and Managing Inflammation from Foreskin Injury - Urology

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Inflammation with bleeding due to a torn foreskin?


I have phimosis but I usually retract it for cleaning.
On Sunday, while showering, I may have been too rough and noticed that the inner foreskin was torn and bleeding.
The next day, I observed that the glans and the area around the foreskin had small red spots, swelling, and sensitivity, which was painful.
I immediately went to the urology department for a consultation.
The doctor said that if there are no blisters or ulcers, it is not a sexually transmitted disease and may just be a localized inflammation.
He prescribed a topical ointment for me to apply.

Until today, I have noticed that the redness on the inner foreskin has increased in size and is itchy, and I have developed two or three white spots that look like acne.
Since I have to wait a week for the doctor's appointment, I am unsure if this is a normal condition and whether I should continue applying the ointment.
Or is it serious enough that I need to seek help from another doctor? I also have a prescription for Flucortone from another doctor for early-stage foreskin itching; can I mix it with the ointment I was prescribed?

zenme hui zheyang, 20~29 year old female. Ask Date: 2013/09/03

Dr. Xu Weikai reply Urology


Hello, if your symptoms do not improve, you can return to the outpatient clinic for treatment earlier.
As for medication usage, I cannot provide recommendations since I am unable to make a definitive diagnosis.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2013/09/03

More Info


When dealing with inflammation resulting from a foreskin injury, it is essential to understand the underlying causes and appropriate management strategies. In your case, the injury occurred due to rough handling during cleaning, leading to a break in the skin and subsequent inflammation. The presence of redness, swelling, and sensitivity in the area indicates a localized inflammatory response, which is common following such injuries.

Firstly, it is crucial to follow the advice given by your urologist. The prescription of a topical medication like "利膚" (which I assume is a topical corticosteroid or anti-inflammatory cream) is intended to reduce inflammation and promote healing. It is essential to apply this medication as directed, typically a thin layer to the affected area, and to avoid excessive rubbing or irritation during application.

The development of small red spots and white bumps resembling acne can be concerning, but they may not necessarily indicate a severe infection or a sexually transmitted disease (STD), especially if your doctor has ruled out such conditions. These symptoms could be a result of irritation or a secondary inflammatory response. However, if the area continues to worsen, becomes increasingly painful, or shows signs of pus or significant swelling, it is crucial to seek further medical evaluation sooner rather than later.

In terms of your question about mixing medications, it is generally not advisable to combine different topical treatments without consulting a healthcare professional. Each medication has its specific indications and potential interactions. Flucortone, which is a corticosteroid, may help reduce inflammation, but using it alongside another topical treatment could lead to increased irritation or other side effects. It is best to wait for your follow-up appointment with your urologist to discuss your symptoms and any changes in your treatment plan.

In the meantime, here are some general recommendations for managing inflammation and promoting healing in cases of foreskin injury:
1. Maintain Hygiene: Continue to keep the area clean and dry. Gently wash with mild soap and water, avoiding harsh chemicals or scrubbing that could further irritate the skin.

2. Avoid Irritants: Refrain from using any products that may irritate the area, such as scented soaps, lotions, or other topical treatments not prescribed by your doctor.

3. Monitor Symptoms: Keep an eye on the symptoms. If you notice increased redness, swelling, pain, or discharge, seek medical attention promptly.

4. Avoid Sexual Activity: Until the area has healed completely, it is advisable to avoid any sexual activity that could further irritate the injury.

5. Follow-Up Care: Attend your follow-up appointment as scheduled. If your symptoms worsen before then, do not hesitate to seek immediate medical attention.

6. Consider a Second Opinion: If you feel uncertain about your current treatment or if your symptoms do not improve, seeking a second opinion from another healthcare provider may provide additional insights and treatment options.

In summary, while localized inflammation following a foreskin injury is common, it is essential to monitor your symptoms closely and adhere to your doctor's recommendations. If you have any doubts or if your condition worsens, do not hesitate to seek further medical advice. Your health and comfort are paramount, and timely intervention can prevent complications.

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