What should I do if there is white dirt inside the foreskin that smells and itches

There is white dirt inside the foreskin, accompanied by odor and itching, usually caused by accumulation of smegma or infection. It is recommended to consider various reasons such as improper daily cleaning, bacterial or fungal infections, and take measures such as cleaning, medication treatment, or medical treatment according to the specific situation.

1 Cause analysis

Insufficient daily cleaning

Smegma is a white substance formed by the mixture of sebaceous gland secretions, residual urine, and dead skin cells. If the cleaning is not thorough or the foreskin is too long, it is difficult to clean and can easily accumulate. Smegma itself is prone to bacterial growth, leading to odor and itching.

Bacterial or fungal infections

When the local environment is humid and poorly ventilated, it is easy for microorganisms to grow, especially fungal infections such as Candida infections, which often manifest as increased white discharge, odor, itching, and even redness and swelling. Failure to take safety measures or hygiene issues during sexual activity may also pose a risk of infection.

Long foreskin or phimosis

Long foreskin makes it difficult to thoroughly clean the root skin, while phimosis further limits the possibility of the foreskin being pulled out for cleaning, creating conditions for bacterial growth. If left untreated for a long time, it may not only cause itching and odor, but also lead to chronic inflammation and even increase the risk of contracting other diseases.

2 Treatment Methods

Do a good job of daily cleaning

Clean the inside of the foreskin with warm water every day, pay attention to using mild and non irritating cleaning solutions such as baby specific cleaning solution or physiological saline recommended by doctors, and avoid using soap or irritating chemical products to damage the skin. After gently flipping up the foreskin to clean dirt, it must be thoroughly rinsed and kept locally dry.

Drug therapy

If there is suspicion of infection, topical medication can be attempted. If symptoms of fungal infection such as tofu residue secretion are found, antifungal ointments such as miconazole and terbinafine can be applied topically; If there is obvious redness, swelling, itching or pain, it may be a bacterial infection, and antibacterial ointment such as erythromycin ointment should be used. Specific medication should be consulted and followed according to medical advice.

Seek medical attention to solve structural problems

If it is a case of foreskin elongation or phimosis, it is recommended to go to the urology department for a detailed examination of the condition and undergo circumcision treatment according to the doctor's advice. Circumcision can effectively reduce the risk of inflammation recurrence, maintain reproductive health, and enhance local self-cleaning ability.

3 Precautions and Prevention Suggestions

It is important to develop good hygiene habits, clean private areas during bathing, and wear breathable cotton underwear to avoid humid and hot environments. Before and after sexual activity, it is also necessary to pay attention to cleanliness to avoid the spread of infection. If the symptoms persist and do not improve, seek medical attention as soon as possible to avoid the spread or aggravation of inflammation. Maintaining reproductive health is an important daily task for men, and the presence of smegma cannot be ignored, especially when accompanied by odor and itching. Early identification of the cause and taking reasonable cleaning and treatment measures can effectively avoid more serious infections in the future.