Patient's question:
Hello! Thank you very much to all the doctors for taking the time to look at my question.Here’s the situation: Two years ago, after having sex with my husband, he asked me strangely about some small white spots appearing on the head of his penis (similar to: burns, or the appearance of healing). However, this condition lasted only a few days and has not appeared again until now. But I want to ask—is this actually a disease? Also, we’ve been married for 2.3 years and haven’t had any children yet. Could this be the reason? Because in the past, I was too embarrassed to see a doctor, but now I realize how serious the situation is. I hope the doctors can give me some answers.
Doctor's answer:
Hello: Based on 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 phimosis or those with excessive foreskin. The main symptoms include a burning sensation and itching on the glans. Examination may reveal local congestion and edema of the foreskin, with purulent discharge when the foreskin is retracted. In severe cases, there may be skin erosion and ulcers. Treatment involves selecting appropriate antibiotics, cleaning the foreskin with a 1:5000 potassium permanganate solution, and applying antibiotic ointment. After the inflammation subsides, those with phimosis or excessive foreskin 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 genital warts. Therefore, it is recommended that you seek medical attention for a definitive diagnosis.