Why is the glans bleeding?

Glans bleeding may be related to trauma, infection, allergy, foreskin incarceration, tumors and other factors, and usually manifests as local pain, oozing, swelling and other symptoms. It can be treated through cleaning care, drug treatment, surgical intervention, etc.

1. Trauma

Friction or external impact during sexual intercourse may cause damage to the glans mucosa and bleeding. Minor trauma can be cleaned with normal saline and then applied with erythromycin ointment to avoid secondary infection. If the bleeding continues or is accompanied by lacerations, you will need to seek medical attention and get stitches.

2. Infection

Balanitis is a common cause, and Candida albicans or bacterial infection can cause mucosal erosion and bleeding. Clotrimazole cream can be used to treat fungal infections as directed by your doctor, and mupirocin ointment can be used for bacterial infections. When combined with urethritis, cefixime capsules must be taken orally.

3. Allergy

Contact with allergenic substances such as condoms and detergents may cause contact dermatitis, which manifests as redness and swelling of the glans with spotting bleeding. The allergen needs to be stopped immediately, hydrocortisone butyrate cream is applied topically, and in severe cases, loratadine tablets are taken orally.

4. Foreskin incarceration

Forcibly turning up the foreskin in patients with phimosis may cause incarceration, affect blood circulation and cause ischemic bleeding. Timely manual reduction or dorsal foreskin incision is required. In the later stage, circumcision is recommended to prevent recurrence.

5. Tumor

Lesions such as penile cancer or hemangioma may cause painless bleeding, often accompanied by ulcers or new growths. The diagnosis needs to be confirmed by biopsy. Laser resection can be used for early-stage tumors. Partial penectomy combined with radiotherapy is required for advanced stages.

Daily care should be taken to keep the perineum clean and dry, and avoid using irritating lotions. Choose loose-fitting cotton underwear to reduce friction and use water-soluble lubricant during sex. Sexual intercourse is prohibited during bleeding. If there is no improvement after 48 hours of observation or if fever or suppuration occurs, you should seek immediate medical attention from a urology department. Regular physical examinations can help detect organic diseases early.