Dr. Sagar Ramesh Makode
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 32 year old male. For the past one month, I have been feeling an itchy sensation in my penis occasionally. Today, I checked and found some white substance inside the foreskin and the glans area on that side is red. The foreskin inside there is also red. The white substance cleared when washed but after one hour when I checked again, it was back there. I washed again and it cleared mostly but some still remained. There is no lump or fluid discharge except the white substance. There is no pain or unusual feeling while urinating or any unusual smell. But there is slight itchiness at times as I said. I did not have any sexual contact with anybody in the past seven months. Please advise what this could be and how to deal with it.
Hello,
Welcome to icliniq.com.
It would be better if you can take a picture of it and upload it.
There are two possibilities. Is this whitish substance present at the base of glans where foreskin meets the glans? If yes, this is a normal thing. This is called as smegma. These are normal secretions and nothing needs to be done about it. Daily morning, you may just pull your prepuce back and wash it. No need to wash it frequently.
If location is just on the glans, but not at the base then there is a possibility of fungal infection called as candida infection and you need to apply antifungal like cream Clotrimazole two times a day for two weeks.
So overall, it is likely a possibility of smegma and nothing to worry about it.
For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
Patient's Query
Hello doctor,
Thank you for your prompt reply. Much appreciated! I have attached a couple of pictures. When I roll down the foreskin just below the glans, that joint - that entire ring around, is filled with the white substance. When I sprayed water, most of the substance cleared but not entirely.
Hello,
Welcome back to icliniq.com.
I have seen the pictures (attachment removed to protect patient identity). It is smegma and it is normal to have. It needs no treatment. Just wash it daily.
All the best.
For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
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Cardiology
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