Itchy Foreskin: Causes, Treatments, and When to Seek Help - Urology

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Itchy foreskin can be a distressing condition, and it’s understandable that you’re feeling concerned about your symptoms. Based on your description, it seems you are experiencing irritation and redness around the glans (the head of the penis) and possibly some minor abrasions or wounds. This can be caused by several factors, including infections, skin conditions, or irritants.


Causes of Itchy Foreskin
1. Infections: One of the most common causes of itching and irritation in the genital area is an infection. This could be a yeast infection, bacterial infection, or sexually transmitted infection (STI). In your case, the doctor mentioned a urinary tract infection (UTI), which can sometimes cause discomfort in the genital area.

2. Phimosis: If the foreskin is too tight and cannot be easily retracted, it can lead to irritation and inflammation, which may cause itching and pain.

3. Dermatitis: This is a general term for inflammation of the skin, which can be caused by irritants (like soaps or detergents), allergies, or even friction.

4. Poor Hygiene: Accumulation of smegma (a combination of dead skin cells and oils) can lead to irritation and infection, particularly in uncircumcised males.

5. Skin Conditions: Conditions like psoriasis or eczema can also affect the genital area, leading to itching and redness.


Treatment Options
The treatment for itchy foreskin largely depends on the underlying cause. Here are some general recommendations:
1. Hygiene: Maintaining good hygiene is crucial. Gently retract the foreskin and clean the area with warm water daily. Avoid using harsh soaps or products that can irritate the skin.

2. Topical Treatments: Your doctor prescribed an eye ointment, which is unusual for this condition. While some eye ointments may have soothing properties, they are not typically used for genital irritation. It would be advisable to discuss this with your doctor or seek a second opinion. A topical corticosteroid or antifungal cream may be more appropriate if there is inflammation or a fungal infection.

3. Avoid Irritants: Identify and avoid any potential irritants, such as scented soaps, lotions, or laundry detergents that may be causing the irritation.

4. Medication: If an infection is confirmed, your doctor may prescribe antibiotics or antifungal medications. If you are experiencing significant pain or discomfort, over-the-counter pain relief medications may also help.


When to Seek Further Help
If your symptoms do not improve within a few days of following your doctor's advice, or if they worsen, it is important to seek further medical attention. You should also consult a healthcare provider if you experience:
- Increased redness or swelling
- Discharge from the penis
- Fever or chills
- Persistent pain or discomfort
- Any new symptoms, such as sores or blisters

Conclusion
It’s essential to feel comfortable and confident in your treatment plan. If you have concerns about the prescribed treatment or if you feel that your symptoms are not being adequately addressed, seeking a second opinion from another healthcare provider is a reasonable step. Remember, your health and comfort are paramount, and you deserve care that addresses your specific needs effectively.