Managing Eczema Treatment: Tips for Urology Patients - Urology

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Eczema topical medication issues?


Hello, doctor.
I apologize for asking a few questions.
Before erection, my glans is completely covered, but it can also retract fully.
After applying the eczema medication, should I expose the glans to air? If so, wouldn’t my pants easily wipe off the medication? Or is it okay to keep the foreskin covering it after application? Also, I have not seen any improvement after using the medication for a week.
Should I go to a larger hospital for a consultation, or should I continue using the medication from the small clinic? They prescribed me KB Canesten CM to apply alternately.
Thank you again, doctor.

Yue Ban Tun Yu, 20~29 year old female. Ask Date: 2020/01/27

Dr. Li Xinyi reply Urology


If you can retract the foreskin, applying medication and then wrapping it with gauze may yield better results.
However, some individuals may have longer foreskins that may not stay in place, which is fine.
Additionally, DIY treatments should be paused; otherwise, inflammation may not resolve easily.
As for whether to switch doctors, I cannot provide a recommendation on that.
Regarding your current medication, it is best to clearly specify the generic names; otherwise, it is difficult to assess.
I only know that one of the medications, Canesten, is an antifungal, but I am unsure about the others since they are abbreviated.

Reply Date: 2020/01/27

More Info


Managing eczema, particularly in urology patients, requires a careful approach to ensure both effective treatment and comfort. Eczema, or dermatitis, can occur in various areas of the body, including sensitive regions such as the genital area. Here are some tips and considerations for managing eczema treatment in urology patients, particularly in your case.


1. Understanding Your Condition
Eczema can manifest as red, itchy patches of skin that may become inflamed or irritated. In the genital area, it can be exacerbated by moisture, friction, and irritants. It's essential to differentiate between eczema and other conditions, such as infections or allergic reactions, which may require different treatments.


2. Application of Medication
When applying topical medications like KB Canesten CM, it's crucial to follow the instructions provided by your healthcare provider. After applying the medication, it is generally advisable to allow the area to air dry to enhance absorption and effectiveness.
- Covering vs. Airing Out: If your foreskin completely covers the glans (the head of the penis), it might be beneficial to leave it exposed for a short period after applying the medication to allow it to absorb properly. However, if you are concerned about the medication being wiped off by your clothing, you can gently cover it after a brief airing out period.
- Avoiding Irritation: If you choose to keep the area covered, ensure that your clothing is loose-fitting and made of breathable fabrics to minimize irritation and moisture buildup, which can worsen eczema.


3. Monitoring Symptoms
Since you mentioned that you have not seen any improvement after one week of treatment, it may be time to reassess your situation. If the eczema persists or worsens, consider the following steps:
- Consulting a Specialist: If symptoms do not improve with over-the-counter treatments or medications prescribed by a small clinic, it is advisable to seek a consultation with a dermatologist or a urologist specializing in skin conditions. They can provide a more comprehensive evaluation and may prescribe stronger topical steroids or other treatments tailored to your specific needs.

- Documenting Changes: Keep a record of any changes in your symptoms, including itching, redness, or any new lesions. This information can be valuable for your healthcare provider in determining the best course of action.


4. Lifestyle and Home Care
In addition to medication, consider implementing lifestyle changes that can help manage eczema:
- Hygiene: Maintain good hygiene by gently cleansing the area with mild, fragrance-free soap and water. Avoid harsh soaps and products that can irritate the skin.

- Moisturization: Regularly apply a fragrance-free moisturizer to the affected area to help maintain skin hydration and barrier function. This can be particularly helpful after bathing.

- Avoiding Triggers: Identify and avoid potential irritants or allergens that may exacerbate your eczema. This includes certain fabrics, soaps, and personal care products.


5. Long-Term Management
Eczema can be a chronic condition that requires ongoing management. Regular follow-ups with your healthcare provider can help monitor your condition and adjust treatment as necessary. If you have underlying conditions, such as diabetes or other skin issues, managing those effectively can also help improve your eczema.


Conclusion
In summary, managing eczema in the genital area involves careful application of medications, monitoring symptoms, and making lifestyle adjustments. If your current treatment is not yielding results, do not hesitate to seek further evaluation from a specialist. Your comfort and health are paramount, and there are effective treatments available to help manage your condition.

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