What causes peeling skin around the glans, and how should it be managed?

In general, peeling skin around the glans penis may be caused by prolonged friction, fungal infection, balanoposthitis, prostatitis, scrotal eczema, or other reasons. Treatment should be based on the specific cause. Detailed analysis is as follows:

1. Prolonged Friction

If personal hygiene is neglected and sexual activity is frequent, the glans may experience long-term friction, leading to peeling of the skin. This can be improved by washing with warm water, and it is important to avoid frequent sexual intercourse.

2. Fungal Infection

Under normal circumstances, fungi exist within the foreskin sac. When the body's resistance decreases, fungal infections may occur. Additionally, sexual contact can also trigger fungal infections, which may be accompanied by peeling skin on the glans and even itching. Antifungal medications should be used as directed by a physician, such as clotrimazole cream or terbinafine hydrochloride cream.

3. Balanoposthitis

Balanoposthitis is mainly caused by factors such as long foreskin, low immunity, or bacterial infection. Patients typically present with redness, swelling, ulcers, and peeling in the glans and foreskin area. As directed by a doctor, patients may apply topical antibiotic ointments such as betamethasone cream or erythromycin ointment to relieve symptoms.

4. Prostatitis

Prostatitis is usually a chronic inflammation that persists in the prostate and urethra, causing local tissue congestion, edema, and fibrous tissue proliferation. These inflammatory responses may spread to the glans, resulting in skin peeling. Glans peeling caused by prostatitis is often accompanied by other symptoms such as frequent urination, urgency, dysuria, and difficulty urinating. Patients are advised to follow medical guidance for treatment, which primarily includes antibiotics, anti-inflammatory drugs, and analgesics.

5. Scrotal Eczema

Scrotal eczema is a skin condition commonly caused by fungal or bacterial infections, allergic reactions, friction, or sweat irritation. It is typically accompanied by symptoms such as itching and redness.

In addition to the above common causes, similar symptoms may also result from conditions such as tinea cruris (jock itch) or scrotal scabies. Patients should promptly visit a hospital for relevant examinations to determine the exact cause and receive targeted treatment to avoid delaying recovery.