There are small bumps on the glans like prickly heat

Because the weather is very hot and the body sweats easily, many men wear jeans for a long time and do not pay attention to ventilation of private parts, which will cause many small bumps. When taking a shower, small bumps similar to prickly heat are found on the glans. It should be considered that it may be prickly heat, but other diseases are not ruled out, such as herpes, inflammation, etc., and timely inspection and testing are needed to confirm the condition.

1. Wash the glans penis and its grooves with warm water every day. 2. Some cases of granular pearly herpes are caused by excessive foreskin. If the foreskin is too long, a circumcision should be performed. 3. Recent studies have shown that 75% of male patients with granular pearly herpes in China use condoms for long-term contraception. Because the mixture of lubricant and semen in the condom is relatively irritating, and there is no time to clean it after sexual intercourse, the mixture of semen and lubricant will remain in the groove of the glans in the form of dirt and cause lesions. At the same time, the secretions from the vagina during female sexual intercourse are weakly acidic and have a bactericidal effect, acting as a maintenance fluid for the male penis. If you always use condoms, it is likely to cause granular pearly herpes. It is recommended that you take other methods of contraception.

Clinical manifestations 1. Acute superficial balanitis

It is mainly seen in young and middle-aged people with active sexual life, and the infecting bacteria are usually the same strain as the bacterial vaginosis of their sexual partners. At the beginning of the disease, the local skin becomes flushed and the glans penis feels burning and itchy. In the acute stage, if the foreskin is turned back, edema, erythema, erosion, exudation and bleeding can be seen on the glans penis. In severe cases, blisters may appear. If secondary infection occurs, ulcers may form, covered with purulent exudate, and local pain and tenderness may be obvious. Some patients may experience mild systemic symptoms, such as fatigue and weakness. In the chronic stage, only flake-like redness or porcelain-like cracks are seen on the inner layer of the foreskin and the coronal sulcus.

2. Annular ulcerative balanitis

It may be the early mucosal damage of Reites disease or it may be related to the long-term irritation of smegma. The clinical manifestations are erythema on the glans penis, which gradually expands and becomes ring-shaped or multi-ring-shaped, and may later form shallow ulcers. The main feature of this disease is one to several round lesions on the glans penis, with a red erosive surface in the middle and a white narrow band on the edge, connected into a ring shape. Secondary infection may worsen symptoms and cause the ring to lose its ring-like characteristics.

3. Candidal balanitis

It is caused by Candida infection, the most common being Candida albicans. The clinical manifestations are erythema of the foreskin and glans, smooth surface, slight desquamation around, scattered papules or pustules around, which slowly expand to the surrounding area. In the acute phase, edema, erythema, erosion, and exudation may occur. In severe cases, the disease may affect the penis, scrotum, inner thigh and groin. It is mostly caused by sexual contact, and may also be secondary to diabetes, wasting diseases, and long-term, large-scale antibiotic or hormone treatment.

4. Plasma cell balanitis

It is more common in middle-aged patients. Generally there are no obvious symptoms. The glans penis develops persistent, localized, infiltrative, dark reddish-brown patches with clear boundaries, smooth surface, many small red spots or erosions, easy bleeding, and no ulcers. Histopathology is diagnostic and is characterized by a band-like infiltration of inflammatory cells in the superficial dermis, interspersed with a large number of plasma cells.