Managing Persistent Itching and Wounds on the Penis: A Dermatology Guide - Dermatology

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Penile issues


I have an itch on my penis, and I accidentally scratched it.
It's been a long time, and it still hasn't healed.
It doesn't hurt, but the wound is still very noticeable and itchy.
I'm unsure whether I should buy some medication to apply, as I'm afraid it might worsen the condition.
Should I see a dermatologist or a urologist? How should I handle this? Please help me!

Guang, 10~19 year old female. Ask Date: 2020/07/17

Dr. Wu Yuxin reply Dermatology


If you are experiencing significant distress, please seek medical attention promptly.

Reply Date: 2020/07/17

More Info


Managing persistent itching and wounds on the penis can be a sensitive and concerning issue, and it’s important to approach it with care. Based on your description, it seems you are experiencing itching and a noticeable wound on the penis that has not healed over time. Here’s a comprehensive guide to help you understand the potential causes and management strategies.


Understanding the Symptoms
Persistent itching in the genital area can be caused by various factors, including:
1. Dermatitis: This could be contact dermatitis from irritants or allergens, such as soaps, lotions, or even laundry detergents.

2. Infections: Fungal infections (like candidiasis), bacterial infections, or sexually transmitted infections (STIs) can cause itching and irritation.

3. Skin Conditions: Conditions such as psoriasis or eczema can also manifest in the genital area.

4. Hygiene Issues: Poor hygiene or excessive washing can lead to irritation and itching.

The fact that you have a wound that is not healing could indicate a secondary infection or a chronic skin condition. It’s crucial to avoid scratching, as this can exacerbate the problem and lead to further irritation or infection.


Self-Care and Management
1. Avoid Irritants: Identify and avoid any products that may be causing irritation. This includes soaps, lotions, and even certain types of clothing that may cause friction.


2. Maintain Hygiene: Keep the area clean and dry. Use mild, unscented soap and avoid hot water, which can further irritate the skin. Pat the area dry gently after washing.

3. Moisturize: If the skin is dry, applying a gentle, fragrance-free moisturizer can help soothe the area. However, avoid applying heavy ointments directly on open wounds.

4. Topical Treatments: Over-the-counter hydrocortisone cream may help reduce inflammation and itching, but it should be used sparingly and not on open wounds. If you suspect a fungal infection, antifungal creams can be beneficial, but it’s best to consult a healthcare provider before starting any treatment.

5. Avoid Scratching: This is crucial. Scratching can lead to further injury and increase the risk of infection.


When to Seek Medical Attention
Given that the wound has persisted for a long time and is accompanied by itching, it is advisable to consult a healthcare professional. You may consider visiting either a dermatologist or a urologist, as both specialties can address skin issues in the genital area. A healthcare provider can perform a thorough examination, possibly conduct tests to determine the underlying cause, and recommend appropriate treatments.


Potential Treatments
1. Prescription Medications: Depending on the diagnosis, a doctor may prescribe stronger topical steroids, antifungal medications, or antibiotics if an infection is present.


2. Wound Care: If the wound is significant, a healthcare provider may recommend specific wound care strategies to promote healing and prevent infection.

3. Lifestyle Modifications: Discussing any lifestyle factors that may contribute to your symptoms, such as hygiene practices or sexual health, can also be beneficial.


Conclusion
In summary, while self-care measures can help manage mild symptoms, persistent itching and wounds require professional evaluation to ensure proper treatment and healing. Avoid self-diagnosing or self-treating without guidance, as this could lead to complications. Remember, your health and comfort are paramount, so seeking help is a positive step towards resolution.

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