Urethral Issues: Managing Symptoms and Treatments

The area beneath the penile urethra?

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 have noticed that my glans feels hot and itchy, and after a couple of days, the area below my penis and urethra becomes slightly raw and has a somewhat ulcerated feeling.
The first time this occurred, I consulted a urologist who prescribed an antifungal ointment.
Recently, after receiving another injection, the same symptoms have 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 wash with water in the shower, dry off, disinfect with iodine solution, and then apply the antifungal ointment prescribed by my doctor.
The ointment I am currently using is an antifungal treatment called "Xinglian - Tinea Fungus Treatment Ointment." Is it correct for me to use this ointment? Thank you, Doctor.

Mr. L, 20~29 year old female. Ask Date: 2023/10/19

Dr. Du Shixi reply Urology

Hello, I would like to inquire about my current cleaning method: rinsing with water while showering - drying off - disinfecting with antiseptic solution - 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 received the injection before without any issues, it is mostly unrelated to the medication.
Wishing you good health.

Reply Date: 2023/10/19

More Info

Hello, thank you for reaching out with your concerns regarding your urethral issues and the symptoms you are experiencing. It sounds like you are dealing with a complex situation involving recurrent symptoms after receiving treatment for gout-related joint inflammation. Let's break down your concerns and provide some clarity on the management of your symptoms.

Firstly, it's important to understand that the symptoms you are describing—heat, itching, and ulcer-like sensations in the genital area—can be indicative of several conditions, including fungal infections, irritations, or even allergic reactions to medications or topical treatments. Given that you have previously been treated for a fungal infection, it is possible that you are experiencing a recurrence or a secondary infection due to changes in your skin's integrity or immune response.

Your current cleaning regimen—using plain water to rinse, drying thoroughly, and applying a topical antifungal cream—seems appropriate for managing a fungal infection. However, it is crucial to ensure that the area is not overly irritated by the cleaning process. Here are some recommendations to consider:
1. Gentle Cleansing: While rinsing with water is good, avoid using harsh soaps or scrubs that can irritate the sensitive skin of the genital area. A mild, unscented soap can be used if necessary, but rinsing with water alone is often sufficient.

2. Drying: After washing, ensure that the area is dried thoroughly but gently. Moisture can promote fungal growth, so keeping the area dry is essential.

3. Topical Treatments: The antifungal cream you mentioned, which treats tinea infections, can be effective if the symptoms are indeed due to a fungal infection. However, if you notice no improvement after a few days of consistent use, or if symptoms worsen, it is crucial to follow up with a healthcare provider.

4. Avoid Irritants: Be cautious with any products you apply to the area, including antiseptics like "white medicine" (likely referring to a topical antiseptic). While it may help with disinfection, it can also cause irritation. If you suspect that a product is causing irritation, discontinue its use.

5. Consultation with a Specialist: Given the recurrence of your symptoms and the complexity of your medical history, it may be beneficial to consult a urologist or a dermatologist who specializes in genital skin conditions. They can provide a more thorough examination and possibly recommend alternative treatments or tests to rule out other underlying issues.

6. Monitoring Symptoms: Keep track of your symptoms, including any triggers that seem to worsen them. This information can be invaluable for your healthcare provider in determining the best course of action.

7. Immune Response: You mentioned feeling that your immune system may be compromised after receiving injections. While corticosteroids can lower immune response temporarily, it is essential to discuss any concerns about your immune health with your physician, especially if you are experiencing recurrent infections.

In summary, while your current cleaning and treatment regimen is on the right track, it is essential to monitor your symptoms closely and seek further medical advice if they persist or worsen. A healthcare provider can offer tailored guidance based on a comprehensive evaluation of your condition. Remember, open communication with your healthcare team is vital in managing your health effectively.

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