazole later. Then, the glans became flushed with small red spots, and I felt pain, but not itching. It develops these symptoms whenever it is. After taking anti-inflammatory medication, the glans is no longer red, and there are no small red spots, but the purplish-red patch still hasn't healed properly. It seems a bit more moist than the surrounding skin, and it feels a little painful. It doesn't hurt when touched, but it hurts when relaxed. What could this be? I feel very depressed.

Doctor's answer:

Hello, based on your description, bacterial balanitis cannot be ruled out, and there are many uncertain factors in the disease. If there are no symptoms of itching or discomfort, there is no need to worry too much. The color of the local skin on the glans may change, which is a normal phenomenon. If the foreskin can be retracted but not fully expose the glans, it is considered "redundant prepuce." Specific diagnosis requires further examination at the hospital. As for the current redness and swelling, if it is fungal, it is recommended to apply topical antifungal medication such as Terbinafine. For bacterial cases, apply topical erythromycin cream and take oral antibiotics such as Azithromycin for treatment.

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