Burning Coronal Sulcus

[Scott737]

Hi, About 3 years ago out of the blue, I started to have a burning , hyper sensitive area around the sulcus of my penis. It is a slightly reddish, slightly raised fissure line( sometimes open sometimes closed) that runs near, if not on my circumcision line and runs from about 9 oclock to about 1 oclock ( or the left side to the a little past the top of my shaft). At first I thought my wife had a hair or growth inside her vagina as I was always sore after sex.She got checked and it was negative on her end. It turned out that even when we didnt have sex I was still sore. I also dont use condoms. It is a stinging burning sensation that has not gone away after all this time. It is worse right after sex of course or when it is laying up against the bed sheet or even against my underwear. A direct shower head stream is almost unbearable. Ive been to my urologist twice and he's not run any tests on it but sais he doesnt see anything unusual and it may be for a dermatologist to check. Ive tryed at his suggestion to try some thing topocal. So ive tryed Monostat for yeast, Tinactin  and Cruex for fungus.... I dont even know what to call it as I cant seem to find anyone else with this in doing searches. Do you have any idea what this may be or what else I can try? Thanks so much

[Scott737]

nothing...? no one ???

[Bhupinder Kaur, MD]

Hello,
It can be due to balanitis. Oral course of antibiotics is needed. In addition, please don’t use any cosmetics on the penis, instead use some topical antimicrobials like Bacitracin or Lotrimin. Also corticosteroids and topical immunosuppressants can be used but they are available under prescription. Also retract the foreskin daily and soak in warm water to clean penis and foreskin. In case the symptoms persist then please consult a urologist/dermatologist for evaluation and antimicrobials and steroids prescription.
I hope it helps. Take care and please do keep me posted in case you have any additional doubts. Kind regards.

[Scott737]

Thanks Doctor for responding. I have had a upper respiritory infection lately and am just finishing up with a Methylprednisolone pack of 21 tablets at 4mg  and Cephalexin 500mg capsules and do you think any of that should have also shown an improvement with the sulcus problem or are they the wrong meds for this ? I will try the Lotrimin and Bacitracin as you said.
Is there anything in particular and dosage that I could request to my Urologists  to phone in a prescription for me? Thanks again so much! Three years of this is getting old.

[Scott737]

hello ??? still there ?

[Bhupinder Kaur, MD]

Hello,
Cephalexin is an antibiotic and methylprednisolone can be used. The treatment I am talking about is topical treatment which can act as an adjuvant to the oral therapy. If the symptoms persist then you can get a biopsy of the skin to confirm the diagnosis as treatment is diagnosis specific.

I hope it helps. Take care and regards.

[Scott737]

Is Bacitracin and Neosporin basically the same thing or do they produce different results ?Thanks so much !!