Dry and Cracked Penis Skin: Causes and Treatments

Q: Dry and Cracked Penis Skin: Causes and Treatments

K4： Based on your description, I cannot make a definitive diagnosis. <br>It could be a skin infection or skin irritation caused by prolonged use of soaps or other cleansing agents. <br>Solution： When showering, try to avoid using cleansing products on the perineal area. <br>After

Cracked skin on the penis?

Hello, Doctor.
About three months ago, I noticed that the skin on my penis started to develop white, patchy lesions that resembled tinea.
The skin felt slightly rough to the touch.
After a few days, it spread to other areas and then stopped appearing.
However, the skin on the entire penis began to become dry, losing its smoothness and elasticity.
When I rub my fingers back and forth, the skin shows slight flaking.
If I have a more intense or prolonged erection, after it subsides, the skin on my penis even develops small horizontal tears, with a little bit of bleeding.
Could this be a fungal infection? Is it possible that it is simply a skin allergy? The doctor prescribed Dermotop Emolient Cream (Prednicarbate).
After using it for a few days, the skin became less fragile and dry, but once I stopped using it, the skin started to become fragile again.
Do you have any suggestions? Also, does this medication cause the skin to become thinner, making it even more fragile? Thank you.

K4, 30~39 year old female. Ask Date: 2005/07/13

Dr. Xu Weikai reply Urology

K4: Based on your description, I cannot make a definitive diagnosis.
It could be a skin infection or skin irritation caused by prolonged use of soaps or other cleansing agents.
Solution: When showering, try to avoid using cleansing products on the perineal area.
After bathing, consider applying a small amount of lotion or baby oil to the perineal area for maintenance.
Urology Department Chief, Dr.
Hsu Wei-Kai, responding on behalf of the Taitung Hospital of the Ministry of Health and Welfare, is concerned about you.

Reply Date: 2005/07/13

More Info

When dealing with dry and cracked skin on the penis, it's essential to understand the potential causes and appropriate treatments. Based on your description, it seems you may be experiencing a combination of skin irritation, possibly fungal infection, and allergic reactions.
The white patches you initially noticed could indicate a fungal infection, such as candidiasis, which is common in warm, moist areas of the body. The subsequent dryness and cracking of the skin could be due to several factors, including irritation from friction, allergic reactions to products, or even a condition like eczema or psoriasis.
The use of Dermotop Emolient Cream (Prednicarbate) suggests that your doctor is addressing inflammation and irritation. Prednicarbate is a mild topical steroid that can help reduce inflammation and promote healing. However, prolonged use of topical steroids can lead to skin thinning (atrophy), which may make the skin more susceptible to injury and irritation. This is a valid concern, especially in sensitive areas like the genital region.

Here are some recommendations to manage your symptoms effectively:
1. Moisturization: Continue using a gentle, fragrance-free moisturizer to keep the skin hydrated. Look for products specifically designed for sensitive skin, as they are less likely to cause irritation.

2. Avoid Irritants: Identify and avoid any potential irritants, such as harsh soaps, lotions, or laundry detergents. Opt for mild, hypoallergenic products.

3. Gentle Cleansing: When washing the area, use lukewarm water and a gentle cleanser. Avoid scrubbing, as this can exacerbate irritation.

4. Fungal Infection Treatment: If a fungal infection is suspected, your doctor may prescribe an antifungal cream or oral medication. It's crucial to follow their guidance on this.

5. Limit Steroid Use: While topical steroids can be effective for short-term relief, they should not be used continuously without medical supervision. Discuss with your doctor the possibility of tapering off the steroid cream and exploring alternative treatments if necessary.

6. Consult a Specialist: If your symptoms persist or worsen, consider seeing a dermatologist or a urologist who specializes in skin conditions of the genital area. They can provide a more accurate diagnosis and tailored treatment plan.

7. Lifestyle Adjustments: Wear loose-fitting, breathable underwear to reduce friction and moisture buildup. This can help prevent further irritation.

8. Monitor Symptoms: Keep track of any changes in your skin condition, including the appearance of new lesions, increased dryness, or bleeding. This information can be valuable for your healthcare provider.

In summary, while your current treatment with Dermotop Emolient Cream has shown some improvement, it is essential to address the underlying causes of your symptoms. A combination of proper skin care, avoidance of irritants, and possibly antifungal treatment may be necessary for optimal healing. Always consult with your healthcare provider before making any changes to your treatment plan.

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