Itchy and Painful Symptoms in the Foreskin: A Urology Guide - Urology

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Hello, doctor?


Hello Doctor, for the past few days, I've been experiencing some itching in my foreskin.
I thought it would get better in a few days, but after three to four days, the itching is still present.
It's not constant, just intermittent.
Today, the itching has improved a lot, but when I go to the bathroom and retract the foreskin, I feel a painful sensation.
Is my foreskin injured? Yesterday, I went to the pharmacy and bought some topical cream to apply.
After applying it several times yesterday, the itching improved significantly.
However, this morning, I woke up and the foreskin feels a bit painful again.
What could be the cause of this, Doctor?

A Fei, 30~39 year old female. Ask Date: 2012/12/26

Dr. Xu Weikai reply Urology


Hello, you have phimosis.
You can refer to my previous responses on how to clean the foreskin to improve the condition.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, it is still important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Department of Health, Executive Yuan, who cares about your well-being.

Reply Date: 2012/12/26

More Info


Itchy and painful symptoms in the foreskin can be concerning and may indicate various underlying conditions. Based on your description, it seems that you have been experiencing intermittent itching and pain in the foreskin area. Here’s a comprehensive understanding of your symptoms and potential causes, along with recommendations for management.


Possible Causes of Itching and Pain in the Foreskin
1. Infection: One of the most common causes of itching and pain in the foreskin is an infection, which could be fungal (like candidiasis), bacterial, or sexually transmitted. If there is any unusual discharge, redness, or swelling, it could indicate an infection that may require medical treatment.

2. Inflammation: Conditions such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin) can cause itching and pain. These conditions can arise due to poor hygiene, irritants, or infections.

3. Allergic Reactions: Sometimes, the use of soaps, lotions, or other products can cause allergic reactions leading to itching and discomfort. If you have recently changed any products you use in that area, consider reverting to your previous products.

4. Skin Conditions: Dermatitis or other skin conditions like psoriasis or eczema can also affect the genital area, leading to itching and discomfort.

5. Mechanical Irritation: If there has been any friction or trauma to the foreskin, such as from vigorous sexual activity or improper cleaning, this could lead to pain and discomfort.


Management and Recommendations
1. Hygiene: Maintain good hygiene by gently cleaning the area with mild soap and water. Avoid harsh soaps or products that might irritate the skin.

2. Topical Treatments: You mentioned using a topical cream (益可膚). If it has provided relief, continue using it as directed. However, if symptoms persist, it may be necessary to consult a healthcare provider for a more targeted treatment.

3. Avoid Irritants: Steer clear of any products that could irritate the area, including scented soaps, lotions, or lubricants.
4. Consult a Healthcare Provider: If the itching and pain persist or worsen, it is essential to see a urologist or healthcare provider. They can perform a physical examination and may recommend tests to determine the underlying cause. This could include urine tests, swabs for infections, or other diagnostic procedures.

5. Avoid Self-Diagnosis: While it’s tempting to self-diagnose based on symptoms, it’s crucial to get a professional opinion, especially if there are signs of infection or if the condition does not improve with over-the-counter treatments.


Conclusion
In summary, while your symptoms of itching and pain in the foreskin may improve with topical treatments, it is essential to monitor the situation closely. If symptoms persist or worsen, seek medical attention to rule out infections or other underlying conditions. Early intervention can help prevent complications and ensure appropriate treatment. Remember, maintaining good hygiene and avoiding irritants are key steps in managing your symptoms.

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