What should I do about the sagging, wrinkled skin near the urethral opening?

There may be drooping, wrinkled flesh next to the urethral opening due to congenital urethral mucosal dysplasia, decreased estrogen levels, urethral caruncle, urethral stricture, or hypospadias. Improvements can be made according to the specific situation. It is recommended to seek timely medical consultation at a hospital and receive treatment under the guidance of a physician.

1. Congenital Urethral Mucosal Dysplasia: Individual congenital development may cause relative laxity of the urethral mucosa and submucosal tissue, which tends to prolapse outside the urethral orifice, forming a wrinkled, fleshy protrusion. Mild urethral mucosal prolapse can be treated with physical methods such as laser or cryotherapy to strengthen mucosal support.

2. Decreased Estrogen Levels: As age increases and estrogen levels decline significantly, the urethral mucosa may atrophy, leading to a wrinkled, fleshy protrusion at the urethral opening. It is recommended to use estradiol ointment, estradiol benzoate ointment, or diethylstilbestrol tablets as directed by a physician for improvement.

3. Urethral Caruncle: This is a common benign growth near the female urethral orifice, presenting as a fleshy protrusion at the urethral opening. Usually asymptomatic, it may cause discomfort due to friction. Although generally asymptomatic, pain and bleeding may occur due to irritation. Asymptomatic urethral caruncles usually require no treatment; if discomfort occurs, surgical excision may be performed.

4. Urethral Stricture: Urethral injury, infection, or postoperative complications may lead to urethral stricture, causing changes in perimeatal tissue, including hyperplasia or deformation, often accompanied by symptoms such as difficulty in urination and a narrowed urine stream. Treatment under medical advice may involve surgical procedures such as urethral dilation or urethrotomy, and sometimes urethral stent placement is required.

5. Hypospadias: Hypospadias results from incomplete closure of the urethra during embryonic development, causing abnormal positioning of the urethral opening. It may be accompanied by penile curvature and abnormal tissue around the urethral opening, often presenting symptoms such as difficulty in urination and abnormal urine stream direction. Surgical correction is typically required, with urethroplasty performed as directed by a physician to improve the condition.

During treatment, patients should maintain personal hygiene, avoid irritating activities, and undergo regular check-ups to monitor changes in their condition.