Foreskin Issues: Symptoms, Treatments, and Care - Urology

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Foreskin issues


A few days ago, I experienced itching of the foreskin, followed by some cracking and breaking of the skin.
Yesterday, I noticed that the cracked area turned black, and it feels slightly painful when touched.
Currently, there is no itching.
Should I apply (Xinaison) or (Youdian), or should I just let it heal naturally?

Chen Dong, 20~29 year old female. Ask Date: 2023/06/04

Dr. Xu Wencang reply Urology


Sure! If you continue with regular outpatient check-ups.

Reply Date: 2023/06/04

More Info


Foreskin issues can be quite common and may arise from various causes, including infections, skin conditions, or irritation. The symptoms you describe—itching, cracking, discoloration, and pain—are concerning and warrant careful consideration.

Symptoms
The symptoms you've mentioned suggest a potential issue with the foreskin, which could be due to several factors:
1. Infection: This could be a fungal infection (like candidiasis), a bacterial infection, or even a sexually transmitted infection (STI).

2. Dermatitis: This is an inflammation of the skin that can be caused by irritants or allergens.

3. Phimosis: This condition occurs when the foreskin cannot be easily retracted over the glans (the head of the penis), which can lead to irritation and cracking.

4. Lichen Sclerosus: A chronic skin condition that can cause white patches and discomfort.


Treatment Options
1. Topical Treatments:
- Antifungal Creams: If a fungal infection is suspected, antifungal creams like clotrimazole or miconazole may be effective.

- Hydrocortisone Cream: This can help reduce inflammation and itching if the issue is dermatitis.

- Antibiotic Ointments: If there is a bacterial infection, topical antibiotics like mupirocin may be prescribed.

- Moisturizers: Keeping the area moisturized can help with healing, especially if there is cracking.

2. Avoid Irritants: Ensure that you are not using any harsh soaps or products that could irritate the area further.
3. Hygiene: Maintain good hygiene by gently cleaning the area with mild soap and water, and ensure it is thoroughly dried afterward.

4. Natural Healing: In some cases, allowing the area to heal naturally without applying any creams may be beneficial, especially if the irritation is mild and not accompanied by signs of infection.


When to Seek Medical Attention
- If the symptoms persist for more than a few days without improvement.

- If you notice increasing pain, swelling, or discharge.

- If there are signs of a more serious infection, such as fever or systemic symptoms.


Conclusion
While topical treatments like antifungal or antibiotic ointments can be beneficial, it's crucial to identify the underlying cause of your symptoms. If the condition does not improve with basic care or if it worsens, it would be wise to consult a healthcare professional for a thorough evaluation. They may perform a physical examination and possibly recommend tests to determine the exact cause of your symptoms.
In summary, while you can try over-the-counter treatments, monitoring your symptoms closely and seeking medical advice if they do not improve is essential. Your health and comfort should always come first, and a healthcare provider can offer the best guidance tailored to your specific situation.

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