Hai experienced itching, swelling, inflammation, and white patches on the tip of his penis. Topical medications provided temporary relief, but the infection recurred. Doctor Huynh Hua Duy Khang, from the Andrology Department of the Urology and Nephrology Center at Tam Anh General Hospital in Ho Chi Minh City, diagnosed Hai with a penile yeast infection caused by candida. The recurring infection had caused phimosis (narrowing of the foreskin opening) and urethral stricture. Doctor Khang warned that without treatment, the infection could spread to the urethra, bladder, and kidneys.

This condition is typically treated with topical or oral medications, or steroid creams to alleviate symptoms. However, recurrence is common in uncircumcised men. Consequently, Hai underwent circumcision, adhered to his medication regimen, temporarily abstained from sexual activity, and practiced proper hygiene. Follow-up examinations showed good recovery, with no further difficulty or pain during urination.

The surgical team performs a circumcision. Illustrative photo: Ha Thanh

According to Doctor Khang, penile yeast infections are common among men, primarily caused by candida. Symptoms include itching, redness, swelling, and a white, foul-smelling discharge. In individuals with weakened immune systems, candida can spread throughout the body, entering the bloodstream and causing systemic infection. This can affect other organs like the liver, heart, and brain, leading to serious, even life-threatening, systemic candidiasis.

Groups at higher risk of severe complications from candida infection include people with HIV/AIDS, diabetes, those undergoing immunosuppressive therapy, chemotherapy, or radiation treatment, and those on dialysis.

Doctor Khang advises men to wash their genitals with warm water, cleaning under the foreskin, and avoid using harsh, scented soaps that can cause irritation. They should also dry the area thoroughly. Safe sex and monogamous relationships are crucial for preventing the infection. Sharing personal items should be avoided, and men should wear loose, comfortable underwear. Anyone experiencing symptoms should seek prompt medical attention and avoid self-treating without a doctor's guidance.

Lam Ngoc

*The patient's name has been changed.