Managing Eczema and Sensitivity in Urology: Expert Advice Needed - Urology

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I'm quite worried?


Hello Doctor, I am unsure if my eczema has improved.
The day before my appointment, I had sexual intercourse, and the skin on the glans penis broke during erection.
The next day, the doctor told me that the glans eczema seems okay, but the redness is likely due to vasodilation (the entire surface of the glans is red).
The doctor prescribed clotrimazole, stating it is for skin maintenance and mentioned that my skin is currently very fragile and will take about six months to recover.
The vasodilation will also take about six months to resolve.
Today, after applying clotrimazole (twice a day for two days), it seems like the skin in the glans sulcus is peeling, but the glans itself is not peeling.
Based on your experience, should I continue applying it or not? At this stage, there is no pain or itching, just some redness and a wrinkled appearance of the glans.
Thank you.

An, 30~39 year old female. Ask Date: 2017/07/05

Dr. Du Shixi reply Urology


Hello: If you can keep the area clean and dry, and there is no redness, you do not need to apply ointment.
However, be cautious during sexual activity, as friction may cause a recurrence.
It may be necessary to observe for a period of time to ensure the skin returns to normal.
Additionally, ensure safety measures are in place.
Wishing you good health.

Reply Date: 2017/07/05

More Info


Managing eczema and sensitivity in the urological area can be quite challenging, especially when it involves delicate skin such as that found on the glans penis. Based on your description, it seems that you are experiencing a combination of eczema and possibly some irritation or sensitivity in the area, which can be exacerbated by sexual activity.

Eczema, or atopic dermatitis, is a chronic inflammatory skin condition that can lead to dry, itchy, and inflamed skin. In sensitive areas, such as the genital region, the skin can become particularly fragile and prone to irritation. The fact that you experienced a tear in the foreskin during an erection suggests that the skin may not be as resilient as it should be, possibly due to the eczema or other underlying conditions.

The doctor prescribed a topical treatment, likely to help with the inflammation and to promote healing. The use of a topical corticosteroid, such as the one you mentioned (紫菌素), can help reduce inflammation and redness. However, it is essential to use such medications as directed by your healthcare provider, as overuse can lead to skin thinning or other side effects.

Regarding your concerns about whether to continue applying the medication, here are some considerations:
1. Follow Medical Advice: If your doctor has advised you to apply the medication, it is generally best to follow their instructions. They have assessed your condition and deemed it necessary for your healing process.

2. Monitor Symptoms: Since you mentioned that the area is not painful or itchy, this is a positive sign. However, if you notice any worsening of symptoms, such as increased redness, swelling, or pain, you should contact your healthcare provider for further evaluation.

3. Hydration and Moisturization: In addition to the prescribed treatment, keeping the area well-moisturized can help improve skin barrier function and reduce irritation. Look for gentle, fragrance-free moisturizers that are suitable for sensitive skin.

4. Avoid Irritants: Be mindful of any potential irritants that could exacerbate your condition. This includes harsh soaps, scented products, or tight clothing that may cause friction.

5. Patience with Healing: Skin healing, especially in sensitive areas, can take time. The doctor’s advice that it may take up to six months for complete recovery is not uncommon, particularly if the skin has been compromised.

6. Regular Follow-ups: It’s important to have regular follow-ups with your healthcare provider to monitor the condition and adjust treatment as necessary. If you have concerns about the treatment or if the condition does not improve, do not hesitate to seek a second opinion or further evaluation.

In summary, managing eczema in sensitive areas requires a careful approach that balances treatment with gentle care. Continue following your doctor's advice, monitor your symptoms closely, and maintain open communication with your healthcare provider about any changes or concerns. If you find that the current treatment is not effective or if you have ongoing issues, consider discussing alternative options or additional treatments with your doctor.

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