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Dermatology (Expert Forum)
Persistenet Inflammation on Shaft of Penis
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center
Brookline - MA
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Persistenet Inflammation on Shaft of Penis
by brushsage, Jul 04, 2007 12:00AM
My problem developed in January 2007. I experienced red inflammation on right-hand side of the shaft of my penis (top, right under the crown, covered by foreskin-I am uncircumsised). It's a limited delineated area, oval shaped, apprx. 3 by 6 millimeters. I' ve had a mildly burning sensation and some redness (no itching)-there are no visible bumps or blisters or classical rash. My dermatologist said it didn't look like any STD and prescribed Nystatin for 2 weeks (didn't work), then Triancinolone for 2 weeks (didn't work). Then the condition improved-I felt no symptom for about two weeks and then I had again a bad flare-up. My dermatologist suggested that I apply Monistat 7 (my wife had fungal problems long ago...I didn't have sex with her since about a month before the whole episode began). Monistat "helped" but just for 2 weeks and then I had this annoying burning again. He suggested a biopsy (not a swab to my surpprise!) (17 May) which came back "benign, some inflammation, you probably have dermatitis, seborrhea or ekzema". My Dr. prescribed Hydrocortizone Valerate 0.2% for 3 weeks-same pattern -it gets slightly better for about 2 weeks and then worsens again-plus I also had some light itching in the byopsized area-as if it wasn't healing. I also used OTC Hydrocotizone 1%-without success. It gets slightly worse after masturbation.
Any suggestions?
Any suggestions?
Doctor's Answer
by Alan Rockoff, MD, Jul 06, 2007 12:00AM
, Jul 06, 2007 12:00AM
Yes. I suggest that you apply no active medications to the area, that you wash the area gently and apply only moisture lotion, and that you forget about it. Such redness has no significance. If proof was needed, the biopsy provided it. I'm not sure why you thought a swab would be a better diagnostic tool, but a biopsy is much more definitive. So you don't have yeast or fungus or skin cancer or an STD. That leaves minor, superficial inflammation, no doubt left over from a previous irritation of some sort. This sort of thing is common and subsides eventually if left alone, which is what I think you ought to do. (No need to avoid sex, by the way.)
Best.
Dr. Rockoff
Best.
Dr. Rockoff
