Persistent Penis Skin Lesion: Causes and Treatment Options

Penile skin lesion lasting over three months?

Hello Dr.
Lee: I have not engaged in sexual intercourse and rarely masturbate.
I make sure to wash my genital area thoroughly every day.
However, three months ago, I noticed unexplained skin breakdown under the foreskin of my penis, which is itchy and painful.
After enduring it for a month, I visited a dermatologist.
I was prescribed topical medication, but the skin breakdown has not healed.
I then consulted an endocrinologist and underwent tests, which showed no viruses.
The doctor suspects I may have AIDS, but I have not had sexual intercourse for over a year.
I would like to ask how I should proceed.
The color appears normal; it just looks like broken skin and is itchy and painful.
Thank you.

A-Zhou, 30~39 year old female. Ask Date: 2012/12/19

Dr. Li Yilun reply Urology

The physician's diagnosis of a condition must rely on the patient's presentation, physical examination, and clinical experience.
With advancements in technology, diagnostic tests such as blood tests, urine tests, semen analysis, or specific imaging studies can assist in diagnosis.
Different patients may have varying medical histories and conditions, making it impossible to determine the diagnosis based solely on a brief description.
The physician needs to conduct a thorough medical history inquiry, visual inspection, palpation, and examinations to confirm the diagnosis and treatment approach.
Additionally, based on your description, the symptoms primarily suggest balanitis, but they could also indicate other skin disorders or conditions like diabetes, which may lead to balanitis.
These issues truly require detailed questioning and visual examination for accurate assessment.
It is advisable to consult a dermatologist or urologist in your vicinity for evaluation.

Reply Date: 2012/12/19

More Info

Persistent skin lesions on the penis can be concerning and may arise from a variety of causes. Given your description of a persistent lesion that has not healed over three months, it is essential to consider several potential conditions that could be responsible for your symptoms.
Firstly, one common cause of skin lesions in the genital area is contact dermatitis, which can occur due to irritation from soaps, detergents, or even friction from clothing. This type of dermatitis can lead to redness, itching, and sometimes even cracking or peeling of the skin. If you have recently changed any personal care products or laundry detergents, this could be a contributing factor.

Another possibility is fungal infections, such as candidiasis, which can present as itchy, red lesions and may cause discomfort. Fungal infections are more common in warm, moist areas and can sometimes be mistaken for other skin conditions. If a fungal infection is suspected, antifungal creams or medications may be necessary for treatment.

Balanitis, which is inflammation of the glans (the head of the penis), can also cause similar symptoms. This condition can be due to poor hygiene, infections, or skin conditions like psoriasis or eczema. Treatment typically involves maintaining good hygiene, using topical steroids, or antifungal medications if an infection is present.

In your case, since you have already seen a dermatologist and a metabolic specialist without a definitive diagnosis, it may be beneficial to seek a second opinion or consult a urologist who specializes in genital skin conditions. They may recommend a biopsy or further testing to rule out conditions such as psoriasis, lichen sclerosus, or even sexually transmitted infections (STIs), despite your lack of sexual activity.

Regarding your concern about AIDS, it is important to note that HIV is primarily transmitted through sexual contact, sharing needles, or from mother to child during childbirth or breastfeeding. If you have not engaged in any high-risk behaviors, the likelihood of having contracted HIV is low. However, if you have concerns about your HIV status, it is advisable to get tested for peace of mind.

In terms of treatment options, it is crucial to avoid self-medicating without a clear diagnosis. Over-the-counter creams may provide temporary relief, but they could also exacerbate the condition if the underlying cause is not addressed. A healthcare provider may prescribe topical steroids to reduce inflammation or recommend specific antifungal or antibacterial treatments based on the diagnosis.

To manage your symptoms in the meantime, consider the following:
1. Maintain Good Hygiene: Gently wash the area with mild soap and water, and ensure it is thoroughly dried afterward.

2. Avoid Irritants: Stay away from harsh soaps, lotions, or any products that may irritate the skin.

3. Wear Loose Clothing: Opt for breathable fabrics to reduce friction and moisture accumulation.

4. Moisturize: If dryness is an issue, using a gentle, fragrance-free moisturizer may help.

Lastly, keeping a symptom diary can be beneficial. Note any changes in your condition, potential triggers, and responses to any treatments you try. This information can be invaluable for your healthcare provider in determining the best course of action.

In conclusion, persistent skin lesions on the penis can arise from various causes, and a thorough evaluation by a specialist is essential for appropriate diagnosis and treatment. Do not hesitate to seek further medical advice if your symptoms persist or worsen.

Similar Q&A

Understanding and Managing Persistent Glans Skin Lesions

The skin lesion has persisted for about two months, with periods of improvement, but it has recently recurred, accompanied by the discharge of serous fluid and mucus. It is painful when rinsed, so I usually clean it with saline solution. I have also applied topical medications su...

Dr. Du Shixi reply Urology
Hello: If the examination results are fine, the focus now is on wound care. The wound should be kept clean; clean and apply medication using the method instructed by your physician twice a day. Avoid soaking in baths. Maintain a light diet (avoid alcohol and spicy foods). Wear lo...

Managing Persistent Skin Issues on the Penis: Effective Treatments and Tips

Hello doctor, last week I developed a large pimple on my foreskin, which burst and formed a large wound about 1 cm in size. I thought it would scab over like a regular pimple, but after scabbing, it fell off the next day and continued to bleed repeatedly for 3-5 times. In between...

Dr. Cai Zhuorong reply Urology
Please visit the outpatient clinic of our hospital for consultation.

Persistent Penis Discomfort: Causes and Treatment Options Explained

Hello doctor, I've been feeling discomfort in my penis and have the urge to scratch it. I've seen many urologists who said everything looks fine. Today, I visited a doctor who mentioned that the glans is a bit red, possibly indicating balanitis, and prescribed me a topi...

Dr. Sun Hongshun reply Urology
Hello, that ointment contains antibiotics and steroids. It may be beneficial to add an oral antihistamine. Please consult a dermatologist or urologist for further management.

Persistent Penis Skin Lesion: Is It a Misdiagnosis?

Dr. Hsu, I have a fungal infection on my penis that has not improved after two weeks. Could this be a misdiagnosis?

Dr. Xu Weikai reply Urology
Mr. Chen: Hello, for fungal infections, in addition to medication, proper care is essential. Generally, it is necessary to remove any smegma from the glans and foreskin; however, do not use hot water or any cleaning products. In other words, using cool, clean water is sufficient....