What to do if smegma increases

Increased smegma can be improved through daily cleaning, diet adjustment, medication, physical therapy, surgical treatment, etc. Increased smegma may be related to factors such as poor personal hygiene, redundant foreskin, balanitis, urinary tract infection, diabetes and other factors.

1. Daily cleaning

Wash the foreskin and glans with warm water every day and avoid using irritating lotions. When cleaning, gently open the foreskin to remove accumulated smegma and then wipe dry. Keeping the area dry can reduce bacterial growth. It is recommended to choose breathable cotton underwear and change it frequently. If there is adhesion of the foreskin, do not forcefully wash it and seek medical treatment.

2. Adjust your diet

Reduce the intake of high-sugar and high-fat foods and avoid spicy and irritating foods that aggravate local inflammation. Supplement appropriate amounts of vitamin C tablets, vitamin B complex tablets, etc. to enhance immunity, and drink more water to promote metabolism. Eat antioxidant-rich vegetables such as broccoli and carrots to help maintain a healthy urinary system.

3. Drug treatment

In case of combined infection, topical anti-infective drugs such as erythromycin ointment and clotrimazole cream must be used as directed by the doctor. If it is fungal balanitis, miconazole nitrate powder can be sprayed locally. Cefaclor granules can be taken orally for bacterial infection, but a history of drug allergy must be ruled out. It is prohibited to adjust the dosage by yourself during medication.

4. Physical therapy

For foreskin adhesions caused by repeated inflammation, infrared irradiation can be used to improve blood circulation under the guidance of a doctor. When combined with edema, cold compresses with boric acid lotion can be used to relieve symptoms, but the temperature should not be too low. Physical therapy needs to be used in conjunction with medication, and sexual intercourse should be avoided during treatment.

5. Surgical treatment

For those whose phimosis or foreskin repeatedly causes accumulation of scale, circumcision or foreskinplasty may be considered. Postoperative dressings need to be changed regularly to prevent infection, and compound polymyxin B ointment should be used to promote wound healing. Surgical selection should be based on a comprehensive assessment of age, degree of inflammation, and anatomic abnormalities.

It is recommended to observe the changes in the properties of smegma every day and seek medical advice immediately if there is odor, redness, swelling, or ulceration. Avoid using alkaline soaps or over-washing, which can damage the skin barrier. Parents of teenage patients should help establish regular cleaning habits. People with underlying diseases such as diabetes should prioritize blood sugar control and regularly review their urinary system health. Patients should avoid strenuous exercise and long-term riding for 3 months after surgery.