Foreskin Issues: When to See a Urologist or Dermatologist

Prepuce issues

Due to being overweight, my penis is not long and is not easily exposed.
When I have an erection, I can barely see a little bit of the glans.
Recently, during erections, I have noticed small cracks in the skin near the tip of the foreskin, which sometimes bleed and are painful.
Additionally, I experience pain when my pants rub against it while walking, but after a few days, it scabs over and heals, only to recur.
My questions are: 1.
Should I consider a circumcision? 2.
Should I consult a urologist or a dermatologist regarding the condition of my foreskin?

Min, 30~39 year old female. Ask Date: 2016/02/13

Dr. Xu Weikai reply Urology

Hello,
1.
If you frequently experience inflammation that leads to wounds, it is better to seek treatment.

2.
Dermatologists do not perform circumcisions.
If treatment involves only medication, both dermatologists and urologists can provide care.
If there are any unclear points, feel free to ask again for further discussion and research.
Answers found online should only be used as a reference; it is essential to visit a medical facility for proper care.

This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/13

More Info

When it comes to foreskin issues, particularly those involving pain, bleeding, and skin cracks, it is essential to understand the underlying causes and when to seek medical advice. Based on your description, it sounds like you are experiencing recurrent fissures at the tip of your foreskin, which can be painful and may bleed. This condition can be exacerbated by friction from clothing, especially if the foreskin is tight or if there is insufficient lubrication during erections.

When to See a Urologist or Dermatologist
1. Persistent Symptoms: If you are experiencing recurring symptoms, such as pain, bleeding, or skin cracks, it is crucial to consult a healthcare professional. These symptoms could indicate a condition that requires treatment, such as balanitis (inflammation of the glans), phimosis (tight foreskin that cannot be retracted), or even a skin condition like eczema or psoriasis.

2. Urologist vs. Dermatologist:
- Urologist: A urologist specializes in urinary tract and male reproductive system issues. They are well-equipped to handle conditions related to the foreskin, including phimosis, balanitis, and other anatomical concerns. If your symptoms are primarily related to the function or structure of the penis, a urologist would be the appropriate specialist to consult.

- Dermatologist: A dermatologist specializes in skin conditions. If you suspect that your symptoms may be related to a skin disorder (such as eczema, psoriasis, or an allergic reaction), then a dermatologist would be the right choice. They can provide treatments for skin issues that may be affecting the foreskin.

Should You Consider Circumcision?
The decision to undergo circumcision is a personal one and should be made after careful consideration and consultation with a healthcare provider. Circumcision may be recommended in certain cases, such as:
- Severe Phimosis: If the foreskin is too tight and causes pain or bleeding, circumcision may alleviate these symptoms.

- Recurrent Infections: If you experience frequent infections or inflammation that do not respond to other treatments, circumcision may be a viable option.

- Quality of Life: If the condition significantly impacts your daily life or sexual function, discussing circumcision with a urologist may be beneficial.

Additional Considerations
- Hygiene: Maintaining proper hygiene is crucial. Ensure that the area is clean and dry, as moisture can lead to infections.

- Moisturizers: If friction is a problem, consider using a gentle, fragrance-free moisturizer to reduce irritation.

- Avoid Irritants: Be mindful of any products that may irritate the skin, such as scented soaps or lotions.

Conclusion
In summary, given your symptoms of pain, bleeding, and skin cracks around the foreskin, it is advisable to seek medical attention. A urologist would be the most appropriate specialist to evaluate your condition, especially if you are considering circumcision. However, if you suspect a skin condition, a dermatologist may also be helpful. Do not hesitate to seek medical advice, as early intervention can lead to better outcomes and improved quality of life.

Similar Q&A

Understanding Urological Concerns: When to See a Dermatologist or Urologist

Initially, there were 1 to 2 bumps located beneath the penis (on the foreskin), which later spread to the scrotum and increased in number. They are itchy but not painful, and the foreskin has lines that do not express anything. If I need to see a doctor, should I consult a dermat...

Dr. Lin Wenxu reply Urology
You can first consult with a urologist at the outpatient clinic for an examination and internal assessment.

Understanding Scrotal Issues: When to See a Dermatologist or Urologist

I have developed something that looks like acne all over my body, including my scrotum and foreskin, and it is very itchy. However, every time I scratch it, more appear. Doctor, what could be the cause of this? Should I see a dermatologist or a urologist, considering that it invo...

Dr. Du Shixi reply Urology
Hello: Both departments are fine, it is mostly a follicle issue. Avoid overly oily foods, and ensure good sleep and hygiene. Wishing you good health.

Persistent Itching Under the Foreskin: Urology or Dermatology?

I often experience irritation on the outer part of the foreskin. I consulted a urologist who prescribed me a topical ointment, oral medication, and antibiotics, but there hasn't been much improvement. Should I continue seeing a urologist or should I consult a dermatologist?

Dr. Jian Weihong reply Urology
Hello: Keep the area clean and dry, avoiding moisture. Additionally, do not wear tight underwear. If there is redness, consult a urologist. If there is no redness, you can see either specialist. Wishing you good health.

Should You See a Urologist or Dermatologist for Glans Ulcer Issues?

The glans appears ulcerated (without sexual activity). Should I definitely see a urologist, or can I consult a dermatologist? The nearest urology clinic is a large hospital that is at least an hour's drive from my home.

Dr. Chen Jiansheng reply Urology
Please seek medical attention.