I feel pain in the head of my penis.

When people feel inexplicable pain, itching, swelling and other symptoms in the glans, they should consider that they have chronic inflammation, because inflammation can breed bacteria, and the disturbance in the surrounding area will cause these symptoms. Usually, they should consider foreskin being too long, local trauma, infection or physical factors. To determine whether these are the causes, they need to be examined according to the cause of the disease.

It is an acute or chronic inflammatory disease caused by various reasons, such as foreskin being too long, trauma, local physical stimulation and infection factors.

Disease Diagnosis

(1) Acute superficial glansitis: It is often caused by local physical factors such as trauma, friction, contraceptives, soap and detergents. Clinical manifestations include local edema, erythema, erosion, exudation, and in severe cases, blisters or large blisters may occur. Secondary infection may easily form ulcers, and there is purulent secretion, which causes spontaneous pain and affects activities. It is easy to misdiagnose as simple herpes or fixed drug eruption in the early stage.

(3) Mica-like and keratotic pseudoepitheliomatous glansitis: The glans is characterized by excessive keratinization or infiltration and hypertrophy, covered with a silvery white, mica-like crust. The affected area gradually loses its normal elasticity and becomes atrophic over time.

(4) Plasmocytic glansitis: It is a chronic inflammatory disease of the inner side of the foreskin and the glans, manifested as single or multiple protracted proliferative erythema, which slowly subsides. The surface of the lesion may be smooth, moist, or scaly, but the infiltration is more obvious, the edges are still clear, and no ulcers are formed. Sometimes it is difficult to distinguish it from proliferative erythema, but careful examination of the surface of the lesion can reveal special paprika-like small spots, which are the result of plasma cell infiltration, capillary dilation, and hemosiderin deposition. This change is quite characteristic and has diagnostic value.

(6) Candidal glansitis: Common in clinical practice. It is often manifested as local erythema with a smooth surface and slightly desquamated edges. There may also be satellite-shaped papules, papule-like rashes or small pustules. They may expand slowly but have clear boundaries. They often recur or occur acutely. Candida can often be found in direct microscopic examination or culture of the lesion site. Sometimes other fungi can also cause similar lesions.