and Managing Inner Foreskin Lesions: A Guide

Torn foreskin

Hello doctor, I have lesions inside my foreskin that look like mouth sores.
Initially, there was only one, but recently they have been increasing in number.
Could this be balanitis? I am currently abroad; what would be the best way to handle this situation?

Xiao Ming, 30~39 year old female. Ask Date: 2016/10/12

Dr. Sun Hongshun reply Urology

Hello, medical expenses abroad can be high.
It is recommended that you first clean the foreskin.
If you have access to antibacterial medication, please research whether it is suitable for use.
If symptoms persist, it is still advisable to seek medical attention.
Wishing you good health.

Reply Date: 2016/10/12

More Info

Understanding and managing inner foreskin lesions can be a complex issue, and it’s important to approach it with care. Based on your description of lesions resembling sores inside the foreskin, it is possible that you may be experiencing a condition known as balanitis, which is inflammation of the glans (the head of the penis) and can extend to the inner foreskin. Balanitis can be caused by various factors, including poor hygiene, infections (bacterial, fungal, or viral), skin conditions, or irritants.

Pathophysiology
The inner foreskin is a sensitive area that can be prone to irritation and infection. When the skin is compromised, it can lead to lesions or sores. Factors such as moisture retention, lack of proper hygiene, or the presence of irritants (like soaps or lotions) can exacerbate the condition. In some cases, sexually transmitted infections (STIs) or other viral infections like herpes can also present with similar symptoms.

Symptoms
Common symptoms associated with inner foreskin lesions may include:
- Redness and swelling of the foreskin or glans
- Pain or discomfort, especially during urination or sexual activity
- Itching or burning sensations
- Discharge from the penis
- The presence of sores or lesions

Management
1. Hygiene: Maintaining proper hygiene is crucial. Gently clean the area with mild soap and water, ensuring that you rinse thoroughly to remove any soap residue. Avoid using harsh soaps or irritants.

2. Avoid Irritants: If you suspect that certain products (like lotions, soaps, or detergents) are causing irritation, discontinue their use.

3. Topical Treatments: Over-the-counter antifungal creams or hydrocortisone creams may help if the lesions are due to a fungal infection or inflammation. However, it is essential to consult a healthcare provider before starting any treatment.

4. Consult a Healthcare Provider: Since you are currently abroad, seek medical attention from a local healthcare provider. They can perform a physical examination and may conduct tests to determine the underlying cause of your lesions. This is particularly important if the lesions are worsening or if you experience additional symptoms such as fever or systemic illness.

5. Avoid Sexual Activity: Until you have a clear diagnosis and the lesions have healed, it is advisable to avoid sexual activity to prevent further irritation and potential transmission of infections.

Education and Prevention
- Regular Check-ups: Regular medical check-ups can help identify any potential issues early on.

- Safe Practices: If sexually active, practicing safe sex can help reduce the risk of STIs that may contribute to foreskin lesions.

- Awareness of Symptoms: Being aware of changes in your body and seeking prompt medical attention can prevent complications.

Conclusion
In summary, while inner foreskin lesions can be concerning, they are often manageable with proper care and hygiene. It is crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment, especially since your condition appears to be worsening. Taking these steps will help ensure your health and well-being.

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