Penile Ulcers: Causes, Symptoms, and Treatment Options

There is a slight ulcer on the penis?

Hello Doctor, I am a male with slightly elevated uric acid levels and have experienced joint inflammation twice.
After receiving an injection, likely for anti-inflammatory and pain relief, I feel heat and itching on my glans, and after a couple of days, I notice slight skin breakdown and a raw, ulcer-like sensation on the lower part of my penis and urethra.
The first time this occurred, I consulted a urologist who prescribed an antifungal ointment.
Recently, after receiving another injection, the same symptoms returned.
I feel that my immune system may be weakened after the injection.
I would like to ask if my current cleaning method is correct: I take a shower and rinse with water, dry off, disinfect with iodine solution, and then apply the antifungal ointment prescribed by my doctor.
The ointment I am using is an antifungal treatment called "Xing Lian - Tinea Fungus Ointment." Is it correct for me to use this ointment? Thank you, Doctor.

Mr. L, 20~29 year old female. Ask Date: 2023/10/18

Dr. Li Minghui reply Urology

Hello, I would like to inquire if my current cleaning method is correct: rinsing with water during a shower, drying off, disinfecting with antiseptic solution, and then applying the antifungal ointment prescribed by my doctor.
Is this correct? The ointment I am currently using is "Xing Lian - Tinea Fungal Treatment Ointment." Is it appropriate for me to apply this medication? (The suitability of the medication should be determined by the examining physician.) If you experience symptoms after receiving an injection, it is advisable to return for a follow-up and consult your doctor about whether it is inappropriate.
If you have previously received the injection without any issues, it is likely unrelated to the medication.
Wishing you good health.

Reply Date: 2023/10/18

More Info

Penile ulcers can be a concerning issue, often presenting with symptoms such as itching, burning, and the formation of sores or lesions on the penis. Understanding the underlying causes, symptoms, and treatment options is crucial for effective management.

Causes of Penile Ulcers
1. Infections: The most common cause of penile ulcers is infections, which can be viral, bacterial, or fungal. For instance, sexually transmitted infections (STIs) such as herpes simplex virus (HSV) can lead to painful ulcers. Fungal infections, like candidiasis, can also cause irritation and ulceration, particularly in individuals with compromised immune systems.

2. Dermatological Conditions: Conditions such as psoriasis, lichen planus, or contact dermatitis can manifest as ulcers or lesions on the penis. These conditions may be exacerbated by irritants or allergens.

3. Trauma: Physical trauma to the genital area, whether from vigorous sexual activity or injury, can result in ulceration.
4. Systemic Conditions: Certain systemic diseases, such as Behçet's disease or inflammatory bowel disease, can also present with genital ulcers.

5. Medication Effects: As you mentioned, receiving injections for conditions such as gout may temporarily lower your immune response, making you more susceptible to infections.

Symptoms
Symptoms of penile ulcers can vary but often include:
- Itching or burning sensation
- Redness and swelling around the ulcer
- Painful sores or lesions
- Discharge from the affected area
- Possible fever or systemic symptoms if an infection is present

Treatment Options
1. Topical Treatments: The use of antifungal creams, such as the one you mentioned (杏聯 -癬菌黴菌治療劑), can be appropriate if a fungal infection is suspected. However, it is essential to confirm the diagnosis with a healthcare provider, as inappropriate use of antifungal medication can lead to resistance or worsen the condition.

2. Antibiotics: If a bacterial infection is suspected, a healthcare provider may prescribe topical or systemic antibiotics.

3. Antiviral Medications: For viral infections like herpes, antiviral medications can help manage outbreaks and reduce symptoms.

4. Proper Hygiene: Maintaining good genital hygiene is crucial. Your current cleaning method—using water to rinse, drying thoroughly, and applying a disinfectant—seems appropriate. However, be cautious with the use of harsh chemicals or excessive scrubbing, as this can irritate the skin further.

5. Avoid Irritants: Avoid using products that may irritate the genital area, such as scented soaps or lotions.

6. Follow-Up Care: Given your history of recurrent symptoms after receiving injections, it is advisable to follow up with a healthcare provider. They can assess whether the injections are contributing to your symptoms and may suggest alternative treatments for your gout that do not compromise your immune system.

Conclusion
In summary, penile ulcers can arise from various causes, including infections, dermatological conditions, and trauma. Your current cleaning regimen seems reasonable, but it is essential to ensure that the treatment you are using is appropriate for your specific condition. Consulting with a healthcare provider for a thorough evaluation and tailored treatment plan is crucial, especially if symptoms persist or worsen. Regular follow-ups will help monitor your condition and adjust treatment as necessary.

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