and Treating Dry Cracks in the Foreskin: A Urology Perspective - Urology

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Phimosis with fissuring of the foreskin?


Recently, after engaging in sexual intercourse (with a condom), I experienced intense itching of the foreskin.
Afterward, I noticed localized cracking of the foreskin.
For over a week now, I have stopped using body wash during showers and switched to rinsing only with water.
After drying, I apply petroleum jelly for moisture.
I would like to ask the doctor: my condition has improved significantly; there is no pain or itching, and the previously cracked area is not as pronounced.
However, the skin color of the healed area is noticeably different from the surrounding foreskin that did not crack.
Is this considered normal?

Hao, 30~39 year old female. Ask Date: 2024/07/03

Dr. Du Shixi reply Urology


Hello: It's not quite normal, and you should seek medical attention.
If it develops into a scar, it could be more complicated.
If possible, please consult a physician for an evaluation.
Wishing you good health.

Reply Date: 2024/07/03

More Info


Understanding and treating dry cracks in the foreskin can be a nuanced issue, especially in the context of sexual health and hygiene. The symptoms you describe, including intense itching and the appearance of dry, cracked skin on the foreskin after sexual activity, can be indicative of several underlying conditions, including irritation, allergic reactions, or even infections.

Firstly, it is important to recognize that the foreskin is a sensitive area of skin that can be prone to irritation from various sources. In your case, the use of condoms could have contributed to the irritation, particularly if there was a reaction to the latex or any lubricants used. Additionally, personal hygiene products, such as soaps or body washes, can also lead to dryness and irritation if they contain harsh chemicals or fragrances.

The fact that you have switched to using only water for cleansing and have applied petroleum jelly for moisture is a positive step. Petroleum jelly can help create a barrier that locks in moisture and protects the skin from further irritation. It is also good to hear that your symptoms have improved, with no pain or itching, and that the cracked areas are healing.

Regarding the color difference between the healed areas and the surrounding skin, this can be a common occurrence. When skin heals from irritation or injury, it may initially appear lighter or darker than the surrounding skin. This is due to the healing process, which can involve changes in pigmentation. Over time, as the skin continues to heal and regenerate, the color difference may diminish. However, if the discoloration persists or if you notice any other concerning symptoms, such as persistent itching, redness, or discharge, it would be advisable to consult a healthcare professional.

In terms of long-term care, maintaining good hygiene is crucial. Here are some recommendations:
1. Gentle Cleansing: Continue to use mild, unscented soap or just water for cleansing the area. Avoid using harsh soaps or products that could irritate the skin.

2. Moisturization: Applying a gentle moisturizer or barrier cream, like petroleum jelly, can help keep the skin hydrated and prevent dryness.

3. Avoid Irritants: Be cautious with any products that come into contact with the area, including condoms, lubricants, and personal care products. If you suspect an allergy, consider trying hypoallergenic options.

4. Monitor Symptoms: Keep an eye on any changes in your symptoms. If you experience a recurrence of itching, pain, or any unusual discharge, seek medical advice.

5. Consult a Specialist: If the issue persists or if you have concerns about the appearance of your skin, consider consulting a urologist or dermatologist. They can provide a thorough examination and recommend appropriate treatments or interventions.

In conclusion, while the initial symptoms you experienced were concerning, it seems that with proper care, you are on the path to recovery. The color difference in the skin is likely a normal part of the healing process, but ongoing monitoring and care are essential to ensure that the area continues to heal properly. If you have any further questions or concerns, do not hesitate to reach out to a healthcare professional for personalized advice.

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