Why is There a Small White Spot with Pus on the Penis? What Should I Do?

There is a small white spot on the penis with signs of infection. At this time, it is recommended to promptly visit a hospital for proper examination, as this condition is generally related to bacterial infection, especially in men with excessive foreskin, where the incidence rate is relatively high. It may also be related to poor hygiene practices in the private area or unsafe sexual behavior. It is important to promptly visit a hospital for proper examination. Let's take a look at the content related to this issue.

1. Balanitis can be caused by various factors, which can be divided into infectious and non-infectious factors. Under normal conditions, a large number of bacteria, yeast, and spirochetes can be parasitized in the foreskin sac. However, when the local or systemic resistance is weakened, these microorganisms can become pathogenic agents. The main cause is bacterial infection, such as Escherichia coli, Staphylococcus, Streptococcus, followed by Candida, Trichomonas, Mycoplasma, Chlamydia, Neisseria gonorrhoeae, etc., which can also cause balanitis. Non-infectious factors include irritation from urine, alkaline substances (such as cleaners) and foreign substances (such as condoms); friction and trauma; excessive foreskin with insufficient cleaning leading to the accumulation of smegma, which can damage the mucosal tissue of the glans penis and aggravate the infection of various pathogenic bacteria.

For those with erosion, exudate, or purulent secretions, a 1% ethacridine solution or a 1:8000 potassium permanganate solution can be used for wet dressing. For those with dryness and desquamation, topical glucocorticoid ointment can be applied. For Candida infections, the affected area can be cleaned with sodium bicarbonate solution and then topical imidazole ointment can be applied. For Trichomonas infections, a 0.5%-1% lactic acid solution or a 0.5% acetic acid solution can be used for rinsing, followed by the application of anti-inflammatory ointment. Intermittent administration of medium-potency fluorine-free corticosteroid ointments can be effective for the treatment of plasma cell balanitis.

Systemic antibacterial drugs should be selected based on the pathogen and drug sensitivity tests. For the treatment of acute superficial balanitis and annular erosive balanitis, antibiotics sensitive to Gram-positive cocci can be used first. For the treatment of trichomoniasis balanitis, metronidazole is the first choice. For the treatment of Candida-induced balanitis, fluconazole or itraconazole are commonly used.