Penis Sore

I'm a 29 year old male. I have developed a red soar on the tip of my penis for about 2 1/2 weeks now. It is relatively small, barely noticeable when completely flaccid. However, under further scrutiny the sore is actually a little scaly and elevated. It does not secrete any substance and it is not flaky, though.

I have had protected sex recently and also developed a slight, clear discharge soon after. The discharge is very sporadic, however. It is not always there in the morning--apparently when it would show up if this were an STD--and it is more likely to occur when I'm sitting down. If it does occur, the discharge happens at the end of urination, not the beginning. I thought that I might be panicking and conflating a discharge with a pre-ejaculation substance, but it sometimes appears when I have not recently had an erection. This leads me to believe that I have developed some sort of prostatitis or bacterial infection. I'm waiting on the results of a test from my urologist.

The current question is, What can I do for this sore? I'm afraid that if nothing is done, I'm going to develop an unsightly scar. I have tried prescription level cortisone as well as neosporin, but neither have done anything. Could the ineffectivenness of these medications be the result of the accutane I am also currently taking? Given that the latter dries out the skin, is it possible that it is countering these medications?

Any advice would be much appreciated. Seems like a strange confluence of disparate ailments.

-BA

[Bhupinder Kaur, MD]

Hello,
It is very difficult to confirm the diagnosis without examining but it can be a friction bump, cyst or some fungal infection. It is good that you have got it evaluated from a urologist. The discharge sounds like normal prostatic or seminal discharge but it is important to rule out any Chlamydia infection.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your dermatologist. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.