Patient's question:
All symptoms: Many white small spots appeared on the glans, originally only needle-sized, and now a small number have developed into sesame-sized. At the same time, the glans seems to have shrunk a bit, and the white spots are particularly noticeable during erection, not very noticeable. Onset time and cause: It has been almost a year from the beginning to now, and there have been...Doctor's answer:
Considering your description, it is likely balanoposthitis. Balanoposthitis is an infection that occurs due to local uncleanliness and the long-term accumulation of smegma, commonly found in cases of phimosis or excessive prepuce. The main symptoms include a burning sensation and itching on the glans. Examination may reveal local congestion, edema of the prepuce, and purulent discharge when the prepuce is compressed. In severe cases, skin erosion and ulcers may develop. Treatment involves selecting appropriate antibiotics, cleaning the prepuce with a 1:5000 potassium permanganate solution, and applying antibiotic ointment. After the inflammation subsides, those with phimosis or excessive prepuce may undergo circumcision to prevent recurrent balanoposthitis. However, if there has been unprotected sexual contact, it is also necessary to consider the possibility of genital herpes or condyloma acuminata. Therefore, it is recommended that you seek medical attention for a definitive diagnosis.