Hand Infections and Their Impact on Urogenital Health - Urology

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My hand seems to have developed a rash that extends to my little finger?


Hello Doctor,
I was a professional soldier a long time ago (three years ago) and I once had athlete's foot, which I managed to treat myself with over-the-counter medication.
Unfortunately, I later developed a fungal infection on my hands (in recent months) that causes itching and swelling.
It doesn't produce white flakes, but rather small, red, swollen bumps, which is very uncomfortable.
I suspect I didn't handle it properly.

I've also noticed that the area around my glans and foreskin has started to develop similar bumps.
I'm unsure whether I should see a urologist or a dermatologist.
The area around my glans and foreskin does not itch, nor is it red or swollen, and it doesn't produce flakes; it just looks like a rash.
I don't experience pain while urinating, and it doesn't resemble genital warts...
I'm really at a loss about what to do.
Which specialist should I see? Is there a way to completely cure this? I'm feeling quite distressed and a bit depressed about it.

Aken, 20~29 year old female. Ask Date: 2005/11/24

Dr. Liu Jianting reply Urology


Just go to a urologist.

Reply Date: 2005/11/24

More Info


It sounds like you're experiencing a challenging situation with your skin and potential urogenital health issues. Based on your description, it seems you may be dealing with a fungal infection, particularly since you mentioned a history of athlete's foot (tinea pedis) and now have symptoms resembling a fungal infection on your hands (possibly tinea manuum) and potentially on your genital area.

Understanding Hand Infections and Their Impact on Urogenital Health
1. Fungal Infections: Fungal infections, such as those caused by dermatophytes, can spread from one area of the body to another. For instance, if you had athlete's foot, it is possible for the fungus to spread to your hands and then to your genital area, especially if proper hygiene practices are not followed. The symptoms you describe—itching, redness, and small bumps—are consistent with a fungal infection.
2. Transmission and Symptoms: While fungal infections are not typically transmitted through sexual contact, they can affect the genital area if the fungus is present on the skin and transferred through touch. The fact that your glans (the head of the penis) and foreskin do not exhibit symptoms like itching or pain is a good sign, but the appearance of a rash or bumps can still be concerning.

3. When to See a Specialist: Given your symptoms, it would be advisable to consult a dermatologist first. Dermatologists specialize in skin conditions, including fungal infections, and can provide a proper diagnosis and treatment plan. If the dermatologist determines that the issue is related to your urogenital health, they may refer you to a urologist for further evaluation.

4. Diagnosis and Treatment: The dermatologist may perform a physical examination and possibly a skin scraping to identify the type of fungus involved. Treatment typically involves topical antifungal creams or, in more severe cases, oral antifungal medications. It’s crucial to follow the treatment regimen as prescribed and to maintain good hygiene practices to prevent recurrence.

5. Preventive Measures: To prevent future infections, consider the following:
- Hygiene: Wash your hands regularly, especially after touching potentially contaminated surfaces or areas of your body that may harbor fungi.

- Dryness: Keep your skin dry, particularly in areas prone to moisture, such as between your toes and in the groin area.

- Avoid Sharing Personal Items: Do not share towels, clothing, or other personal items that may come into contact with infected areas.

6. Mental Health Considerations: It’s understandable to feel anxious or depressed when dealing with persistent skin issues. If you find that your concerns are affecting your mental health, consider speaking with a mental health professional. They can provide support and coping strategies to help you manage your feelings.

In summary, it is essential to seek medical advice from a dermatologist to address your skin condition effectively. They can help determine the best course of action for both your hand and potential urogenital issues. Remember, early intervention can lead to better outcomes, so don’t hesitate to seek help.

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