Penile Crown Skin Irritation: Is It Syphilis? - Urology

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Coronal laceration of the penis?


Hello, Dr.
Lee! Yesterday, on May 12, I discovered that there is a skin break in the coronal sulcus of my penis, and it hurts when I sleep on my stomach.
Is this related to syphilis? I have occasionally visited massage parlors in the past, but I always used a condom, except for one time last August when I did not.
The last time I went to a massage parlor was on May 6.
If I have an infection, should I go to a major hospital's urology department for treatment? If I am infected with syphilis, should I refrain from having sexual intercourse with my partner? Thank you.

Bruce, 30~39 year old female. Ask Date: 2016/05/13

Dr. Li Xinyi reply Urology


If you have concerns about potential exposure due to high-risk sexual behavior, it is advisable to visit a urologist for a thorough examination.
Additionally, please refer to the website of the Ministry of Health and Welfare's Centers for Disease Control to learn more about infectious diseases.

Reply Date: 2016/05/13

More Info


When it comes to skin irritation in the penile crown area, it is understandable to be concerned about sexually transmitted infections (STIs) such as syphilis. However, it is essential to consider various factors before jumping to conclusions. The symptoms you describe, such as skin irritation and pain when in contact with certain surfaces, could be due to several reasons, including friction, irritation from personal hygiene products, or even a fungal or bacterial infection.
Syphilis typically presents with specific symptoms, including a painless sore (chancre) at the site of infection, which usually appears within three weeks of exposure. If you have not noticed any sores or lesions that fit this description, it is less likely that your symptoms are related to syphilis. However, if you have had unprotected sexual encounters, particularly the one you mentioned in August, it is prudent to get tested for STIs, including syphilis, as well as other infections.

Given your recent visit to a massage parlor, it is wise to be cautious, even if you used protection. Condoms significantly reduce the risk of STIs but do not eliminate it entirely. If you are experiencing persistent irritation, it is advisable to consult a healthcare professional, preferably a urologist or a dermatologist, who can provide a thorough examination and appropriate testing.

In terms of treatment, if you are diagnosed with an STI, it is crucial to follow your healthcare provider's recommendations, which may include antibiotics for syphilis or other treatments depending on the diagnosis. It is also important to refrain from sexual activity until you have been evaluated and treated, as this will help prevent the potential spread of infection to your partner.

To manage your current symptoms, consider the following recommendations:
1. Avoid Irritation: Wear loose-fitting underwear and avoid activities that may cause friction in the affected area.
2. Maintain Hygiene: Keep the area clean and dry. Use mild, unscented soap and avoid harsh chemicals or products that may exacerbate irritation.

3. Moisturize: If the skin appears dry or flaky, applying a gentle, fragrance-free moisturizer may help alleviate discomfort.

4. Monitor Symptoms: Keep an eye on any changes in your symptoms. If you notice increased redness, swelling, or the development of sores, seek medical attention promptly.

5. Regular Check-ups: If you are sexually active, regular STI screenings are essential for maintaining sexual health and preventing complications.

In conclusion, while your symptoms may not directly indicate syphilis, it is essential to get tested and evaluated by a healthcare professional to rule out any infections and receive appropriate care. Taking proactive steps regarding your sexual health will not only benefit you but also your partner.

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