Although the reproductive system is relatively delicate, it is not easy to break the skin. If the penis suddenly shows symptoms of breaking the skin, it is very likely that a sexually transmitted disease has been contracted, because chancroid, penile syphilis, and inguinal lymph node enlargement may cause penile skin breakage in patients. It is necessary to check according to the actual situation and choose the appropriate method for treatment. 1. Penile syphilis most often occurs on the glans penis and foreskin, often with ulcers and exudates. However, if there is a history of unclean sexual intercourse, it will initially be a small red spot with congestion, which will develop into a typical ulcer within a week. The ulcer surface is superficial, flat, with raised and hardened edges, and serum exudates at the bottom. Dark field examination can detect syphilis spirochetes. 2. Chancroid: The glans penis and foreskin mucosa are moist, red and swollen, with secretions. There is a history of sexually transmitted disease contact. The course of the disease is relatively mild, with less secretions and less odor. Inguinal lymph nodes swell, often causing swelling. Direct smear or culture of discharge can detect Clostridium ducreyi 3. Gonorrhea is characterized by redness, swelling, itching and pain at the urethral opening, thin mucus or dark yellow pus, and enlarged and painful inguinal lymph nodes on both sides. However, there is a history of contact, and urethral pus smear staining can reveal the presence of Gram-negative diplococci in polynuclear leukocytes. 4. At the onset of atopic ankylosing glans, the glans penis and foreskin mucosa have slight erosions and a large amount of yellow-white smelly exudate. Ulcers are then formed, and in severe cases, necrosis may occur. However, there is a history of penis contamination with saliva, and secretion smears or bacterial cultures can reveal spirochetes and clostridia. 5. The lesions of occluded glans sicca are also located in the foreskin and the external urethra, but this disease is relatively rare. Its main manifestations are chronic progressive sclerosing lesions, with white, dry and shiny epidermal atrophy areas around the foreskin and the external urethra, and fibrotic penis atrophy and wrinkles, and parchment-like mucosa covering the glans penis. 6. Penile herpes Multiple blisters and ulcers on the foreskin of the glans penis and the skin on the back of the penis are caused by a special herpes virus infection. If the area is kept clean, it can heal itself within a few days, and the virus can be separated from the secretions on the surface of the ulcer. 7. Penile cancer Penile cancer is closely related to phimosis and prepuce hyperplasia and most often occurs in the glans penis, inner foreskin and coronal sulcus. In the early stage, it is papule ulcer, wart or cauliflower-like tumor, followed by erosion with hard and irregular edges, and secretion: bleeding and foul odor. Tissue biopsy can find cancer cells 8. Penile tuberculosis Chronic ulcers on the glans penis of penile tuberculosis are often easily confused with non-specific infections, but the ulcers have a long course and are difficult to heal. The ulcers have clear edges and are in the shape of a latent excavation, surrounded by infiltrative nodules, and the base is granulation tissue or caseous necrotic tissue. Mycobacterium tuberculosis can be detected in smears or cultures of secretions. |
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