In hospital outpatient work, young men often come to the doctor because of a row or more needle-sized bead-like papules on the glans. They are worried about tumors and sexually transmitted diseases. In the sexual medicine consultation letters, there are also many who know about this disease. They describe it very realistically: the rash is the size of rice grains, similar in color to the surrounding skin, and does not hurt or itch. Although it has no effect on urination and sexual life, it causes great mental stress. What are the pictures of pimples around the glans penis that look like prickly heat? In fact, this kind of symptom is neither a tumor nor a sexually transmitted disease. Doctors and experts have confirmed through pathological sections that its structure is normal connective tissue hyperplasia. In medicine, it is named natural pearly penile papulosis. The cause of natural pearly penile papulosis has not been determined, and the key to the diagnosis is the location and shape of the rash. There is no specific treatment for this disease, and no treatment is required. The most important thing for people with this disease is to understand this disease and get rid of fear and anxiety. This disease has no effect on health and the endocrine system of the male genitals. Leukoplakia Different types of leukoplakia may appear on the glans penis, some are pure white, some are whiter, painless and non-itchy, with a smooth surface and no other rashes. The surrounding melanin is often darker than the normal skin color. There is no specific treatment for this disease, but it is often cured without treatment. Because leukoplakia on the glans penis is related to the diffuse irritation of urine scale, and leukoplakia has the possibility of worsening, those with leukoplakia on the glans penis with prepuce hyperplasia or long prepuce should undergo circumcision as soon as possible. The main manifestation of proliferative erythema is the appearance of single or multiple erythema on the glans penis, which can be annular, ring-shaped or irregular, with clear boundaries, slightly high and hard, and bright surface. Sometimes there may be erosion, scarring or papillary hyperplasia. This disease may not change for many years, or it may become lesional. The cause of erythema proliferatum is unclear, but it mainly occurs in people with long foreskin, so it is believed to be related to long foreskin and irritation from urine scale. The editor has performed circumcision surgery on several patients with this disease, and the erythema of several of them has naturally subsided. Therefore, those who suffer from this disease should basically have their foreskin removed. There is no unequivocal recommendation for the treatment of proliferative erythema at this stage. Some experts and scholars believe that the foreskin should be removed and closely observed; some doctors believe that the lesion should be refrigerated or X-rayed directly. In addition, the disease is also called erythematous hyperplasia or bright red hypertrophic disease. Patients who find erythema on the glans must not avoid medical treatment, but should see a urologist in the outpatient department of the hospital as soon as possible and undergo circumcision surgery. The main manifestation of cutaneous horns is the growth of buffalo horn-like protrusions the size of matchsticks or chopsticks on the glans, which are dark brown or gray-brown and hard in texture. It is believed that it is a tumor produced by the proliferation of keratinocytes in the epidermis on the basis of glans inflammation. Cutaneous horns are considered to be a precancerous lesion. The characteristics of the horn are prominent, and it is not difficult to diagnose. The treatment method is partial removal. It should be emphasized that patients with horns on the glans penis should seek medical attention as soon as possible, and never feel guilty or try to remove them by themselves, so as not to aggravate the condition or delay treatment, causing serious harm. Vascular edema, like urticaria, is an acute allergic reaction of the glans penis to food, medicine or insect bites. The disease can occur only in the glans penis, or it can occur at the same time as urticaria. Children are prone to glans edema, which is mainly manifested by the glans penis being swollen and shiny due to the excessive height and width of the foreskin, which looks like large and small blisters. But it does not affect urination. The disease often occurs at night, with no obvious itching and no general discomfort, and it can disappear on its own after a few days. The diagnosis of vascular edema of the glans foreskin is simple and easy to treat. The part should be kept clean and dry. If necessary, 1:1000 gentamicin solution can be used to wipe the affected area. Patients with systemic urticaria can take phenhydramine or diphenhydramine orally, but the medication should be taken under the specific guidance of a doctor. Fixed drug eruption often occurs suddenly within a day or even a few minutes after taking sulfonamides, barbiturates, and antipyretic analgesics. The main manifestation is the appearance of a round or oval soft spot on the glans penis, with an uncertain size, dark purple swelling in the center, red surrounding, and some itching or burning sensations. In severe cases, the center will rapidly develop into a blisters, which will produce a wet and ulcerated surface after rupture, and it will take more than ten days to heal. There will often be pigmentation, which will take several months to a year to slowly dissipate. After that, every time the patient takes the allergic reaction drug, the rash at the injured area will flare up, and the total area will become larger and larger. The disease is not too difficult to diagnose. Those with a history of taking medicine and the above symptoms are very easy to diagnose, especially those with exacerbations. It is not difficult to distinguish between fixed drug eruption of the glans penis and vascular edema. Fixed drug eruption is more common in patients with a history of taking medicine and severe symptoms. Prevention of fixed drug eruption is better than treatment. Patients should remember the drugs they are allergic to, actively report it when going to the hospital, and never use these drugs again. Once the disease occurs, the drug that causes allergic reactions should be stopped immediately. For mild cases, antibacterial cream can be applied externally and diphenhydramine can be taken orally for treatment. For severe cases, it should be seen as soon as possible and treated by a doctor. |
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