What Causes Infection On Glans Penis?

Posted on Sat, 31 Jan 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 31 Jan 2015 Answered on

Mon, 2 Mar 2015 Last reviewed on

Question : Hello sir,
I have developed an infection on glans. Tiny pustules have developed at the rear end of the glans. Some times white mass comes off and a leathry smell is also present. I regularly wash the infected part. It's not going away and I am really woried. As per info available on internet it is candida. I might be wrong here sir. But I need your able guiding in this regard.
Regards XXXXXXX XXXXXXX

Answered by Dr. Bharatesh Devendra Basti (10 minutes later)

Brief Answer:
Please send details and clear photos.

Detailed Answer:
Hi XXXXXXX XXXXXXX
Thank you for query.I am Dr Bharatesh D Basti answering your query.
Welcome to HCM.

I have gone through the details.
Please send clear photos for clarification.

As suspected by you , it may be fungal infection .It can be bacterial or viral infection too.
Clean area with warm water twice daily.

Please send details of symptoms,intercourse history, investigations , partner symptoms.

I will be able to help you with details and clear photos.

You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
Dermatologist and venerologist.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Bharatesh Devendra Basti (1 hour later)

Thanx for quick reply and guidance sir. I have sent you a pic. My partner has not developed any infections beacuse I do take a lot of care by keeping myself clean before intercouse. Miconazole give relief but in case I miss the infection reappears. Once I took lactobacillus and good improvement but I missed medicine for few days due to visit to remote area. Afterwards I have not tried. Now we are trying to concieve and I want to get rid of this infection as soon as possible. Regards . XXXXXXX XXXXXXX

Answered by Dr. Bharatesh Devendra Basti (18 minutes later)

Brief Answer:
Likely fungal infection.

Detailed Answer:
Hi XXXXXXX
Thank you for follow up query.

I have gone through the photo.
Though the photo is not clear ,it appears to be due to fungal infection.You can confirm with your treating doctor.
You can clean the area with warm water twice daily.
I would have adviced topical miconazole or clotrimazole cream ,and oral antifungals like flucanazole 150mg weekly once.

Treat your partner also with flucanazole 150 mg weekly once.
You can avoid intercourse when active infection.
You can go ahead with conception once infection subsides without fear.

You can get back for any clarification.
Thank you
Dr Bharatesh D Basti

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Bharatesh Devendra Basti (35 hours later)

Thanks for your kind guidance sir. For how many weeks should I take fluconazole.

Answered by Dr. Bharatesh Devendra Basti (1 hour later)

Brief Answer:
4 weeks.

Detailed Answer:
Hi
Thank you for follow up query.

Thank you for compliments.
You can take flucanazole 150 mg weekly once for 4 weeks after consulting your doctor.

You can get back for any clarification.
Thank you
Dr Bharatesh D Basti

Above answer was peer-reviewed by : Dr. Shanthi.E