Why does the glans hurt when urinating?

The glans penis is a relatively important reproductive organ for men. If you do not pay attention to its care, it is easy to cause abnormalities in the glans penis. Some men experience glans penis pain when urinating. Male glans penis pain is very harmful to men's physical health and needs to be actively treated. The earlier the treatment, the better. However, when treating glans penis pain, it is necessary to find out the cause of the pain and treat it accordingly.

What causes pain in the glans when urinating?

This situation may be local urethral opening, inflammatory irritation or glans inflammation. You still need to go to the hospital for a doctor's consultation as soon as possible. First, check whether there are obvious symptoms of glans inflammation such as redness, swelling and itching of the glans. Secondly, if there is abnormal secretion or redness and swelling at the urethral opening. If it is confirmed that there is local inflammation, you can choose potassium permanganate solution for local cleaning, change underwear every day, keep the local area dry and hygienic, and cooperate with anti-inflammatory drugs for treatment, such as the cephalosporin drug cefuroxime. It is also recommended to drink more water every day, and try to ensure more than 2,000 ml of water. Diluted urine means enough urine to flush the urethra, which helps to reduce the irritation to the urethra and cause pain and discomfort in the glans. Closely observe local changes, such as fever, redness, swelling, or purulent secretions.

What are the symptoms of glansitis?

1. Acute superficial galactitis

Edema, erythema, erosion, exudation and bleeding. In severe cases, blisters may appear. If secondary infection occurs, ulcers may form, covered with purulent exudate. There is spontaneous pain and tenderness. Some patients may have mild systemic symptoms, such as fatigue, weakness, low fever, enlarged inguinal lymph nodes, etc.

2. Annular ulcerative glansitis

It may be the early mucosal damage of Reites disease, or it may be related to the long-term stimulation of smegma. The clinical manifestation is erythema on the glans penis, which gradually expands and becomes annular or multi-ring-shaped, and may later form shallow ulcers. If secondary infection occurs, the symptoms may be aggravated and lose their annular characteristics.

3. Candidal balanitis

Caused by Candida infection. Clinical manifestations include erythema, smooth surface, slight desquamation around, scattered papules or pustules around, and slowly expanding to the surrounding area. Edema, erythema, erosion, and exudate may occur in the acute stage.

4. Cytoplasmic balanitis

It is more common in middle-aged patients. Localized, infiltrative, dark red-brown patches occur on the glans penis, with clear boundaries, smooth surface, many small red spots or erosions, easy bleeding, and no ulcers. Histopathology has diagnostic value, characterized by infiltration of band-like inflammatory cells in the superficial dermis, mixed with a large number of plasma cells.

5. Amoebic balanitis

When the foreskin and glans become inflamed, the barrier function of the epithelium is lost, making it easy for amoeba infection to occur. The clinical manifestations are glans erosion, shallow ulcers, obvious tissue necrosis, and pain.

6. Mica and keratomatous pseudoepitheliomatous glansitis

The rash is infiltrative and hypertrophic, with local hyperkeratosis and silvery white mica crusts. The glans penis loses its normal elasticity and gradually shrinks.

7. Trichomonas balanoposthitis

It is a mild, transient erosive glans inflammation caused by trichomonas infection. Initially, erythema and papules appear on the glans, with clear boundaries and gradually expanding in scope. On the erythema, there may be small blisters ranging from the size of a needle tip to a millet grain, which may expand and fuse with each other to form a mild erosive surface.