Recurring Foreskin Peeling: Causes and Treatment Options Explained

My foreskin keeps peeling repeatedly?

Hello Dr.
Liu,
I first noticed peeling of my foreskin (the area just below the glans after retracting the foreskin) in early September of last year.
Initially, I thought it was dirt, so I cleaned it every day while showering.
However, one day while showering, I felt a stinging sensation, and after showering, I noticed redness and swelling.
I mistakenly applied an ointment, but it didn't help.
On October 20, I visited a urologist, who diagnosed me with a fungal infection of the foreskin.
I was given topical and oral medications to take home for treatment.
After taking the medication and applying the ointment, I stopped treatment around November 10, and everything returned to normal.
However, on December 20, I noticed peeling in the same area (just below the glans) again, so I applied the ointment again.
It improved after a few days, but then the peeling returned shortly after.

Is this considered a recurrence? If so, aside from using ointments, is circumcision the only way to completely resolve this issue? I would appreciate your guidance!

A Chuan, 30~39 year old female. Ask Date: 2010/01/04

Dr. Liu Jianting reply Urology

That's smegma! It's important to clean it properly every day.
If there is a fungal infection, just consult a doctor for medication to apply.

Reply Date: 2010/01/04

More Info

Recurring foreskin peeling can be a frustrating and uncomfortable condition. It often indicates an underlying issue that may require a comprehensive approach to treatment. Based on your description, it seems that you have experienced recurrent peeling of the skin beneath the foreskin, which was initially diagnosed as a fungal infection. After treatment, the symptoms improved, but they returned after a few weeks, suggesting a recurrence.

Causes of Recurring Foreskin Peeling
1. Fungal Infections: As you mentioned, a fungal infection (such as candidiasis) can cause peeling and irritation. These infections can recur, especially if the underlying conditions that promote their growth are not addressed.

2. Bacterial Infections: Sometimes, bacterial infections can also lead to similar symptoms. It's essential to differentiate between fungal and bacterial causes to ensure appropriate treatment.

3. Irritation or Allergic Reactions: Irritation from soaps, detergents, or personal care products can lead to peeling. Allergic reactions to materials in clothing or condoms may also contribute.

4. Poor Hygiene: While you mentioned that you have been diligent about cleaning, improper cleaning techniques can sometimes lead to irritation. It’s crucial to clean the area gently and thoroughly without causing trauma.

5. Skin Conditions: Conditions such as eczema or psoriasis can also affect the genital area, leading to peeling and discomfort.

6. Phimosis: If the foreskin is too tight and cannot retract easily, it may lead to irritation and peeling. This condition may require medical intervention.

Treatment Options
1. Antifungal Treatment: If a fungal infection is confirmed, continuing with antifungal creams or oral medications as prescribed by your doctor is essential. Ensure you complete the full course of treatment.

2. Topical Steroids: In cases of inflammation or irritation, a mild topical steroid may help reduce symptoms. However, this should only be used under medical supervision.

3. Proper Hygiene: Maintain good hygiene by gently cleaning the area with mild soap and water. Avoid harsh soaps or products that may irritate the skin.

4. Avoid Irritants: Identify and avoid any potential irritants, including certain soaps, lotions, or laundry detergents.

5. Moisturizers: Applying a gentle, fragrance-free moisturizer can help soothe the skin and prevent dryness.

6. Consultation with a Specialist: If the condition persists, it may be beneficial to consult a dermatologist or urologist who specializes in genital skin conditions. They can provide a more accurate diagnosis and tailored treatment plan.

Surgical Options
Regarding your question about circumcision, it is generally considered a last resort for recurrent infections or peeling. Circumcision can eliminate the foreskin, which may reduce the risk of future infections, but it is not always necessary or appropriate for every individual. Many men successfully manage recurrent peeling without surgical intervention.

Conclusion
In summary, your condition does appear to be recurrent, and while topical treatments can be effective, it’s crucial to identify the underlying cause. If you continue to experience symptoms despite treatment, further evaluation by a healthcare professional is warranted. They may recommend additional tests or a different treatment approach, including the possibility of circumcision if deemed necessary. Always communicate openly with your healthcare provider about your symptoms and concerns to find the most effective treatment plan for your situation.

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