Is a pimple under the glans caused by balanitis?

Patient's question:

A pimple has grown under the glans, and sometimes it feels painful when urinating. I have been taking roxithromycin for a month, but the pimple under the glans has not improved.

Doctor's answer:

Hello, based on your description, such a condition cannot be ruled out as a possibility of balanoposthitis. The causes are often due to phimosis, excessive prepuce, masturbation, trauma, and infection, leading to the shedding of keratinized epithelium and glandular secretion. This creates a favorable environment for other bacteria to multiply, causing inflammation. The clinical manifestations are commonly seen as local itching, redness, erosion, and even ulcers, along with discharge and a bad odor. In severe cases, it may lead to fever, chills, systemic symptoms, or even penile swelling and pain. It is recommended to visit a hospital for examination and treatment.

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