What is the reason for the peeling and ulceration of the glans penis surface?

Patient's question:

I have had peeling of the glans for over two years, and various medications haven't helped. At first, the glans had a foul odor and white discharge, but later the surface of the glans began to ulcerate, and the odor disappeared. When erect, if the surface of the glans is rubbed, it is covered with a powdery, white substance. When flaccid, the skin on the surface of the glans becomes wrinkled, and the glans appears noticeably smaller. Usually, there are no symptoms, but after exercise or drinking alcohol, the glans becomes painful!!! When I went to the hospital for a check-up, the doctors said everything was fine. I want to ask, can the glans be tested? What kind of bacteria could be present in the test!!!! Is this part of the penis?

Doctor's answer:

Hello, the occurrence of balanitis (inflammation of the glans penis) is often caused by factors such as unclean sexual contact, cross-infection, poor personal hygiene, irregular lifestyle, and a decline in the body's immunity and resistance. This leads to the glans being invaded by viruses and bacteria, resulting in congestion, edema, ulcers, and inflammation, which in turn cause symptoms like peeling and pain.
It is recommended to apply povidone-iodine locally, rinse with hydrogen peroxide, use erythromycin ointment for external application, and take oral medications such as nystatin, Sanjin tablets, and norfloxacin for treatment. If the condition does not improve, it is advisable to visit a formal hospital's urology department for testing of glans secretions to confirm the diagnosis and receive targeted treatment.

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