Which Specialist to Consult for Skin Issues in the Urogenital Area? - Urology

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When dealing with skin issues in the urogenital area, it is essential to consult the right specialist to ensure accurate diagnosis and effective treatment. In your case, it seems you have already seen a urologist, a gynecologist, and a dermatologist, which are all appropriate steps. However, the conflicting opinions you've received can be confusing.

Based on your description, you initially noticed blisters on your foreskin and similar lesions on your testicles. The urologist suggested that it didn't look like herpes, which is a common concern for lesions in that area. The dermatologist's diagnosis of a mite bite (scabies) is also a possibility, especially if there is intense itching or if the lesions are in a pattern consistent with scabies.

Here’s a breakdown of the specialists you consulted and their roles:
1. Urologist: This specialist focuses on the urinary tract and male reproductive system. They are well-equipped to handle issues related to the penis and testicles. If the urologist ruled out herpes, that was a good first step.

2. Gynecologist: While they primarily focus on female reproductive health, they can provide insights into sexually transmitted infections (STIs) and other related concerns. It's good that your girlfriend was checked, as STIs can often be asymptomatic in one partner.

3. Dermatologist: This specialist deals with skin conditions. If the dermatologist suggested scabies, they might have seen signs of irritation or a rash that could indicate a parasitic infection. Scabies is characterized by intense itching and a rash that often appears in specific patterns.

Given the complexity of your symptoms, it might be beneficial to return to a urologist or a dermatologist who specializes in sexually transmitted infections or skin conditions in the urogenital area. They can perform a thorough examination, possibly including skin scrapings or cultures, to determine the exact cause of your symptoms.


Additional Considerations:
- Scabies: If scabies is confirmed, treatment typically involves topical medications like permethrin cream or oral ivermectin. It's crucial to treat all close contacts, including your girlfriend, to prevent reinfestation.

- Herpes Testing: If there is any doubt about herpes, consider getting tested for it, as it can sometimes present with atypical symptoms.

- Follow-Up: If symptoms persist or worsen, follow up with your healthcare provider. Sometimes, a second opinion from a different dermatologist or urologist can provide clarity.

- Prevention: To avoid future skin issues in the urogenital area, maintain good hygiene, avoid sharing personal items like towels, and practice safe sex. If you notice any new symptoms, seek medical attention promptly.

In summary, while you have consulted various specialists, it may be beneficial to revisit a urologist or a dermatologist with expertise in urogenital skin conditions. They can provide a more definitive diagnosis and appropriate treatment plan based on your symptoms.