and Managing Skin Issues on the Penis: A Urology Perspective - Urology

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Hello, doctor. Thank you for your response?


Hello doctor, I had folliculitis at the junction of my foreskin and penis about six months ago.
After applying some ointment, it improved.
However, it seems that I stopped the treatment before it was completely healed, which has led to some unusual changes.
There is now a small piece of tissue at the original affected area that can be lifted, and it looks somewhat like a scab that has been partially picked off.
I feel like it was originally a long pimple along the foreskin and penis; after applying the medication, the pimple itself healed, but the skin around it was partially lifted when I stopped the treatment, resulting in this extra piece of skin.
It doesn't hurt at all under normal circumstances, but there is a slight pain when I intentionally move it with my hand.
What should I do about this? Although it doesn't significantly affect my daily life, having a small piece of skin hanging off the penis feels a bit odd.
Should I continue using the previous ointment? Thank you!

Hu, 20~29 year old female. Ask Date: 2015/11/08

Dr. Xu Weikai reply Urology


Mr.
Hu: Hello, it's difficult to determine.
If the epidermal tissue hyperplasia is merely due to irritation and there are no changes or impacts, it can be left alone.
However, if you feel concerned about the appearance or have other subjective discomforts, surgical correction may be an option.
Currently using medication may have already missed the optimal treatment window and could even be completely ineffective.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Responses from the internet should only serve as a reference; if necessary, it is still important to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/11/08

More Info


Understanding and managing skin issues on the penis, particularly after experiencing folliculitis, can be a nuanced process. Folliculitis, which is an inflammation of the hair follicles, can occur due to various factors including bacterial infections, irritation, or even fungal infections. It’s good to hear that you initially saw improvement with topical treatments, but it’s important to address the current situation carefully.

From your description, it sounds like you may be dealing with a few potential issues. The area you describe as a "piece of skin that can be lifted" could be a remnant of the healing process following the folliculitis. Sometimes, after inflammation, the skin can heal in a way that leaves behind a raised or irregular area, which might feel different from the surrounding skin. This could be a form of post-inflammatory hyperplasia or even a benign skin growth that developed as a result of the previous condition.

Here are some steps you can take to manage this situation:
1. Avoid Picking or Manipulating the Area: It’s crucial to avoid picking at the skin or trying to remove it manually, as this can lead to further irritation, potential infection, or scarring.

2. Continue with Topical Treatments: If the topical medication you were using previously was effective, it may be worth resuming its use. However, ensure that it is appropriate for the current condition. If it was a steroid cream, be cautious about prolonged use, as it can thin the skin over time.

3. Moisturization: Keeping the area moisturized can help promote healing and prevent further irritation. Look for gentle, fragrance-free moisturizers that are suitable for sensitive skin.

4. Monitor for Changes: Keep an eye on the area for any changes. If you notice increased redness, swelling, pain, or discharge, it may indicate an infection or another underlying issue that requires medical attention.

5. Consult a Healthcare Professional: Given the sensitive nature of the area and the potential for various skin conditions, it would be wise to consult a urologist or dermatologist. They can provide a thorough examination and may recommend treatments such as topical antibiotics, antifungals, or other therapies based on their findings.

6. Avoid Irritants: Be mindful of any products that may irritate the skin, such as harsh soaps, scented products, or tight clothing. Opt for breathable fabrics and gentle cleansing methods.

7. Consider Underlying Conditions: If you have a history of skin issues or if this is a recurring problem, it may be beneficial to discuss with your healthcare provider whether there are underlying conditions, such as eczema or psoriasis, that could be contributing to your symptoms.

In summary, while it may not be causing significant discomfort, the appearance of the skin can be concerning. It’s always best to err on the side of caution when it comes to skin health, especially in sensitive areas. A healthcare professional can provide tailored advice and treatment options to ensure proper healing and management of your skin condition.

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